| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidateCandidate's Name
Street Address
Phone: PHONE NUMBER AVAILABLE or PHONE NUMBER AVAILABLEEmail: EMAIL AVAILABLEObjective:To acquire a challenging position in human resources or disability management that will utilize my extensive knowledge and experience for growth and advancement.Professional Experience:April 2012 to December 2015 Sedgwick Claims Management Services Atlanta, GADisability Specialist SeniorAnalyzes, approves and authorizes assigned claims and determines benefits due pursuant to a disability plan.Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets.Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and/or claims system.Refers cases as appropriate to supervisor and management; maintains professional client relationships.Supports the organization's quality program(s).October 2010 to March 2012 Department of Human Services Atlanta, GAMedicaid Eligibility SpecialistDocument the result of a case review by using established documentation guidelines and tracking systems.Identify issues and risks as well as proposed solutions to issues or risks raised associated with the project.The case reviewer is responsible for validating the accuracy of cases reviewed by applying program policies and State work instructions.A case reviewer must be able to determine the source of errors such as user error, written procedures, policy interpretation or possible system problemNovember 2006 - February 2009 Goin Postal Locust Grove, GAStore ManagerPrompt, efficient and courteous customer service.Updates and maintains job descriptions.Maintains an active salary and position classification program.Pack and ship merchandise or documents for customersResponsible for recruiting, payroll, training, safety, and benefit related reports to management and owners.Maintain and clean the store.The position requires standing, bending and reaching.Ability to lift packages of 50October 2003 June 2005 Social Service Coordinators North Miami, FLDisability AdvocateReview correspondences and/or inquiries from the health plan members to determine needs and accelerate the process based on circumstances.Conducts telephonic outreach activities for members who have been prescreened as potentially eligible for the Medicare Savings Programs.Completes medicaid/medicare applications for members and insure that application packages are prepared for mailing to member on daily basis.Follows up with members to encourage them to return completed application, required verifications, and notices of actions from the stateReceive and review all incoming correspondence from the member, determine completeness of package, determine if additional information is needed, assemble package and submit to QA for final review.Completes applications and correct discrepancies.July 1998 - October 2003 Bright Ideas Academy Fort Lauderdale, FLOffice Manager/HRProvides job candidates by screening, interviewing, and testing applicants; notifying existing staff of internal opportunities; maintaining personnel records; obtaining temporary staff from agencies.Pays employees by calculating pay; distributing checks; maintaining records.Administers student loan, medical insurance, savings bond, and disability programs by advising employees of eligibility; providing application information; helping with form completion; verifying submission; notifying employees of approvals.Monitors unemployment claims by reviewing claims; substantiating documentation; requesting legal counsel review.Maintains human resources records by recording new hires, transfers, terminations, changes in job classifications, merit increases; tracking vacation, sick, and personal time.Education:Bachelor of Science in Business Administration, Everest University, 2009Master of Business Administration in Human Resource Management, Everest University, 2012Skills:Microsoft office: Word, Excel, AS400 |
