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Project Management Grass Valley

Location:
Seattle, WA
Salary:
120000
Posted:
November 16, 2023

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Resume:

Delbert Knight

***** ********* *** ***** ******, CA 95949 602-***-**** ad07pz@r.postjobfree.com

Objective: Challenging career in the private sector

PROFILE

Mission focused highly skilled professional with broad project management experience. Significant knowledge of NEPA processes. Experienced leading and implementing projects. Working knowledge of Land Use Plan processes. Public Speaking experience in groups, teams or large meetings. Experienced as a Project Lead. Created and maintained schedules and spreadsheets. Used word processing, spreadsheet and presentation software. Knowledge and experience in natural resource management planning, project management and environmental analysis. Able to work with multiple disciplines such as wildlife, cultural resources, recreation, range management, and minerals in the interdisciplinary natural resource planning process.

EXPERIENCE

Sylvan Learning Centers

Grass Valley, California

Program Manager

April 2023 – June 2023

Duties, Accomplishments and Related Skills:

Provided on-site supervision to Sylvan Teachers engaged in a Math tutoring program for K-3 at two Grass Valley, CA elementary schools.

Acted as liaison between Sylvan management and the schools where the tutoring was performed.

Provided Sylvan management with weekly reports on events affecting the tutoring program.

Observed Sylvan teacher’s classroom protocols and reported to Sylvan management.

Examination Resources

Atlanta, Georgia

Market Conduct Examiner-in-Charge

February 2022 - July 2022

Duties, Accomplishments and Related Skills:

Reviewed pharmacy claims to identify anomalies that may be a conflict with ACA's provision for Mental Health Parity. Assigned insurer to investigate to determine compliance with federal insurance regulations.

Reviewed four different samples of pharmacy claims.

Reviewed samples of emergency claims.

Reviewed company's business policies and procedures to establish compliance or non-compliance according to relative insurance statutes and rules.

Reviewed provider contracts to identify areas of compliance or non-compliance with accepted claim processing procedures as established by the client (federal government).

US Census Bureau

Peoria, Arizona

Field Representative

May 2019 - July 2020

Duties, Accomplishments and Related Skills:

Visited assigned residences and gather information relating to the survey. Entered appropriate information on Government computer.

Made multiple stops at residences to convince current dweller to provide answers to the questions posed by the survey.

Was professional and transparent as possible regarding the importance of the information collected.

Given addresses, found locations using various computer programs.

Managed time to ensure that all assigned cases were reviewed within the allotted time.

INS Regulatory Insurance Services, Inc

Philadelphia, Pennsylvania

Contract Examiner

July 2011 - August 2018

Duties, Accomplishments and Related Skills:

Performed Market Conduct Examinations as a supervisor or examiner, as assigned. Reviewed company documents for claims and underwriting as were relevant to the examination. Logged into TeamMate on a daily basis to track work performed and findings. Issued criticisms to the company and if accepted by the company, incorporated those findings into an examination report. Examination report detailed all business components covered during the examination. Submitted report to Supervisor for processing.

Traveled on-site to insurer's location to perform examination of insurer's business practices, policies, procedures, and files to determine compliance with the client's statutes and rules. Typically, examinations have a narrow focus, i.e., "Target."

Updated work performed in TeamMate daily.

Wrote official report of examination using template provided by client.

Used and maintained personal computer to archive work papers as required.

Mentored new examiners, as assigned.

Reviewed company files, as assigned, and entered findings on the appropriate worksheet.

Conducted weekly meetings with staff examiners and company representatives to maintain a professional flow of information between the parties.

Responsible for submitting bills for travel and lodging to business office within accepted time frame.

CIGNA Voluntary

Phoenix, Arizona

Senior Compliance Analyst

December 2006 - December 2010

Duties, Accomplishments and Related Skills:

Held the position of senior regulatory compliance analyst. Responsible for amending company policy forms and submitting them through the NAIC's portal (SERFF) to gain approval from various states. Responsible for determining situs of new groups. Responsible for modifying approved policy forms to meet the requirements of emerging legislation.

Filed policy forms on System For Electronic Rate & Form Filing to obtain approval in specific jurisdictions.

As existing policy forms were modified or new policy forms came in, ensured that all statutes and regulations of that jurisdiction had been properly incorporated into the documents submitted.

Performed final QA on all policy documents before mailing to clients.

State Of Arizona, Department of Insurance

Phoenix, Arizona

Market Examinations Supervisor

May 1997 - June 2006

Duties, Accomplishments and Related Skills:

Kept the examination's budget "on track." Communicated with insurer's representative to negotiate the validity of criticisms. Edited superfluous and undocumented areas in an examination report. Selected examination team members from pool of contractors. Wrote consent orders after the report had been accepted by the insurer. Calculated civil penalty and any other areas that needed mitigation.

Created analytical reports on problematic insurers.

Created Access database for annual report project.

Edited market conduct reports that were submitted by contractors.

Wrote consent orders to be signed by the Director.

Performed detailed scrutiny of materials submitted per the terms of the consent order to establish insurer's compliance with the terms of the consent order.

COMPUTER INFORMATION TECHNOLOGY SKILLS

Proficient in use of most major computer systems, information systems, spreadsheet applications, graphic and presentation applications, and word processing applications

Excel

Outlook

Adobe

Word

PROFESSIONAL AFFILIATIONS/ASSOCIATIONS

IRES

LICENSES/CERTIFICATIONS

CIE

FLMI

MCM

RELEVANT PROFESSIONAL DEVELOPMENT AND QUALIFICATIONS

Created detailed analysis of insurance companies to identify problematic insurers. Supervised examinations. Selected examination team from the examiner pool and monitored budget performance. Modified the examination process to modernize the methodology used during the examination, which lowered the cost of the examination to the insurers. Edited examination reports, wrote consent orders, and partnered with insurers to achieve compliance with the terms of the consent orders. Transitioned to a filer of health insurance policies. Created a mailing list database using Access. Independent contractor for INS. Performed duties of staff examiner and examiner-in-charge. Worked for US Census Bureau as a field representative. Hired by Examination Resources as an examiner.

EDUCATION

Bachelors, Agriculture, California State University, Chico, 1971 - 1973

Associate, College Transfer, Lassen Junior College, 1965 - 1968

REFERENCES AVAILABLE UPON REQUEST



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