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Accountant/ Workers Comp Auditor Insurance

Location:
Orange Park, FL
Salary:
14.00
Posted:
September 24, 2015

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Resume:

Georgette M. Hines

**** ******* ***** * Orange Park, Florida 32065 * 904-***-***** acrt2l@r.postjobfree.com

PREMIUM AUDITOR

WORKERS COMPENSATION & GENRAL LIABILITY AUDITOR- 2013-2015

Nation Risk Service, St. Petersburg, FL 33743

May 2015 – Present

I’m a part-time mail & phone processor for workers comp audits. I’ve processed workers comp mail audits, inspections of insured accounting records, while reviewing their policies. I’ve reviewed payroll journals, disbursements, general ledgers, social security, unemployment UTC-6, employment tax reports, general ledgers, and check registers to be processed. I’ve verified client’s certificates of insurance for all subcontractors and analyzed workers class codes. I’ve also evaluated and communicated with my audit supervisor concerning issues affecting my audit assignments.

US-Reports 2006/ 2012, Group MGMT 2012/ 2013, ISI 2013, OSI 2013/2014

Overland Solutions, Inc., Overland Park, KS 66210

Senior Workers Compensation & General Liability Premium Auditor, & Medicare Surveys & Inspections

August 2013 - Sept 2014

I reviewed, investigated and processed workers comp & general liability audit reports. I’ve visited multiple companies, contractors and local insurance agency locations in multi-states such as Florida and Georgia. I’ve interacted with the physician before the audit visit to the insured. As a field premium auditor, I’ve audited tax exemption certificate of insured contractor and submitted audits on line to the insured. I’ve scheduled appointments and inputted insurance premiums into the insurance company’s computer. I would always communicate with the brokers, clients and underwriters. I would work in compliance with various bureau rules such as NCCI and PASS. I’ve met with the business owners and managers to review their audit results and implemented any acts required when adding or subtracting classification code. I’ve always analyzed all businesses employee compliance.

Medicare Auditing Surveys & Inspections, Overland Solutions, Inc.,

Medicare Surveys & Inspections Auditor

August 2013 - Sept 2014

DME – Site Verification Surveys Locations: Photo taken of the provider’s exterior, interior building and inventory supplies on hand. Interacted with the physician before the audit survey and visited to the insured locations. Listed below are the supplies that had been audited from June - July 2014.

Publix Super Market – Pharmacy located in Jacksonville, FL, St. Augustine, FL, Gainesville, FL and Palatka, FL.

Georgia CVS Pharmacy - 20 locations in Atlanta, GA.

Target Corporation, Bowden Eye & Associates, Kmart Corp, Winn-Dixie Store Pharmacy, Walgreen Company Pharmacy and Lens Crafters.

DME – Site Investigation Inspections: National Supplier Clearinghouse

I perform site inspections and verified the providers DME permit, pharmacy License and then I would forward my report to NSC for reviewing to determine if the business is in compliance with the Centers for Medicare & Medicaid Services-Durable Medical Equipment supplier compliance. Verified pharmacy licenses, inventory their supplies (Prosthetics, Orthotics) that was on hand. I’ve taken photos of the exterior and internal entrances, business signs and hours of operation. I’ve submitted productivity reports once a week.

. Georgette M. Hines

CONTRACT EXPERIENCE JACKSONVILLE, FLORIDA

Blue Cross, Blue Shield 1993 Stein Mark 1994 First American Title 1994

US Navy NADEP 1995 Superior Tractor 1995 Yarbrough Security 1995

Global Group of Jax 1995 Wood Hopkins Const 1996 Gulf South Med Supply 1996

River Region Human 1996 Baptist Medical 1999 Superior Construction 2000

GE Distribution Fin 2001 Winn Dixie 2002 Chase Home Finance 2003

1st Mortgage 2003 Dell Computers 2004 1-800-Medicare 2005

Cathedral Foundation- Accounts Payables- 2006/ 2011

JOB TITLES;

ACCOUNTS PAYABLES, FIGURE CLERK, PAYROLL ASSOCIATE, DATA PROCESSOR, ACCOUNTS RECEIVABLES, CREDIT ANANLYST, LOAN OFFICER, TELLER

EDUCATION

Walton High School 1971 – 1973 Author Ave Basic Education GED 1978

Short Method Secretary Skills 1980 SCS Business Technical Institute 1985

Malcolm King College 1988 Thomas Nelson Community College 1989

Kees Business College 1990

BRYANT & STRATTON COLLEGE– Hampton, VA

AAS Accounting 3/1991 - AAS Computer Science 5/1993

US-REPORTS UNIVERSITY - Certified Premium Auditor 2006 - Jan 2012



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