Chelsea Lumar
@chelsealumar
Efficient operations auditor and administrative professional with data expertise.
What I'm looking for
I am an operations auditor and administrative professional with over five years of experience in data entry, records management, auditing, and executive support. I bring a strong track record of designing and executing data review processes that ensure accuracy, regulatory compliance, and operational integrity.
In my current role as an Operations Auditor I audit group set-ups, contract changes, and terminations while executing risk-based audits to evaluate controls and recommend process improvements. I compile findings into actionable reports and coordinate corrective actions and educational materials to reduce errors and mitigate risk.
Previously I supported denial and appeals workflows, maintained logs and reporting, and trained team members to ensure regulatory turnaround times were met. My background also includes legal assistant, receptionist, and call center roles where I managed documentation, client communications, scheduling, and customer service operations.
I am results-driven, detail-oriented, and focused on continuous improvement; I leverage tools like Salesforce, SharePoint, Smartsheet, QuickBooks, and Microsoft Office to streamline workflows and support data integrity across teams.
Experience
Work history, roles, and key accomplishments
Operations Auditor
Health Net, Inc.
Feb 2023 - Present (2 years 7 months)
Designs and executes risk-based audits of enrollment, credentialing, and PDM data processes, reducing data integrity issues and driving corrective actions through reporting and training for regulatory compliance.
Denial Coordinator
Centene
Feb 2022 - Feb 2023 (1 year)
Managed denial and appeals logs and letters, ensured timely dispositions per state regulations, prepared recurring reports, and trained staff to maintain compliance and reduce turnaround times.
Legal Assistant
Juan Lafonta & Associates, LLC
Nov 2019 - Feb 2022 (2 years 3 months)
Provided legal administrative support including client intake, document drafting and management, scheduling, transcription, and compliance review for federal grant and case-related materials.
Call Center Representative
Medloss
Oct 2017 - Mar 2020 (2 years 5 months)
Handled inbound customer inquiries, maintained CRM records, gathered feedback to inform process changes, and produced reports to support customer service goals and satisfaction improvements.
Receptionist
Michael Zarou
Mar 2017 - Sep 2019 (2 years 6 months)
Greeted visitors, managed multi-line phone systems and appointment calendars, processed correspondence and payments, and maintained organized records to support front-desk operations.
Education
Degrees, certifications, and relevant coursework
Hahnville High School
High School Diploma, General Education
Completed High School Diploma at Hahnville High School, graduating in 2008.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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