AMY M WILES

**** ***** **** ** **********, Ohio *5255 · 513-***-****

adttqq@r.postjobfree.com · linkedin.com/in/amy-wiles-m Accomplished Paralegal and Administrative Professional with over 20 years of professional experience tracking and managing claims, order statuses and customer accounts. Partners with vendors, internal clients, and customers to negotiate pricing and terms. Hardworking team player with expertise in collaborating with internal departments to develop strategic solutions and perform as liaison between organization and customers to deliver effective and compliant communication. Expertise in building customer relationships, reviewing records and implementing continuous improvement initiatives to streamline processes.

EXPERIENCE

12/2021– CURRENT

BUSINESS CONTROLS TESTING COORDINATOR, TATA CONSULTANCY SERVICES

• Execute testing of sponsored programs to ensure adherence to regulatory requirements

• Analyze data, draw conclusions, validate data accuracy

• Document work and research performed. Prepare clear, concise reporting of significant findings to be distributed to appropriate internal parties.

• Identify and report on issues and trends and escalate as appropriate. CONTRACT ADVISOR, TATA CONSULTANCY SERVICES

• Reviews and/or provides guidance in the preparation of contracts, agreements, amendments and change orders, execute Non-Disclosure Agreements and Assist in negotiating and executing procurement contracts.

• Verification that all contractual clauses are included in documents (as are appropriate).

• Manage vendor/supplier performance in relation to contractual agreements.

• Ensuring compliance to terms and conditions of contracts. 02/2021 - 12/2021 (Contract)

CRIMINAL RESEARCHER, intelliCorp/Cisive

• Conducts research using internal applications, Internet web sites, and alternate resources. Types of research include criminal, civil, international, and miscellaneous searches. Analyzes data and interprets results by compiling record sets for client review. Assists clients with hiring decisions by evaluating (scoring) result sets to comply with predefined client parameters.

• Tracks down and interviews employers, educational institutions, and key professionals, and makes notations for client about candidate backgrounds.

• Conducts additional inquiries and identifies potential problems with database, compliance, vendors to promptly resolve concerns from client. Required work with accuracy and consistency. Responsible for understanding and complying with all legal restrictions, guidelines, and industry best practices. Completes special projects and other duties as assigned.

2

10/2020 - 02/2021 (Contract)

LEGAL ANALYST, Epiq Legal Solutions

• Determined liability outlined in coverage and assessed documentation from third party stakeholders were processed according to deadlines and company guidelines.

• Reviewed medical claims, directed claims negotiations, and provided support to successful litigations for advanced claims issues.

• Provided primary customer support to internal clients and performed data entry to support incoming correspondences in fast-paced environment. 01/2013 - 08/2019

DATA ANALYST, MJW Corp

• Maintained knowledge of medical claims and completed processing using NOCTS files and claims filed with Department of Justice.

• Reviewed demographics and medical information submitted by claimants for accuracy before processing in database and performed data auditing and tracking.

• Trained and followed all HIPPA regulations, procedures and guidelines when communicating with clients and managing medical information in systems.

• Reviewed and processed entry of customer information, account changes and various documents by quality checking data for errors and implementing solutions to improve accuracy.

EDUCATION

JUNE 2015

BACHELOR OF SCIENCE

PARALEGAL STUDIES, UNIVERSITY OF CINCINNATI

SKILLS

• Customer Billing and Invoicing

• Attention to Detail

• Research

• HIPPA/EPIC

• Citrix

• Notary Public, Ohio 09/2026

Additional Skills:

• Medical Records Clerk – Bethesda North

Hospital

• Claims Adjuster – Planes United Van Lines

• Retail Associate

• Time Management

• Documentation Management

• Communication

• Research

• Data Validation

• Medical Terminology

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