Detail-oriented Claims Quality Auditor skilled in claims analysis and auditing techniques. Proven ability to enhance quality assurance processes and streamline workflows, contributing to operational efficiency. Self-motivated and adaptable professional with a strong track record of building and maintaining productive relationships. Expert in the Microsoft Suite (Word, Excel, PowerPoint) and highly proficient in learning new software/tasks quickly. Blends technical computer skills with a collaborative approach to drive team success and achieve goals.
Overview
17
17
years of professional experience
Work History
Claims Quality Auditor
Great American Insurance Group
Jonesboro, AR
06.2021 - Current
Conducted comprehensive audits of claims to ensure compliance with company standards and regulatory requirements.
Reviewed and analyzed claim documentation for accuracy, identifying discrepancies and recommending corrective actions.
Collaborated with cross-functional teams to enhance quality assurance processes and improve overall efficiency.
Developed and implemented training materials for new auditors, promoting adherence to best practices and company policies.
Utilized audit management software to track findings and generate reports for senior management review.
Collaborated with team members to identify trends in claim errors, developing targeted training programs for improvement.
Streamlined auditing processes for increased efficiency, implementing new software tools and techniques.
Plant Operations Manager
Pinnacle Agriculture Holdings Llc
Cash, AR
05.2009 - 05.2016
Oversaw daily plant operations, ensuring compliance with safety regulations and quality standards.
Streamlined production processes, resulting in improved operational efficiency and reduced downtime.
Developed training programs for staff, enhancing skill sets and promoting adherence to best practices.
Implemented inventory management systems, optimizing stock levels and minimizing waste.
Analyzed performance metrics to identify areas for process improvement and cost reduction initiatives.
Established maintenance schedules for equipment, ensuring reliability and continuity of operations.
Cultivated relationships with suppliers to negotiate favorable terms and secure quality materials for production.
Monitored and supported progress of plant production orders by managing shop capacity and loading functions at several facilities.
Optimized inventory management practices resulting in accurate forecasting of material requirements, eliminating stockouts or overstock situations.
Implemented safety protocols that significantly reduced workplace accidents and improved safety records.
Delivered consistent on-time shipments meeting customer expectations through effective scheduling coordination and resource allocation.
Managed vendor relationships to ensure timely delivery of raw materials at competitive prices while maintaining quality standards.
Successfully managed budgets and controlled expenses to ensure efficient use of resources within the plant operations.