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Special Education Review Specialist Resu...
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Title Special Education Review Specialist
Target Location US-AZ-Chandler
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
Chandler, AZ Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEExperienceParaprofessional Technician  Preschool/Elementary, Paraprofessional  Resource, and Instructional Assistant 2023 - PresentGilbert Public Schools Gilbert, AZHelp students, individually or in small groups, with lesson assignments (e.g., Reading stories, listening to students reading, facilitating activities, motor perception programs, colors, number charts, etc.) For presenting and/or reinforcing learning concepts and reaching their academic goals and potential.Implements instructional programs and lesson plans for the purpose of aiding the teacher in improving students' academic success through a defined course of study.Maintains classroom equipment, work area, students files/records (e.g., copying instructional materials) for the purpose of ensuring availability of items and/or supplying reliable information.Monitors individual and/or groups of students in a variety of settings (e.g., Classroom, playground, cafeteria, library, etc.) For supplying a safe and positive learning environment.Performs general record keeping and clerical functions (in a workroom setting) for the purpose of supporting the teacher and/or in supplying necessary records/materials.Promote good habits for the purpose of improving the quality of students outcome and encouraging student development.Assisting Teachers with students who need one on one help in a subject.Aiding the teacher with preparing copies, organizing the classroom for a project, getting notifications in students mailboxesRecess duty along with assisting students in the lunchroom.Adapts classroom activities, assignments and/or materials under the direction of the teacher for the purpose of supplying an opportunity for all special education students to take part in classroom activities.Helps related services personnel as it may be needed for the purpose of carryover of physical occupation or speech therapy routines and/or strategies as directed and guided by the right therapist.Aid special education students one on one with classroom and daily living skills (e.g., Toileting, diapering, etc.) for the purpose of creating a positive plan of action to address specific student issues and helping them to process behaviors.Aid the teacher in devising special strategies for the purpose of reinforcing skills and materials based on the individual students needs, interests, and abilities.Implements academic instruction assigned by a teacher for individuals or small groups for the purpose of meeting learning goals, as described by an IEP and/or district benchmarks.Multi-Lines Claims Advocate  Western Region 2022 - 2023EPIC Brokers and Consultants Phoenix, AZAid clients and EPIC business teams with the reporting of claims to ensure that the correct insurers are notified and that the benefits under the proper policies are provided. This responsibility requires the ability to read policies.Act as client advocate at all times.Keep claims manager and producers/account managers informed of activities/changes/problems with client claims as appropriate.Initiate and develop a working relationship with the client.Maintain positive relationships and excellent communication with clients and coworkers.Actively manage client expectations.Organize, help with, and conduct client presentations and claim review meetings as needed.Supply leadership, mentoring and training to less experienced co-workers.Maintain claims documentation in Agency Management System and Shared Folder(s).Cover for other team members during absences.Take first reports & other claim information from clients to be processed and reviewed for proper coverage.Report claims to carrier using agency management system.Request status reports from carriers and apprise clients of updated status on their claims as needed.Maintain claim diaries and claim reports.Aid clients in resolving insurance coverage problems and/or disputes.Work with carriers to ensure recovery of deductible and subrogation of claims.Interface with carrier claims information systems.Supply claim analysis as directed by the service team & agreed upon at account start.Help the account service team in developing loss information for marketing purposes including loss development information and claim statuses on open claims as asked.Aid in solicitation of new business, as needed.Maintain insurance licenses and attend continuing education and other required classes.Attend mandatory internal training classes, meetings, and/or events.Workers Compensation Business Analyst 2018  2023Town of Gilbert Gilbert, AZLiaison between injured employees, supervisors, and occupational health.Presented quarterly reports of claim status to the Work Comp Trust BoardCompleted the process of taking the Town from being fully insured to self-insured for Workers Compensation coverage.Organized and facilitated semi-annual broker review sessions.Actively prepared an annual budget and managed the Work Comp operations within such a budget with financial restraints.Prepared monthly reports of injuries per department to upper management with loss time away from work, working within restricted work status, days on a no work status, types of injuries, newly implemented practices to avoid past injuries, etc.Paid quarterly taxes to Industrial Commission of AZ for being