Terry Simi
Las Vegas,NV
Summary
Results-oriented Compliance Audit Investigator with several years of experience in coordinating investigations, researching and reviewing claim files and conducting employer interviews. Successful Compliance Audit Investigator bringing strong background in education and knowledge of Nevada Regulatory Statutes and Administrative Codes regarding workers' compensation.
Overview
15
15
years of professional experience
Work History
Compliance Audit Investigator II
Sate of Nevada
Las Vegas, NV
06.2014 - 06.2024
- Maintained confidentiality of sensitive information at all times.
- Adhered to departmental policies regarding compliance audits and complaint investigations.
- Organized and maintained files of all ongoing compliance audits and complaint investigations.
- Reviewed claim files for possible violations of NRS and NAC.
- Analyzed data obtained during compliance audits and complaint investigations to determine compliance with Nevada Regulatory Statutes and Administrative Codes (NRS and NAC).
- Assessed potential violations by insurers, third-party administrators and employers under compliance audit or complaint investigation.
- Issued Administrative Fines and Notices of Correction as appropriate for violations of NRS and NAC.
- Conducted interviews with employers to educate them regarding their responsibilities regarding NRS and NAC
- Researched relevant NRS and NAC pertaining to active audits and complaints.
Administrative Assistant III
State of Nevada Workers' Compensation Section
Las Vegas, NV
11.2009 - 06.2024
- Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
- Provided administrative support to the executive team, including scheduling meetings and managing calendars.
- Conducted research on various topics as requested by management.
- Updated contact lists regularly when changes occur in contact information.
- Managed database systems containing customer contact information.
- Greeted training attendees and provided general information about Workers' Compensation.
- Conducted selected Workers' Compensation trainings.
- Assisted with the planning of the Annual Conference by coordination with the conference planners.
- Composed letters, memos, reports, emails, PowerPoint presentations and other written documents as required.
- Created travel arrangements and distributed travel details to appropriate personnel.
- Responded to phone and email inquiries from various Workers' Compensation stakeholders.
- Proofread content for typo-free emails, announcements, brochures, handouts and the quarterly Workers' Compensation newsletter.
Education
Associate of Arts - Literature
Community College of Southern Nevada
Las Vegas, NV01-2012
Skills
- Compliance Investigations
- In-depth NRS and NAC knowledge
- Training expert
- Records handling
- Claims resolution
- Resource Management
- Compliance Assessment
- Report Development
- Report Generation
- Research abilities
- Continuous Improvement
- Deadline and results-oriented
Affiliations
- Softball Grandma
- Dog mom
- Avid reader
Languages
French
Limited
Timeline
Compliance Audit Investigator II
Sate of Nevada
06.2014 - 06.2024
Administrative Assistant III
State of Nevada Workers' Compensation Section
11.2009 - 06.2024
Associate of Arts - Literature
Community College of Southern Nevada
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