Senior Finance and Claims Analyst

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Amelia A. Hunt

• 478-***-**** • Macon, GA • ****.******@*****.***

PROFESSIONAL SUMMARY: Resolute finance professional with a proven history in claims analysis, accounting, and customer service. Expert at evaluating and investigating insurance complaints, managing personal injury protection claims, and ensuring compliance with fiscal laws and policies. Known for exceptional analytical abilities, strong diligence, and proficiency in GAAP standards. Skilled in managing accounts, performing cost analysis, maintaining accurate accounting records, and developing budget estimates. An effective communicator and collaborator, adept at collaborating with diverse stakeholders, including policyholders, medical professionals, and legal entities, to ensure timely and accurate resolution of claims. Highly systematic and well-organized, with a commitment to upholding industry standards and regulations.

EDUCATION: Master of Science in Accounting (December 2015) - DeVry Graduate School of Management Bachelor of Science in Business and Information Technology (December 2009) - Middle Georgia State University Associate of Science in Business Administration (May 2006) - Middle Georgia State University SPECIALIZED EXPERIENCED:

• Performing accounting and audit reviews of financial programs; completing oversight tasks related to financial planning and administration of accounting systems; testing and monitoring cash controls to ensure they are functioning properly; reviewing budgets for organizational priorities.

• Knowledge of accounting theories, concepts principles and practices of accounting and fiscal management. Knowledge of missions, functions, programs, goals, objectives, work processes, and source of funding pertinent to accounting organizations.

• Knowledge of processes of accounting systems related to reports, payroll, records, inventory, and supply data. Knowledge of automated data processing concepts, systems capabilities, and economic usage to effectively complete assignments.

• Skill in formulating, justifying, and reconciling accounting projects. Strong ability to assemble and analyze data to reconcile timely and accurate reporting, develop alternatives, and make recommendations to resolve account system problems.

PROFESSIONAL EXPERIENCE:

04/2023 to Present Department of Juvenile Justice Macon, GA Salary: $31,771 Hours per week: 40 Supervisor: Nie-Esha Jones

FINANCIAL OPERATIONS GENERALIST

• Balance and reconcile accounting records, statements, journals, ledgers, and reports to ensure accuracy and compliance.

• Collect fees and revenues, disburse payments, and post transactions to appropriate accounts.

• Compile and maintain comprehensive records and files for audit and review purposes.

• Analyze financial reports to assess compliance with GAAP guidelines and organizational policies.

• Prepare standard accounting reports, ensuring timely and accurate submission.

• Monitor individual department budgets and expenditures, identifying and reporting budget variances. 2

• Perform routine accounting, clerical, billing, and claims processing duties for assigned accounts.

• Respond to inquiries and resolve routine accounting problems effectively and efficiently.

• Prepare materials for audits, ensuring the accuracy and completeness of financial data and records.

• Process and record financial transactions such as accounts payable and receivable, payroll, invoices, and requisitions in ledgers and computer systems.

• Provide information and interpretation to third parties, including banks, auditors, vendors, and governmental entities.

• Verify the accuracy of billing information, track account activity, bill consumers, and resolve billing inquiries.

01/2022 to 5/2022 Vaco Atlanta, GA Salary: $52,000 Hours per week: 40 Supervisor: Casey Martin PAYROLL AUDITOR

• Conducted payroll audits to ensure compliance with organizational policies, labor laws, and tax regulations.

• Reviewed and verified payroll calculations, including wages, benefits, and deductions, to ensure accuracy.

• Analyzed payroll data for discrepancies and resolved issues promptly.

• Maintained and updated payroll records and reports, ensuring accurate documentation and record- keeping.

• Monitored payroll processes and procedures to identify areas for improvement and implemented best practices.

• Ensured timely and accurate payroll processing for all employees, including hourly and salaried staff.

• Compiled and prepared detailed audit reports, summarizing findings and recommendations for management.

• Reconciled payroll accounts and prepared journal entries for payroll-related transactions.

• Responded to payroll-related inquiries from employees, managers, and external parties, providing clear and accurate information.

• Coordinated with HR and finance departments to ensure alignment and accuracy in payroll processing and reporting.

• Stayed current with changes in payroll laws, regulations, and industry best practices to ensure compliance and efficiency.

• Trained and supported payroll staff on audit procedures and best practices to enhance overall payroll accuracy and compliance.

03/2019 to 12/2021 Geico Macon, GA Salary: $64,300 Hours per week: 40 Supervisor: Kim Renfore INSURANCE COMPLAINT ANALYST

• Obtained information on claims rejected for payment by property, casualty, or life, accident, and health insurers by interviewing policyholders and claimants to determine the validity of the complaints.

• Analyzed insurance policies of complainants by evaluating and interpreting the contract to determine the extent of coverage, the exclusions specified, and the conditions affecting the payment of claims.

