CONSULTANT Summary Versatile Management Professional trained Insurance, Healthcare, Project Management, Operational Leadership thrives dynamic, challenging fast-paced professional environments. Assertive enthusiastic, extensive knowledge risk management business administration unsurpassed work ethic. Highlights B2B sales service Process improvement strategies Contract review management Healthcare Long-term care product expertise In-depth knowledge markets relationships Claims file management processes Medical terminology coding knowledge Insurance fraud expertise Mergers acquisitions knowledge Lean, Agile, Six Sigma, Project Management (PMP) Coursework Project development life cycle management Business management methodology procedure development Business requirements analysis workflow planning quality assurance Regulatory compliance; SOX financial audits; HIPPA; Fair Credit Act experience Experience Company Name City State 07/2014 08/2015 Developed managed annual budget excess $6 million actively seeking ways eliminate reduce expenses exceeding revenue expectations. Drafted action plans led meetings department executives review project status proposed changes initiatives. Monitored costs, timescales resources used achieve reserve accuracy claims closure projects well staffing management retention projects running simultaneously. Minimized staff turnover appropriate selection, orientation, mentoring, training, staff education, communication, appreciation, development. Delivered proactive account management understanding client goals objectives; implemented strategic relationship management processes; developed maintained client specific business plans; broadened relationships; managed fiduciary duties; identified opportunities increase assets services. Fully responsible technical proficiency branch work product, include compliance client service instructions performance warranties. Used various metric driven tools evaluate performance identify problem areas advance becoming service issues. Detailed knowledge State Federal Insurance laws; HIPPA; Privacy Act; OSHA; Operations regulations; Affordable Health Care Act; ICD-10 changes; security management; more. Oversaw compliance best practice reporting demonstrating thorough understanding corporate policies procedures. Communicated clients, carriers brokers professional, positive proactive manner. Provided exceptional analytical problem solving skills areas business operations management. Ensured consistent execution client service instructions performance guarantees. Provided skill set oversight actively review work others via file reviews; identified acted needed coaching opportunities positioned subordinates successful development leading advancement within organization. Revised policies procedures accordance changes local, state federal laws regulations. Company Name City State Consultant 09/2011 07/2014 Translated observational data contextual investigations, interviews natural observations user needs functional requirements. Wrote unique text Retail Service websites, including general branded content. Proofread reviewed print electronic content correct grammar adherence house style. Developed creative ideas concepts partnership art director. Updated company website content including contact information, articles services. Reviewed edited colleagues' written work grammar, tone, voice creative quality. Company Name City State Director Operations 02/1999 10/2013 Initiated programs standardized employee training led increase customer satisfaction 16%. Regulatory management compliance; HIPPA, Fair Credit Act, Privacy Act, State Federal regulatory control medical financial services maintained date understanding laws regulations oversaw staff documentation management procedures processes. Provided Insurance Risk Management services individuals, businesses, non-profit entities/governments well loss control safety/prevention guidance. Served Consultant Professional Expert Clients Medicare Part D; Med Supps; Affordable Care Act; Advantage Plans well various life, health, annuity plans. Managed agency budgets accounts including payable/receivable, invoicing, P&L, account reconciliations accounting functions within agency. Managed book roll transfers business well managing merger acquisitions new books business agencies led process merger data, systems, staff. Complied contractual, governmental, insurance law requirements well profitability management regards loss ratios agency contingency awards. Designed implemented streamlined workflow processes employee manuals efficient performance customer service; led training seminars operations. Maintained client relationships property casualty life health book business. Underwriting authority full underwriting responsibilities property casualty business. Pre-evaluated new business, negotiated rates coverages, reviewed existing book profitability, implementing preventative actions accounts questionable history. Worked company personnel provide required data reinsurance larger commercial agribusiness accounts negotiation rates/amendments policy language meet client needs. Evaluated client insurance needs, reviewed policy forms ISO language well significant work Professional Liability markets translating company specific language negotiating changes specific needs. Responsible overall technological direction business, included managing information technology computer systems. Fostered interdisciplinary relationships negotiation consensus building attain goals disciplines. Identified customer needs market research analysis. Designed web content, including monthly newsletters promotional calendars. Cultivated positive relationships community public relations campaigns. Developed implemented interesting interactive learning mediums increase understanding course materials health insurance commercial lines. Education Certification Project Management (PMP) Six Sigma Black Belt (In Process) License CA Workers Compensation Claims Adjuster Certification WCCA, WCCP, AIC, AIC-M Coursework GPA: Six Sigma Diploma Project Management Diploma Quality Management Regulatory Compliance/Auditing Designation/Certification Certified Insurance Counselor (CIC) License Property Casualty Life/Health/Annuities Insurance Agent State Bachelors Program Insurance Risk Management Indiana State University Focus In: Political Science Criminology Skills account management, account reconciliations, accounting, acquisitions, Agile, art director, agency, B2B, book, budgets, budget, Business management, business operations, business plans, coaching, CA, Consultant, content, Contract review, Counselor, Credit, client, Clients, customer satisfaction, customer service, direction, documentation, employee training, file management, financial, financial audits, forms, functional, ICD-10, information technology, Insurance, invoicing, ISO, law, Regulatory compliance, Long-term care, managing, market research analysis, materials, Medical terminology, meetings, mentoring, Mergers acquisitions, natural, negotiating, negotiation, newsletters, personnel, policies, problem solving skills, processes, Process improvement, profit, coding, Progress, Project development, Project Management, public relations, quality, quality assurance, relationship management, reporting, requirements analysis, Retail, Risk Management, safety, sales, San, seminars, Six Sigma, staffing, strategic, translating, Underwriting, unique, websites, website content, workflow, written, articles