Monica Girdner
Olathe,KS
Summary
Accomplished TPA Governance Analyst with a proven track record of enhancing TPA partner oversight. Adept at auditing, evaluating, and implementing compliance processes to ensure adherence to state regulations. Elevated organization skills ensure deadline adherence with a commitment to maintain the highest standards of compliance.
Overview
18
18
years of professional experience
Work History
Senior TPA Governance Analyst
AIG Insurance
10.2016 - Current
- Promoted from TPA Governance Analyst in March 2021.
- Serve as the main point of contact for matters involving TPA State Regulatory tasks and issues for both internal and external partners.
- Create reports that analyze our TPA partner's performance highlighting room for improvement as well as success.
- Coordinate Data Calls, Audits and Market Conduct Exams by deciphering what information is needed, communicating the request to our TPA partners and compiling all data into the required format.
- Research claims and policies to determine coverage utilizing multiple internal software systems and state portals.
- Provide direct supervision to a team of 8 individuals that provide administrative support for our team through an off-shore vendor.
- Develop tracking tools that improve oversight of our TPA partners resulting in less penalties for multiple states.
Senior Licensing Coordinator
AIG Insurance
04.2015 - 10.2016
- Promoted from Licensing Coordinator in January 2016.
- Processed new license applications and renewals for all adjusters company wide by ensuring each document met the requirements of each state and communicating with the adjuster if more information was needed.
- Implemented a training session for all adjusting staff on licensing procedures and best practices which resulted in fewer license application denials.
- Assisted in the development of product documentation, creating an easy-to-follow user guide on how to obtain an adjuster license in each state where it was required.
Claims Adjuster
Farmers Insurance Company
06.2013 - 04.2015
- Conducted comprehensive recorded interviews of insureds, witnesses and claimants to gather facts in order to resolve auto property damage claims while taking in consideration each state's negligence laws.
- Examined policy forms and other records to determine insurance coverage.
- Received an average of 10 new claims per day in a high volume call center environment while exceling in claim closure.
Senior Housing Case Manager
City of Des Moines Municipal Housing Agency
10.2006 - 03.2013
- Promoted from Housing Case Manger in November 2008.
- Served as an in-house expert to staff members, clients, landlords and community members regarding Federal Housing and Urban Development (HUD) regulations and interpreted guidelines on all aspects of Section 8 low-income rental assistance programs.
- Performed Quality Control on participant files on a daily basis to ensure compliance with all regulations and that rent was being calculated accurately.
- Responsible for the electronic transmission of Agency submissions to the HUD database and verifying our Agency met the monthly deadline requirement.
Education
Bachelor of Arts - Social Work
Wichita State University
Wichita, KSAssociate of Arts - Social Sciences
Seward County Community College
Liberal, KSSkills
- Microsoft office
- MS Excel
- Attention to detail
- Critical thinking
- Time management
- Compliance analysis
- Documentation and reporting
- Regulatory compliance
- Deadline adherence
- Team collaboration and leadership
Timeline
Senior TPA Governance Analyst
AIG Insurance
10.2016 - Current
Senior Licensing Coordinator
AIG Insurance
04.2015 - 10.2016
Claims Adjuster
Farmers Insurance Company
06.2013 - 04.2015
Senior Housing Case Manager
City of Des Moines Municipal Housing Agency
10.2006 - 03.2013
Bachelor of Arts - Social Work
Wichita State University
Associate of Arts - Social Sciences
Seward County Community College
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