self-insured.Continued to ensure that the return-to-work process was robust, keeping our injured workers in the workforce within restrictions either in their department or another within the Town.Oversaw and coordinated injury reports; ensured compliance with OSHA 301A, 300, and 301 and ADOSH filing requirements.Presented to departments the Work Comp procedures and process quarterly or as needed.Coordinated and organized training seminars on injury-reporting methods.Researched and analyzed information/statistics from surrounding municipalities and businesses to help implement the Town of Gilbert Fire and Rescue Health and Wellness Program.Reviewed client medical records. Consulted with physicians regarding capabilities during recovery period; further goals of back-to-work program.Coordinated injury leave pay; liaise with clients, payroll, and supervisors. Ensured FMLA compliance.Monitored federal and state regulations; updated municipal policies, as necessary.Testified at claim appeal hearings.Implemented, reported, and supported the Maricopa County Trip Reduction Plan.Assured Third Party Administrator (TPA) was compliant with our contract.Periodically reviewed the Workers' Compensation Policy and Procedure to assure that it was up to date with all newly implemented policies/procedures.Made myself available to assure whoever needed my assistance would enable a strong working relationship and visibility within the municipality.Medical only and Indemnity Claims Adjuster 2013  2018Ashton Tiffany / Sentry Insurance Phoenix, AZProcessed client claims; ensured statutory and regulatory compliance.Analyzed claims exposure and reserves; made settlements accordingly.Analyzed client payments compared to average monthly wage. Filed reports with state Industrial Commission.Liaised with accounts; provided status updates. Reviewed and approved requests for medical procedures as appropriate.Managed claims in AZ, CA, and CO.Investigate claims within 24  48 hours after receipt of the First Report of Injury.Supply benefits to injured workers, i.e., TTD, TPD, PPD, etc.File proper forms with the State Workers Compensation Board.Set initial reserves on new claims and review reserves on established claims (usually for increases).Pay bills on claims (medical, rehabilitation, defense attorney).Settling claims.General clerical functions.Completion of periodic claims status reporting to insureds, carriers, and/or reinsurersMaintaining up-to-date file documentation of any development on the claim including phone calls, correspondence received and sent, review of medical notes, etc.Minimum of monthly reviews of the claims (via diaries) to assure the claim is continuing accordingly toward closure. Maintain and update periodic action plans to move the claims toward closure.Authorize and schedule medical appointments for the injured employees and follow up for receipt of medical documentation including work status reports.Follow up with employers to figure out if work is available for the injured employee (limited duty or full duty) and/or assign vocational rehabilitation to assist the claimant in finding alternative work to lessen exposure.Strong ability to verbalize communication and written skills to claimants and upper management the technical details of a claim and why it was denied or accepted by also quoting statues and explaining the process in getting to the decision rendered.Review files for reserve reductions or closings.Reviewed, analyzed, and interpreted claim loss reports.Assigned legal counsel and followed the claim until settled, utilizing Special Handlings instructions on the account, until settled.Attended claim reviews with Broker and Account to review status of claims per their Special Handlings InstructionsSubstitute School Teacher 2011  2013Casa Grande Elementary School District Casa Grande, AZFollowing procedures and achieving lesson goals.Assigning and explaining homework.Participated in Parent Teacher ConferencesOther various duties during Prep Hour to help other teachers, office staff, etc.Taught long term assignments in self-contained classrooms.Adhering to the curriculum and lesson plans assigned by the regular teacher.Assigning and explaining homework.Overseeing students outside of the classroom, including in the hallways and cafeteria.Followed all school regulations and policies at all times.Taking attendance and documenting daily notes.Ensuring the classroom and workstations were kept clean and orderly.Overseeing the normal classroom rhythms and activities.Compiling a report for the teacher for when they return.Customer Service Professional  Personal Lines 2008  2009Hanover Insurance Group Howell, MIRecommended and sold additional or increased coverage in appropriate situations and within specified guidelines - dependent upon regional location.Interpreted the rates and rules of Personal Lines policy changes, renewals, and new business transactions by accessing resources defining the codes.Recommended changes in systems/procedures/workflow to gain process efficiencies and meet changing customer needs.Answered routine to moderately complex telephone inquiries received from customers/clients/agencies.Utilized established guidelines and techniques such as timeliness, quality, and effectiveness to respond to all inquiries.Reviewed incoming written correspondence, requested added details when needed and drafted written communications in response to service requests received from customers, interpreted, and verified coverages and data received.Completed routine policy change transactions online within specified guidelines.Processed