About Kris J.
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Experience
Claims quality Assurance Analyst/trainer
Aug, 2008 - Apr, 2014Health Choice
I implemented multiple training guides, rewrote the training manual and I trained and audited dozens of newly hired claims processors. I created and maintained a quality management spreadsheet tool to assist all claims processors with their quality. This tool's results were sent to management on a regular basis. I led multiple training classes and meetings to train staff on new and changing guidelines for claims processing.
Fraud Compliance Analyst
Apr, 2014 - Nov, 2017Health Choice
I investigated various health care fraud issues, performed analytics with vendors and spreadsheets, presented information to government agencies and cooperated in their investigations. I created and maintained various spreadsheets and reported critically important items to management on a regular basis. I led interdepartmental meetings to achieve financial savings and implemented a vendor software program that saved the company millions of dollars annually in potentially fraudulent claims.
Education
Life skills
Jan, 1982Life experiences
Bachelor's of Science - Communications
Sep, 2001 - May, 2006University of Wisconsin
Languages
English
Native Proficiency
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