Robert E. May is a compliance analyst with over 10 years of experience analyzing billing disputes, reviewing contracts and medical records, and ensuring compliance with state regulations. He has extensive experience as a provider bill analyst for American International Group, where he analyzed over 100 medical billing disputes per month, verified provider contracts and payments, and resolved all disputed bill processing issues. Through building relationships and implementing process improvements, he helped reduce penalties from the New York Workers' Compensation Board. He also mentored colleagues and helped convert the claims payment system, reducing expenses.

1. ROBERT E. MAY
Decatur, Georgia
404272-7081● mayjr.robert@gmail.com
COMPLIANCE ANALYST
Qualifications Summary:
Results-driven professional with 10 years of success analyzing and managing high-volume caseloads. Extensive
experience includes analyzing billing disputes, reviewing contracts and medical records, and determining compliance with
state regulations. Built strong relationships with a diverse range of individuals from internal teams and external partners.
Possess critical thinking and decision making skills; effectively consult on issues to develop mutually beneficial solutions;
and implement quality controls. Quick learner and problem solver who readily adapts to change and efficiently executes
team/organizational initiatives. Consistently recognized as a top performer by focusing on achieving results, meeting or
beating deadlines, and producing high quality output.
Core Skills:
Expediting Files ● Call Handling ● Computer-based Training ● Document Preparation ● Project Oversight
State & Regulatory Compliance ● Worker’s Compensation ● Records Maintenance ● Active Listener
Issue Resolution ● Staff Mentoring & Training ● Operations & Systems Improvement
PROFESSIONAL EXPERIENCE
American International Group (AIG) 04/2005 to 9/2015
Leading international insurance corporation providing Property-Casualty, Life Insurance and Retirement Services;
operating in 100+ countries serving 88+ million customers.
Provider Bill Analyst
 Analyze medical and vendor billing disputes filed by medical providers and timely provide official response to the
State Worker’s Compensation Board (WCB). Manage assignment of 100 cases per month.
 Verify Preferred Provider Organization (PPO) contracts, tax identification records, and provider payments based
on medical efficacy.
 Resolve all Provider-Disputed Bill processing issues, from the date of first notice through case closure by WCB.
This involves lengthy process, including ongoing communications with related departments and utilizing all
available resources to achieve positive resolution.
 Research and assess root cause of each dispute and educate the provider, if necessary. Document all issues,
actions taken, and resolutions in claim tracking system to ensure claim adjuster, management, and insured
remain up-to-date.
 Maintain high attention to detail and on-time filing of responses to prevent penalties and fines from being
assessed by WCB.
Key Accomplishments:
 Successfully built rapport with state official at the New York WCB for obtaining and providing feedback to team on
process improvements.
o Modernized process, from filing responses over-night to faxing same-day responses to WCB.
o Saved mailing/routing expense of approximately $12K per year.
o Decreased number of unfavorable decisions and reduced fines and penalties from WCB.
 Served as subject matter expert (SME) and selected to mentor colleagues on best practices for handling Workers’
Compensation appeals. Achieved improved job performance and positive relations with team members.
 Played integral role in conversion to new claims payment system; quickly learned and trained staff on new
technology; resulted in reduction of approximately $900K in operating expenses.
 Consistently exceed production quotas and customer satisfaction goals.
EDUCATION
Master of Health Administration: Central Michigan University, Mt. Pleasant, MI
Bachelor of Science, Animal Science : Florida A&M University, Tallahassee, FL