Internal Auditor, SOX, Compliance Auditor, Operational Auditor

PROFILE:

¨Diverse experience in all aspects of audit, project management, customer service, program implementation and human resources in professional environments

¨Hands-on background in process improvements, document preparation, files updating and executive reporting; knowledge of healthcare, commercial and personal insurance, as well as retail industries

¨Proven track record of always improving business operations, reducing efficiencies, ensuring customer satisfaction and increasing productivity

¨Consistently recognized by management for multi-tasking talents in organization team leadership, needs analysis and problem resolution in high-pressure situations

EMPLOYMENT:

Loyola University Health System, Maywood, IL: February 2009-Present

Internal Auditor

•Worked with other audit team members to review and appraise the soundness, adequacy and application of financial and operational controls to ensure effectiveness.

•Performed and documented walkthroughs and flow charts of department processes and procedures.

•Became skilled at established policies, procedures and business practices.

•Identified opportunities for increasing operational efficiencies and strengthening management controls.

•Developed constructive and value-added solutions to address issues identified.

•Recommend operation improvements to ensure that proper controls are exercised over all aspects of the business.

•Consulted with a variety of hospital department heads to improve business processes.

•Assisted in conducting investigations of potential fraud or employee misconduct.

•Documented investigation procedures and report findings to Audit department director.

•Communicated with employees and management of all levels including the presentation of audit results and recommendations to senior management.

Kingsway Financial, Mississiauga, Canada: March 2007 – February 2009

Internal Auditor

•Performed on-site SOX testing with multiple divisions in the US and in Canada.

•Communicated audit results to senior management.

•Worked with other audit team members to review and appraise the soundness, adequacy and application of financial and operational controls to ensure effectiveness.

•Met with subsidiaries senior management teams and conducted opening and closing meetings in regards to procedures and results

•Conducted rationalization project to streamline key controls throughout all subsidiaries.

•Completed on-site quality claims audits on third party administrators (TPA).

Universal Casualty Insurance, Elk Grove, IL: September 2007-August 2008

Auditor

•Performed on-site underwriting and claims audits for our commercial and personal lines of business

•Conducted SOX walkthroughs

•Managed our General Agents offices for compliance on our regulations and state guidelines

•Developed procedure manual for department conformity

•Completed a Mock Market Conduct exam for the state of California

Lincoln General Insurance, Elk Grove, IL: March 2007-September 2007

Compliance and Operations Auditor

•Conducted and reported on Quality Assurance and Data Entry underwriting audits for the commercial book of business.

•Assisted in the development, updates, and maintenance of the commercial business underwriting rules, guidelines, and SOX documentation to ensure compliance requirements and adherence to corporate philosophy and business plans

•Managed, reviewed and completed required statistical or other analysis of data pertaining to the underwriting evaluation of the MGA

•Conducted program risk assessment of the underwriting qualifications and specifications.

•Developed new auditing procedures to obtain more detailed information regarding program profitability.

•Performed on-site audits of General Agents documentation to ensure compliance with the SOX Act of 2002.

•Implemented and trained other departments on new procedures

•Effectively communicated underwriting audit results to management via written reports and analysis meetings

•Maintained and grew relationships with partnering agencies

•Coordinated and scheduled audits with all parties involved.

Nationwide Insurance, Downers Grove, IL: October 2000 – March 2007

Commercial Claims Bodily Injury Representative

Personal lines Claim Representative

•Timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case.

•Investigate each bodily injury claim through prompt contact with appropriate parties to determine the extent of liability, damages, and contribution potential.

•Identify resources for specific activities required to properly complete the investigation.

•Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation.

•Keeps effective diary management system to ensure that all claims are handled timely.

•Utilize evaluation documentation tools in accordance with department guidelines.

•Responsible for prompt and proper disposition of all claims within delegated authority.

•Negotiate disposition of claims with insureds, claimants or their legal representatives.

•Recognize and implement alternate means of resolution

•Managed litigated claims. Develop litigation plan with staff or panel counsel, track and control legal expenses. Assure cost-effective resolution.

•Attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as need.

•Reorganized and revised operating policies and procedures, as well as trained new staff in these changes.

PREVIOUS

EXPERIENCE:

Northwest Health Care, Hoffman Estates, IL: 1996-2003

Auditor

EDUCATION:

Lake Forest Graduate School of Management, Chicago, IL

M.B.A: 2006

DePaul University, Chicago, IL

B.S.C. Degree in Operations Management: 2000

PROFESSIONAL

TRAINING:

• Familiar with Windows XP, MS Office, Internet services and proprietary programs.

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