Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Teresa Jaslyn Gomez

Rockford,IL

Summary

Quality-driven Compliance/Claims Analyst familiar with tracking, documentation and reporting requirements. In Both Transportation and the health field. Assesses work, materials and procedures and recommends adjustments to maintain compliance. Over 15 years of experience and motivated, energetic mindset. Fantastic critical thinker with great memory and efficiently organize vast amounts of data. Great at performing internal audits, conducting investigative reporting and transcribing information. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Compliance Analyst

Serenity Home Healthcare
01.2022 - Current

Reviewed audit and monitoring reports related to consumer and client activities per state guidelines

  • Supervisor at the Illinois Department of Aging
  • Manage documents for over 300 caregivers per the state of Illinois Making sure we are always compliant
  • Preparing documentation and records for upcoming audits and inspections.
  • Creating RPI risk assessments per our Quarterly compiled reports
  • Updated Excell spreadsheets with latest data to enhance strategic planning.

Transportation Recruiter

Insurance Auto Auctions
02.2020 - 05.2022
  • While at Insurance Auto Auctions my duties consisted of searching for, qualifying, recruiting and onboarding towing companies for over 197 branches during emergency catastrophic weather
  • Forecasting & Auditing current towers on performance, making changes to tow rosters onboarding new towing companies as needed to meet insurance deadlines and quotas.
  • Negotiated contracts with carriers to secure optimized rates.
  • Managed labor assignments and equipment allocations and met transportation, operations and production goals.
  • Oversaw preventive maintenance and scheduled repairs to maximize vehicle and equipment performance.
  • Maintained safe work environment and confirmed current compliance with OSHA and other governmental regulations.
  • Coordinated responses to emergencies by dispatching vehicles and bringing in additional personnel.
  • Mastered enterprise resource planning and logistics and supply chain software and maximized material movement rate.
  • Reviewed orders, production schedules, blueprints and shipping or receiving notices and assigned work sequences and material shipping dates and destinations.

Regulatory Compliance Manager

Every 24 Towing & Recovery , Inc
01.2013 - 02.2018
  • While at Every 24 Towing & Recovery my duties consisted of supervising drivers, performing maintenance & safety inspections for a fleet of 11 trucks
  • Coordinating and dispatching employees 24/7 for emergency services
  • Prepared records and data for regular audits.
  • Reviewed documents, files, transcripts and other records to assess compliance and potential risk.
  • Managed compliance efforts, reporting and audits.
  • Managed full life cycle of assigned audits in alignment with departmental procedures, delivering progress as well as closing reports to senior management and clients.
  • Verified consistency in quality planning, quality control, quality insurance and quality improvement.
  • Defined and developed policies and procedures for consumer reporting and privacy practices.
  • Conducted quarterly audits of environmental management compliance.
  • Developed and delivered training programs to inform new and current employees about compliance issues.

Executive Liability Claims Analyst, Division / Dispatch

Montway Auto Transport, Inc
08.2014 - 01.2017
  • While at Mont way Auto Transport duties consisted of investigating
  • Transport Claims for Mont ways' Most important ‘VIP' Accounts, partnering with Corporate Accounts such as Amazon, Apple, NFL ..Etc Just to name a few, I was their direct point of contact to determine and process any losses and liability savings the company hundreds of thousands of dollars.
  • Viewed reports regularly to make sure processing was conducted efficiently.
  • Establishing and analyzing theories of liability transport claims
  • Working closely with defense counsel, subrogation counsel experts, and negotiating settlements
  • Conducting meetings on the phone with commercial insurance companies and attorneys
  • Preparing reports for both internal and external audiences
  • Attending settlement conferences and mediations as assigned
  • Sending out legal collection letters
  • Staying current on excel spreadsheets and managing critical key dates
  • Utilized market trends and target audience statistics to effectively and appropriately market products.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
  • Reviewed and analyzed suspicious and potentially fraudulent insurance claims.

Sales Manager / In

Shir Transport, Inc
10.2014 - 05.2015
  • Home Estimates, While at Shir Transport my monthly duties consist of generating $60,000 in interstate commercial moving sales, Contacting 2500 clients, Giving 12 On-site quotes to potential clients, Generating 20 Networking leads, and Sending out 200 quotes on a daily basis I surpassed and exceeded all expected sales and goals prompting me to be promoted to sales manager
  • As Sales Manager with Shir Transport my duties consisted of hiring, training, and providing professional development for my team
  • Conducted team meetings to reinforce goals and objectives and set clear expectations about policies and procedures.
  • Grew sales and boosted profits, applying proactive management strategies and enhancing sales training.
  • Coached employees in successful selling methods and encouraged cross-selling to drive revenue.
  • Recruited and hired top-level talent to add value and expertise to sales department.
  • Setting weekly, monthly, and quarterly goals
  • Going above and beyond the status quo, pushing my team to transcend our quotas.

Administrator

Impact Body Works
01.2010 - 06.2013
  • While at Impact Body Works my work duties consist of , Collecting payments from insurance companiesand clients for the cost of repairs, Dealing closely with insurance on supplements and general estimates
  • General clerical duties such as faxing, filing, and scanning documents, Creating and issuing purchaseorders for vendors needing payments, Making “damaged estimates” of vehicles brought in for repairs
  • Generating and processing repair orders for vehicles brought into the shop, Completing and organizingcorrect documentation needed for insurance company's records, Ordering supplies as needed, Providingadministrative support to other departments.

Education

Business Administration

Triton College
River Grove, IL

Skills

  • Expert Knowledge in determining Auto Liability Claims
  • Expert Knowledge in State Compliance
  • Excellent sales and negotiation skills
  • Expertise in numerous office packages, microsoft word, Excel, and PowerPoint
  • Excellent customer service skills In Both English & Spanish
  • Expert knowledge of regulations such as OHSA & HIPPA
  • Data protection, etc Strong IT skills:
  • Strong organizational skills and attention to detail,
  • Natural ability to work both alone or as part of a team
  • Strong analytical and problem-solving skills, Strong multitasking skills
  • Pricing
  • Logistics
  • Inspection Reviews
  • Risk Identification
  • Law and Statute Compliance
  • Violations and Infractions
  • Documentation Skills
  • Investigations Expertise
  • Corrective Action Plans
  • Paperless Environments
  • Data Security
  • Operations Support
  • Audit Documentation
  • Legal Requirements
  • Compliance Reporting
  • Field Inspection
  • Profit Margins
  • Compliance Understanding
  • Privacy and Confidentiality
  • PowerPoint Presentations
  • Organizational Systems
  • Status Updates
  • Transportation management
  • Management
  • Recruiting
  • Talent acquisition
  • External recruiting
  • Executive recruiting
  • Internal recruiting
  • Interviewing
  • OSHA Regulations
  • Community Reinvestment Act
  • Regulatory Understanding

Certification

  • Licensed Illinois Department of Aging Supervisor.

Timeline

Compliance Analyst

Serenity Home Healthcare
01.2022 - Current

Transportation Recruiter

Insurance Auto Auctions
02.2020 - 05.2022

Sales Manager / In

Shir Transport, Inc
10.2014 - 05.2015

Executive Liability Claims Analyst, Division / Dispatch

Montway Auto Transport, Inc
08.2014 - 01.2017

Regulatory Compliance Manager

Every 24 Towing & Recovery , Inc
01.2013 - 02.2018

Administrator

Impact Body Works
01.2010 - 06.2013

Business Administration

Triton College
Teresa Jaslyn Gomez