Scott J. Gray[pic]
P.O. Box **** ? Mannford ? OK ? 74044 ? 918-***-**** ? *********@*****.***
[pic]
Focus
Dynamic, goal-oriented professional seeking a position fully utilizing
extensive administration, project coordination, research and analysis to
streamline operations and enhance efficiency in a client focused
organization.
In Brief
. Licensed independent adjuster offering over 15 years of accounting, risk
management and insurance claims management in diversified professional
arenas, encompassing billing coordination, claims resolution, membership
and customer service, with specialized expertise in resolving private
insurance billing issues, improving cash flow and reducing the number of
claim denials with a proven record for researching and performing
analysis to safeguard company assets and resources:
- Quantitative Analysis - Billing & Collections - Loss
Prevention
- Ratio Analysis - Asset Recovery - Member/Client Relations
- Financial Accounting - Regulatory Compliance -
Reconciliations
- Claims Examination - Risk Management - Accounting
Management
- ROI Analysis - Auditing - Internal Audits
. Financial accounting, budgeting, forecasting, GL; billing, claims
auditing, examining and collections expertise
. Operations analysis skills essential for identifying underperforming
processes, developing and implementing improved procedures to enhance
efficiency and streamline operations
. Strong insurance billing experience with a proven record for mitigating
risks, recovering assets and reducing costs to contribute to overall
profitability
. Risk management and asset recovery experience, with a record for thorough
claims analysis, research and accurate reporting to ensure optimal
outcome
. Highly proficient in Microsoft Office Suite applications; financial
accounting systems; industry applications; AS400
. Skilled in managing over 2,100 accounts with a proven track record for
reconciling accounts under ambitious deadlines
. Licensed Independent Adjuster, All Lines - OK, KS, MO, TX
. Licensed Life, Accident & Health Insurance Producer
Selected Career Experience
Bookkeeper, Guardian Security Systems/CSG, Inc., Tulsa, OK 2011 to
2015
Oversee 2,100+ account ledgers with accountability for journal entries,
reconciliation of G/L accounts and bank statements, and manage annual tax
reporting, application and renewal of state licensing.
Analyzed accounting operations in order to identify under-performing
procedures and mitigate risks
Developed and implemented strategic initiative to manage and prevent
loss, resulting in an increase in cancellation reconciliations and write
offs from 300 accounts to over 1,200, boosting profitability and
productivity
Utilize proactive problem solving skills to adjust to changing business
environments
. Scott J. Gray[pic]
P.O. Box #1513 ? Sand Springs ? OK ? 74063 ? 918-***-**** ?
*********@*****.***
[pic]
Claims Examiner, Perot Systems, Inc., Tulsa, OK 2008 to 2009
Analyzed and examined Well Point BCBS price & ship and healthcare claims
with accountability for identifying discrepancies, liaising with internal
and external clients and resolving disputes to ensure optimal outcome and
control expenses.
Developed and implemented streamlined process to manage reconciliation
accounts for banks and auto claims, utilizing direct mail and call center
procedures, increasing productivity, claim reconciliation and overall
revenues
. Created automated tools to enhance tracking process and ensure integrity
of financial records while adhering to state and federal regulations
Membership Specialist II/Accounting Clerk IV, BCBS Oklahoma 2005 to 2008
Managed membership accounts, encompassing internal and external client
service and support, individual, HMO and group membership accounting,
collaborating with multiple departments to ensure optimal satisfaction and
retention.
Implemented accounting controls to improve efficiency, regulatory
compliance and reduce expenses
Researched, compiled and prepare intricate reports for the decision
making process; prepare and approve information for billing department
. Prepared financial reports and graphs for management as well as analyzed
data for account reconciliations
. Reviewed and audited invoices for discrepancies and corrected claims for
accuracy
Staff Assistant, DTG Operations, Inc., Tulsa, OK 1999 to 2005
Performed risk management and handled liability claims, with accountability
for research and analysis of legal precedents in order to identify
requisite coverage, and liaised with team owners, insurance carriers and
3rd party administrators to ensure optimal resolutions.
. Analyzed and evaluated claims, communicated with claimants to compile all
necessary documentation, and reconciled accounts in order to assign
payoff amounts and apply appropriate coverage
. Compiled and prepared financial statements, performed account analysis,
evaluated claims examiners performance and developed specialized reports
for the decision making process
. Tracked and reviewed claim/loss exposure to ensure accurate reporting to
3rd party administrator and mitigate risks, as well as prepared and
distributed loss run to system program participants
. Built and established rapport with clients
Education
Associate of Applied Science, Accounting, Tulsa Community College, Tulsa,
OK
Accounting Coursework, Oklahoma State University, Tulsa, OK
Banking/Accounting Coursework, Tulsa Technology Center, Tulsa, OK
Professional Profile
Results-oriented...Analytical...Sound
judgment...Decisive...Proactive...Efficient...
Goal-driven...Team Collaborator...Rapport building...Ethical...Prioritize
effectively...
References Available Upon Request