LAURA M. BUDEJEN

786-***-**** MIAMI, FL ac507m@r.postjobfree.com

OBJECTIVE

Dedicated self-starter able to establish and maintain posi ve communica ons across diverse and mul disciplinary groups. Looking for a posi on where I can apply my background in legal, regulatory compliance, and client services to become part of your Team. Bilingual: English and Spanish. PROFESSIONAL EXPERIENCE

AMERIHEALTH CARITAS (f/k/a Pres ge Health Choice) Doral, FL October 30, 2017 - June 1, 2018 (Contract) AmeriHealth Caritas is the na on’s leader in providing comprehensive health care solu ons for those in most need and the chronically ill with over 30 years experience. Impac ng the lives of more than 5.7 million members na on- wide.

Creden aling Coordinator

The Creden aling Coordinator is responsible for processing and comple ng the ini al creden aling and re-creden-

aling func ons of all providers in accordance with NCQA, state, and federal requirements.

-Validated completeness of provider applica ons prior to processing.

-Conducted primary source verifica ons for ini al and re-creden aling provider applica ons (AHCA, DEA, OIG, SAM, Medicaid, and CAQH).

-Entered all cri cal data elements of provider applica ons into Creden aling system.

-Collaborated with internal departments and providers to complete applica on process. ADP TOTALSOURCE, Miami, FL 2011 – 2017

A comprehensive provider of Human Capital Management (HCM) solu ons for HR, payroll, talent, tax and benefits administra on, compliance and data analy cs.

Legal Administrator/Paralegal

Reported to Managing Senior Counsel to support the U.S. offices with new sales, renewals, client contract changes, implementa on, vendors, brokers, in preparing documents that supported TotalSource and Resource Business Units.

• Reviewed legal department email box and prepared documents requested for new and exis ng clients.

• Worked with Sales, Implementa on, HR, Benefits, Payroll and Client Services to provide support with new and exis ng clients.

• Reviewed Union contracts to prepare client specific documents (Associa on or Non-Associa on).

• Worked with outside Brokers to prepare client specific documents.

• Maintained electronic vendor contracts and client bankruptcy files.

• Worked with internal and external auditors.

• Selected by management as the Record Reten on & Destruc on Administrator for the Legal Department. ASSURANT SOLUTIONS, Miami, FL 2001 – 2010

A fortune 500 company that is the premier provider of specialized insurance products and related services in North America and select worldwide markets.

Regulatory Analyst (2009 – 2010)

Ensured clients had appropriate processes and methods in place to comply with applicable state regula ons relat- ing to individual voluntary insurance sales, adver sing, forms, ra ng and refunding. Reported to the Director of Compliance Implementa ons, assisted the Federal State & Regulatory Administra on Department (and State Exam- iners) with on-going exams, and worked closely with Client Audit Services, Financial Claims, Licensing, Compliance, Legal, Clients and suppor ng teams.

• Worked on client audits and other special projects requested by the state(s).

• Worked with internal and external auditors on Market Conduct Exams.

• Developed and maintained rela onships with key management individuals to promote our services and regulatory compliance.

LAURA M. BUDEJEN

786-***-**** MIAMI, FL ac507m@r.postjobfree.com

Account Execu ve I (2001 – 2009)

Serviced over 400 exis ng clients by managing individual voluntary insurance program(s) with the goal of increasing revenue, decreasing expenses and maximizing customer sa sfac on. Maintained client data integrity. Developed, implemented and managed client business plans. Established client service teams. Built and strengthened corpo- rate/department reputa on. Managed system implementa ons and conversions for client base.

• Worked closely with senior management and internal groups to meet client expecta ons.

• Hosted weekly conference calls with clients to resolve issues with enrollment, billing and claims.

• Worked closely with the Legal Department to nego ate contract renewal or changes to exis ng contracts.

• A ended mee ngs with the Regulatory Compliance and Licensing Departments to review client rates and enrollment applica ons.

• Edited and coordinated the prin ng and mailing of top accounts individualized benefit brochures.

• Hosted annual client business reviews.

EDUCATION

Paralegal Cer ficate, University of Miami, Coral Gables, FL Legal Secretary Cer ficate, Florida Interna onal University, Miami, FL Associate In Science, Miami-Dade Community College TECHNICAL SKILLS

Microso Office: Outlook - Word - Excel

Clarify - EV4 - eRFP - eRPA

Visual Cactus

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