• Requested the claims and underwriting files of insurers and reviewed them to determine if they had made a "good faith" investigation of the claims and if they had met the obligations set forth in the policy before rejecting the claim.

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• Analyzed evidence by reviewing and evaluating the reasons for the claims' rejection to determine the basis for rejection; suggested or ordered that the claim be paid within a reasonable time by citing sections of the specific state’s code or policy provisions that pertained to the insurer's obligation if it was decided that the insurer was liable.

• Evaluated complaints directed against insurers concerning unfair insurance trade practices as defined by specific state law by reviewing laws enacted against such practices to determine if there was a basis for action on such complaints.

• Ensured timeliness and accuracy of payments and report completion. Analyzed accounting issues, established, and modified local procedures to comply with fiscal law and policy.

• Monitored, tracked, and reported any deficiencies and material weaknesses. Identified any known internal control issues and made recommendations to management.

• Ensured all accounting transactions and systems were completed in accordance with legislation. Designed and developed processes to comply with legal direction and improve the effectiveness of all processes.

07/2015 to 03/2019 GEICO Chevy Chase, MD Salary: $63,500 Hours per week: 40 Supervisor: Michael Parham Jr; 301-***-****; *******@*****.*** Okay to contact: Yes ACCOUNTANT II

• Exercised control of account balances by monitoring a variety of automated systems, including databases, spreadsheets, and word processing.

• Completed monthly account reconciliation, researched discrepancies, and resolved account discrepancies found in reported data.

• Prepared monthly, quarterly, and annual written premiums, losses, financial statements, and reports; Recorded journal entries accruals of Bank & Custody fees and Sales & Used Taxes.

• Utilized proper account structure, rules, and accounting theory, to maintain GL/Standard General Ledger

(SGL) trial balances and related procedures, and reconciled accounts in accordance with GAAP.

• Recorded and calculated loss and expense reserves for direct, assumed, and ceded business.

• Assisted internal and external auditors in compilation of audit information.

• Reviewed general ledger transactions and adjustments entries for a variety of accounts, in accordance with accepted accounting principles; Interpret accounting and financial data and records. 07/2014 to 08/2015 GEICO Macon, GA Salary: $48,000 Hours per week: 40 Supervisor: Kirsty Kline PERSONAL INJURY PROTECTION CLAIMS ADJUSTER

• Processed assigned daily, weekly, and monthly injury claims for our internal and external customers.

• Planned, scheduled, and completed analyses and evaluations of injury claims; Monitored automated uploads of insurance activities from named insured and third-party administrators.

• Investigated medical necessity and determined casualty, while evaluating the validity of personal injury insurance claims and monitoring case files during treatment.

• Consulted involved parties, secured medical information and review insurance contracts, associated reports and billing documentation.

• Maintained a pending diary of claims to work through settlements and resolutions; Tracked all pending authorization to resolve discrepancies and avoid revenue loss. 4

• Communicated verification and authorization status updates to facilitate decision making for patient admissions and insurance coverage.

01/2010 to 06/2014 GEICO Macon, GA Salary: $38,000 Hours per week: 40 Supervisor: Tonya Guyton CLAIMS REPRESENTATIVE (EXAMINER) I & II

• Communicated action plans, both verbally and in writing, with internal and external customers and managers.

• Managed administrative work, including work pertaining to correspondence; Independently analyzed and evaluated effectiveness of set claims operation, meeting established goals.

• Investigated a variety of claims, ranging from minor fender-benders to major accidents resulting in injury claims.

• Empathized and assisted customers who have been involved in an auto accident.

• Investigated the facts of accidents, which involved a liability dispute, reviewed supporting documentation, determined fault, and made decisions regarding claim payments and high-profile cases.

• Recorded interviews over the phone, investigated the nature and extent of injuries.

• Provided insurance information and planned for repair of damage.

• Collaborated with policyholders, claimants, doctor offices, medical insurers, auto repair shops, lawyers, and law enforcement.

• Utilized internal claims system to record, track and monitor insurance claims. 04/2009 to 01/2010 GEICO Macon, GA Salary: $28,000 Hours per week: 40 Supervisor: Erica Rollin 478-***-****; *******@*****.*** Okay to contact: Yes

CUSTOMER SERVICE AGENT (BILLING)

• Resolved customer service or billing complaints by performing activities, such as policy changes, billing adjustments, and credits.

• Determined charges for services, collected deposits or payments, and arrange for billing.

• Maintained records of customer interactions and transactions, recording details of inquiries, complaints, and comments.

• Conferred with customers to provide information about insurance policies and services, input orders, cancel accounts, or to obtain details of complaints.

• Reviewed insurance policy terms, to determine if services were covered by the customers’ insurance policy.

• Referred unresolved customer grievances to designated departments for further investigation.

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