Nikki Monk
Topeka
Summary
Reliable business professional with experience in project management, process improvement and financial analysis. Proven track record of successfully streamlining business operations and reducing costs. Adept at analyzing data to identify trends and developing strategies to improve efficiency.
Overview
16
16
years of professional experience
Work History
Business Process Owner Lead (Claims Transformation)
USAA
09.2018 - Current
- Leads People & Sustainment workstream for USAA Claims Operating Model Transformation
- Analyzes data and uses findings to support changes within processes
- Responsible for identifying risk/gaps and creating controls within compliant processes
- Provides leadership and guidance on projects with cross-functional business teams.
Medicare Process Owner
USAA
10.2018 - 11.2022
- Identified and prioritized issues in the Medicare process and helped create solutions and process improvements
- Led major complex project to develop and test IT business rules for Section 111 reporting for Medicare
- Created new processes to ensure compliance with Medicare standards.
Decision Science Analyst
USAA
03.2018 - 09.2018
- Assisted injury claims by using claims data to build custom queries
- Established relationships with customers to understand needs and deliver valuable data with analytical insights
- Performed monthly analysis on injury financials.
Third Party Injury Adjuster
USAA
03.2017 - 03.2018
- Investigated loss details to make coverage decisions and evaluate/negotiate with claimants
- Led daily morning huddles for the team and mentored employees on compliance processes.
First Party Injury Adjuster
USAA
02.2016 - 03.2017
- Adjusted soft tissue, moderately complex 1st party PIP/MP medical claims
- Led the Get Healthy AIS project to ensure manageable workload for peers.
Non-Injury Claims Adjuster
USAA
03.2014 - 02.2016
- Assisted members and claimants through the claims process
- Led the ACT team by analyzing data and ensuring compliance standards were met.
Policy Service Representative
USAA
03.2010 - 08.2012
- Assisted members with various adjustments to their insurance policies and provided website support.
Assistant Manager
Gymboree
07.2008 - 12.2008
- Created weekly employee schedules and led monthly store display rearrangements
- Responsible for interviewing and hiring new employees.
Education
Associate of Science - Mathematics
Texas A&M University - San Antonio
San Antonio, TX12.2013
Skills
Team Leadership Qualities
Continuous learning mindset
Data Analysis Capabilities
Process improvement expertise
Timeline
Medicare Process Owner
USAA
10.2018 - 11.2022
Business Process Owner Lead (Claims Transformation)
USAA
09.2018 - Current
Decision Science Analyst
USAA
03.2018 - 09.2018
Third Party Injury Adjuster
USAA
03.2017 - 03.2018
First Party Injury Adjuster
USAA
02.2016 - 03.2017
Non-Injury Claims Adjuster
USAA
03.2014 - 02.2016
Policy Service Representative
USAA
03.2010 - 08.2012
Assistant Manager
Gymboree
07.2008 - 12.2008
Associate of Science - Mathematics
Texas A&M University - San Antonio
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