Summary
Overview
Work History
Education
Skills
Timeline
Generic

Odemaris Ivy

Summary

Results-driven Quality Assurance Associate with extensive experience at Liberty Mutual, specializing in regulatory compliance and QA auditing. Proven track record in enhancing quality assurance processes and preparing audit documentation. Skilled in software tools like Strataware and ExPRS, with strong analytical abilities and attention to detail. CPC certified since 2016.

Overview

25
25
years of professional experience

Work History

Quality Assurance Associate

Liberty Mutual
03.2021 - Current
  • Audit workers' comp claims for regulatory compliance
  • Documented findings and reported issues to enhance quality assurance processes
  • Assist with external audits by preparing documentation and providing attestations to validate compliance
  • Developed standard work documents for new QA tasks, establishing consistent procedures and ensuring compliance with regulatory and internal guidelines


Technical Support Specialist

Liberty Mutual
10.2015 - 03.2021
  • Resolved state disputes and ensured compliance with policy standards
  • Investigated discrepancies and corrected claim documentation

Sr. Medical Services Representative

Liberty Mutual
07.2013 - 10.2015
  • Evaluated and processed workers' comp claims in line with compliance standards
  • Reviewed provider appeals and ensured accuracy in claim resolution

Liability Claims Adjuster

The Hartford
04.2000 - 12.2009
  • Evaluated liability claims to ensure compliance with policy terms and regulations.
  • Collaborated with legal teams to assess case details and negotiate settlements effectively.
  • Analyzed evidence and documentation to determine claim validity and potential fraud risks.


Education

No Degree - Psychology

Waubonsee Community College
Sugar Grove, IL

High School Diploma -

West Aurora High School
Aurora, IL

Skills

    Regulatory Compliance & QA Auditing

    Audit Preparation & Attestations

    CPC Certified (since 2016)

    Software: Strataware, ExPRS, BoComp, Microsoft Office Suite

Timeline

Quality Assurance Associate

Liberty Mutual
03.2021 - Current

Technical Support Specialist

Liberty Mutual
10.2015 - 03.2021

Sr. Medical Services Representative

Liberty Mutual
07.2013 - 10.2015

Liability Claims Adjuster

The Hartford
04.2000 - 12.2009

No Degree - Psychology

Waubonsee Community College

High School Diploma -

West Aurora High School
Odemaris Ivy