Nicole Suarez
Austin,TX
Summary
Driven Compliance Specialist in a rapid growth start-up. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Analytical thinker and innovative problem solver.
Overview
7
7
years of professional experience
Work History
Compliance Specialist
Extend, Inc.
San Francisco, CA
10.2021 - Current
- Served as subject matter expert by advising staff and merchants and working directly with outside counsel to remedy compliance issues.
- Tracked merchant state licensure to update appropriate teams and facilitate subsequent steps, limiting company exposure to liability
- Assisted with training sessions to educate the sales organization on compliance and regulatory standards through literature and presentations.
- Enhanced regulatory, strategic and operational performance to keep in alignment with deadlines.
- Orchestrated cross-functional projects within strict timeframes by solving complex problems and working closely with senior leaders.
- Provided detailed technical and operational direction in project challenges, consistently meeting deliverables according to deadlines.
No-Fault Litigation Examiner II
GEICO
Woodbury, NY
07.2019 - Current
- Ranked in the top 5% of examiners in accordance with quality and productivity goals
- Receives arbitration documents, determines company exposure, and settles or defends dispute based on merits of the case
- Processes No-Fault claims involving serious injuries and out-of-state losses requiring extensive investigations
- Analyzes information and determines coverage under the policy contract and No-Fault Laws
- Communicates with providers, regulatory agencies, and attorneys for additional verification or dispute resolution in accordance with timeline outlined by regulation and laws
- Maintains, organizes, and prioritizes high volume workflow and diary control of electronic claim files to ensure compliance with statutory requirements
- Documents files in a clear, concise, professional written manner to be understood by colleagues within the organization
- Sets accurate reserves within given authority level and escalates requests for reserves in excess of given authority expeditiously
No-Fault Litigation Examiner I
GEICO
Woodbury, NY
10.2017 - 06.2019
- Consistently exceeded productivity and quality standards with above satisfactory audits resulting in 95th percentile ranking among fellow examiners
- Completed highly detailed investigation of No-Fault personal injury claims in a timely manner while fully documenting the file with pertinent information
- Prepared appropriate defense letters to direct staff counsel in defense and referral stage as well as hearing
- Closely managed litigation process to ensure loss adjustments expenses were accurate
- Preserved confidentiality on all claim files, reports, and related issues
- Learned and applied large amounts of technical and procedural information
Litigation Preparation Clerk
GEICO
Woodbury, NY
09.2016 - 10.2017
- Drove results that served as the new standard to calibrate the performance of fellow clerks, achieving 100% quality and 152% productivity in claim preparation
- Assisted management with new hire orientation and established new training programs modules
- Adhered to rigorous standards for productivity and quality as it related to data entry of arbitration details for litigation examiners
- Facilitated the operations of the litigation department
- Designated secured and commercial claims handler
Billing Customer Service Representative
GEICO
Woodbury, NY
12.2015 - 09.2016
- Fielded diverse customer questions concerning policy coverages and billing procedures and processed payments
- Achieved and consistently exceeded call volume and customer experience quotas earning TPA call designation
- Interpreted transaction summaries and maintained cognizance of potential for policyholders to save in order to retain policies in force
- Consistently garnered referrals for other lines of business to increase policyholder retainment
Education
Bachelor of Science - Anthropology, Biology, Chemsitry
Lehman College of The City University of New York
The Bronx, NY05.2016
Bachelor of Arts - Metropolitan Studies
New York University
New York, NY05.2010
Skills
- Decisive
- Team Player
- Self-Directed
- Strong Interpersonal Skills
- Negotiation Skills
- Process Implementation
- Database Management
- Licensing Regulations
- Document Review
- Project Oversight
- Proficient in Google Workplace
Timeline
Compliance Specialist
Extend, Inc.
10.2021 - Current
No-Fault Litigation Examiner II
GEICO
07.2019 - Current
No-Fault Litigation Examiner I
GEICO
10.2017 - 06.2019
Litigation Preparation Clerk
GEICO
09.2016 - 10.2017
Billing Customer Service Representative
GEICO
12.2015 - 09.2016
Bachelor of Science - Anthropology, Biology, Chemsitry
Lehman College of The City University of New York
Bachelor of Arts - Metropolitan Studies
New York University
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