Veronica Gomez Email & Phone Number

Corporate Insurance and Risk ManagementMaintain required insurance coverage, surety bonds, and other corporate insurance. Ensuring each company is compliant with state and federal laws. Develop plans and strategies to achieve lower operational risk. Conduct research and prepare correspondence for review and approval of insurance language and indemnification provisions in contracts, leases, and agreements.Conduct risk evaluations of various contracts ensuring appropriate contract language and compliance to warranty, industry, and insurance requirements. Negotiate insurance terms and make recommendations. Process bond requests, bond renewals, bond riders’, their invoices and all other periodic documents.Develop, prepare, and analyze financial documents and reports, insurance, claim and loss reports for senior management, brokers and state and federal agencies.Analyze Certificates of Insurance for compliance with contract requirements for third-party vendors,and develop, maintain, track and report information in the insurance certificate database on renewal, deficient and expired certificates.Conduct ad-hoc risk studies, quantitative analysis and develop reports summarizing analytical results.Prepare recommendations and communication to company personnel, agents, brokers, attorneys, and contractors.Redlining contracts, suggesting edits, making determinations on the requirements to mitigating financial risk and potential liability.Process workers’ compensation self-insurance reporting for multiple states.Process financial reports using Systems, Applications, and Products in Data Processing (SAP).

Salt Lake City Metropolitan Area

As a compliance officer to Workers' Compensation Act, I perform investigations regarding compliance and issue penalties for noncompliance. Multi-tasking while maintaining accuracy and efficiency. Find and gather information regarding a business and its operation. Research information and utilize all available resources. Fundamental critical thinking skills. Using Classification codes and National Association of Insurance Commissioners (NAIC) Excel Knowledge of advanced formulas, tables, formatting, conditional formatting and advanced charting. Finet experience processing increases, reductions, write off’s, experience with receivable’s and Office Of State Debt Collection (OSDC) and adjusting receivables. Creating Vendor Customer numbers (VC) and adjustments to VC numbers that were rejected. Proof of Coverage System (POC) - Analyzing data. Select viable employers to pursue for noncompliance cases. Microsoft Word used to write and draft legal correspondence. Experience with Dunn & Bradstreet Reports.Read and interpret applicable laws, rules and regulations. Utilize policies and procedures to perform duties.

Cottonwood Heights Ut

Dedicated Unit Representative Regence BlueCross BlueShield Of Utah The dedicated unit included various self insured employers. I reviewed claims for adjudication, enrollment issues, benefit quotes, appeal submissions and random claim auditing.Provided customized service to patients, customers and groups in both English and Spanish.Processed Coordination of Benefits requests following a set of rules and standards.Removed barriers for clients, patients and providers. Patient focus and assistance in maximizing benefits. Assist healthcare providers to maximize their reimbursement and process any trouble claims.Privacy awareness and HIPAA Compliance training.