Experienced Quality Auditor with well-honed analytical skills with regulatory compliance auditing experience for over 5 years. Solution-focused professional highly-regarded among peers and supervisors in the Managed Health Care industry. Skilled auditor who works diligently with all levels of peers, management and external authorities.
Overview
8
8
years of professional experience
Work History
PERFORMANCE QUALITY AUDITOR, WNY CHIP ENROLLMENT
Anthem, Inc.
08.2016 - 01.2018
Responsible for overseeing and monitoring daily business reconciliation operations, including overseeing the automated daily and monthly enrollment file updates, member reconciliation process for assigned markets and resolution of complex enrollment issues
Reviewed work instructions and production strategies to verify compliance with established standards.
Provide support and training for enrollment analysts on more complex enrollment issues, and performs daily quality assurance function.
Identified issues of non-compliance and elevated reports to senior personnel.
Completed timely quality reports highlighting deficiencies and recommending corrective actions.
Ran daily, weekly and monthly reports to departmental trends
MARKETING AND TRADESHOW PLANNING
Cell Science Systems
05.2015 - 02.2016
Coordinated and planned tradeshows from end to end
Sourcing out new tradeshows to optimize and captialize on company exposure creating new clientelle and increase company profit share.
Prepare all shipment of supplies to tradeshow as well as book and organized all transportation for selected sale attendees
Track and schedule the return of all supplies in a timely manner and inspect and add to ongoing inventory.
Researched competitor trends and interpreted findings, reporting conclusions to supervisor.
Shadowed meetings and observed marketing director to grow professional experience.
SALES ADMINISTRATIVE ASSISTANT
Marriott International Florida Group Sales
09.2013 - 05.2015
Responsible taking group sales leads/opportunities directly from Sales Manager or via e-mail, input information in SFAWEB/CI
Follow up on leads with the creation of proposals, create contracts and submit to clients in a timely manner to close leads.
Managed filing system, entered data and completed other clerical tasks.
Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
Run daily funnel reports, exported to Microsoft Excel spreadsheet, organized and presented to managers.
Created and maintained reports, documents and presentations to assist sales manager..
Created and maintained detailed administrative processes and procedures to drive efficiency and accuracy.
Front Desk Receptionist
Harbor Beach Marriott
12.2012 - 09.2013
Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
Collected room deposits, fees, and payments.
Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
Maintained confidentiality of sensitive data to protect customer and business information.
Trained new team members on company procedures, customer service and issue resolution.
Resolved customer issues quickly and notified supervisor immediately when problems escalated.
Front Office Associate
Marco Island Marriott
08.2009 - 12.2012
Greeted visitors and customers upon arrival, offered assistance, and answered questions to build rapport and retention.
Increased customer service success rates by quickly resolving issues.
Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
Introduced members to room upsell opportunities thus increasing revenue for front office department and hotel.
Reviewed upcoming guests reservation requests and assign rooms and preferences based on guarantees and availability.
Maintaining a balanced bank for all monitor transactions.
Education
Bachelor of Science - Hospitality Business Administration
Southern New Hampshire University
Hooksett, NH
08.2007
Associate Degree - Hospitality Entertainment And Tourism
Moneague College
Moneague, JM
06.2005
High School Diploma -
St. Jago High School
Spanish Town, JM
07.2003
Skills
834 File
Facets
Document Review
CRM
Excel
PowerPoint
Quality Assurance and Control
Documentation Management
Compliance Requirements
Write Reports
Accomplishments
Successfully passed WNY first New York State audit.
References
Available upon request
Communication Tools
Zoom
Skype
Hobbies And Interests
Running
Cycling
Travel
Reading
Timeline
PERFORMANCE QUALITY AUDITOR, WNY CHIP ENROLLMENT
Anthem, Inc.
08.2016 - 01.2018
MARKETING AND TRADESHOW PLANNING
Cell Science Systems
05.2015 - 02.2016
SALES ADMINISTRATIVE ASSISTANT
Marriott International Florida Group Sales
09.2013 - 05.2015
Front Desk Receptionist
Harbor Beach Marriott
12.2012 - 09.2013
Front Office Associate
Marco Island Marriott
08.2009 - 12.2012
Bachelor of Science - Hospitality Business Administration
Southern New Hampshire University
Associate Degree - Hospitality Entertainment And Tourism