Insurance Quality Assurance

SHARI H. McBRIDE, FLMI

*** ****** *****

San Antonio, Texas 78216

817-***-****

**********@*******.***

COMPLIANCE & CLAIMS SPECIALIST

A conscientious detail-oriented individual with 13 years regulatory

compliance experience in multiple lines of accident and health insurance,

and term life. Additional 8 years experience in processing, auditing and

examining multiple lines of accident and health coverage. Performs well

under tight guidelines with demonstrated skills in organization and

development. A goal-oriented, self-motivated team player.

CAREER SUMMARY

USHEALTH GROUP, Fort Worth, Texas 1/2006 -

1/2010

Product Analyst

. Develop and file state specific major medical insurance contracts and PPO

Network filings with Departments of Insurance.

TRANSAMERICA LIFE INSURANCE COMPANY, Fort Worth, Texas 8/1998 -

12/2005

Policy Analyst

Senior Advertising Analyst

. Reviewed laws related to long-term care insurance and determine policy

changes and applicable forms changes.

. Researched various compliance issues.

. Filed policy forms relative to one of our company's name change and a

separate merger.

. Good rapport with the Departments of Insurance.

. Successfully filed multiple companies rate increase filing with the

states. Named 'Employee of the Month' as part of effectively following-

up with Departments while maintaining large workload.

. Efficiently reviewed 5 companies marketing materials concurrently and

filed with 23 applicable Insurance Departments. Audited agent training

sessions for IMSA certification.

TRANSPORT LIFE INSURANCE COMPANY, Fort Worth, Texas 6/1988 -

4/1997

Legislative / Advertising Analyst

Quality Assurance Auditor - Claims

Claims Examiner

Claims Benefits Specialist

. Reviewed brochures, applicable accompanying forms, and marketing

pieces in accident and health lines of association trust, small

employer group, long-term care, dread disease and supplemental

insurance.

. Effectively reviewed, tracked and reported on relevant states'

legislation as well as researching various compliance issues

affecting our lines of business.

. Responsible for evaluation and processing of claim files for

Contract Review and Legal Departments.

EDUCATION AND SKILLS

Concorde Career Institute, Arlington, Texas, Licensed Vocational Nurse

Microsoft applications, and several claims systems: Erisco, Rumba, Alpha4

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