policy changes and some policy issuance transactions received through various channels within specified guidelines.Processed error corrections.Obtained MVR (Motor Vehicle Report), CLUE, and insurance score or merit rating information.Provided insurance quotes to agents and policyholders.Researched and reconciled discrepancies in direct billing records.Provided in-depth insurance guidance and education to customers as appropriate.Liaison with departments to resolve identified issues/problems.PL Insurance license for IN, OH, IL, WI and MI.Quoted Book Rolls.Book Roll Specialist  Personal Lines 2006  2008Hanover Insurance Group Howell, MIAccurately quoted, issued, and endorsed policies (including book rolls, renewals, and endorsements).Recommended and sold additional or increased coverage in appropriate situations and within specified guidelines - dependent upon regional location.Easily adapted to new, different, or changing situations, requirements, or priorities.Took on leadership roles with new technology and changes in the Department concerning book rolls to teach co-workers and become a Subject Matter Expert.Reviewed agency quote sheets for accuracy to ensure that all of the information provided on the spreadsheet matched the quote detail.Reviewed the comments section to ensure that all coverage gaps including policy limits, deductibles, and coverage packages were clearly identified.Reviewed the win rate for each line of business to ensure that we were delivering the target win rates defined in the letter of intent.Worked with sales and state management to adjust win rates to meet target deliverables.Worked with Territory Sales Managers and Regional Vice Presidents to create action plans for achieving 80% issue rate on book rolls.Regularly reinforced expectations of the program were applicable, adhered to timelines, identified, and communicated roadblocks, barriers and opportunities for improvement.Policy Processing Representative  Personal Lines 2004  2006Hanover Insurance Group Howell, MIPersonal Lines Underwriting.Customer Service to insurance agents, co-workers, and underwriters.Verified proof of prior insurance.Answering phones, e-mails, data entry, calculator, etc.Proofreading documents for accuracy and making corrections if needed.Processing new auto and homeowner insurance applications.Processing auto and homeowner insurance changes; and out of sequence policy changes.Project Manager/Administrative Assistant 1991  2004Sunshine Modular Homes, Inc. Howell, MISales, Accounting, HR, Onboarding.Random drug screening and random CDL drug screening.Project Management.Customer service.Office procedures i.e., Answering phones, e-mails, data entry, travel reservations, mailing out information referencing inquiries, etc.Construction permit pulling.AP/AR, cash handling, payroll.Personnel issues i.e., Hiring, terminating, training, setting up health insurance, filing for unemployment, and workers compensation claims.Reviewed, analyzed, interpreted project drawings and specifications to understand required labor, materials, and equipment.Profit and loss control.Advertising and Marketing.Sales.Purchasing.Prepared documents yearly for Insurance Audits and Federal/State Audits.Inventory Control.Oversaw day to day operations for multiple projects and tenant improvement jobs.Ensured technical support, tools, materials, and all resources were made available to field staff and subcontractors to ensure prompt progress with the schedule and compliance to the contract while supplying technical support.Completed estimates and pricing for change orders.Responsible for subcontractor cost and schedule negotiations, ensuring prompt delivery of materials and services to support fluency in scheduling and efficiency.Presented project preliminaries to township boards for prior approval on developments.Inspected jobs for OSHA compliance.Manager/Part-Owner 1993  2009GMCs Trading Post, Inc. Howell, MICustomer service.Office procedures i.e., Answering phones, e-mails, data entry, calculator, etc.Completing paperwork for all "pawns/holdings" either on vehicles, jewelry, firearms, etc.AP/AR, all management procedures, cash managing i.e., deposits.Prepared and paid quarterly taxes.Personnel issues i.e., hiring, terminating, training, setting up health insurance, filing for unemployment and filing workers compensation claims.Worked with employees to fill out social services paperwork.Managing a staff of 8-12 employees.Profit and loss control.Advertising and marketing.Sales.Purchasing/Inventory Control.EducationState of Arizona Adjusters LicenseProperty and Casualty Producers LicenseBachelors in Business Management: Business Administration (Cleary University)CPR/AED cardFingerprint cardSkillsCollaboration tools: SharePointDatabase tools: OnBase, MunisTimekeeping: KronosProductivity tools: Word, Excel, PublisherPayroll: QuickBooks, ADP, PeachtreePersonal skillsLeadership. Coaching, training, mentoring. Positive reinforcement, constructive criticism. Managing, supervising, directing. Delegating. Decision-making. Meeting management. Team building. Inspirational.Problem-solving. Root cause analysis. Process improvement. Pattern recognition. Lateral thinking.Quick learner. Research skills. Systematic, methodical, resourceful. Critical thinking.Logical, insightful.Adaptable, flexible, trainable.Observant, perceptive. Diligence.Communication skills. Presentation, clarity, public speaking, active listening.Organizational skills. Documentation. Knowledge management.Time management. Planning, scheduling, organization.Prioritizing, goal setting, multi-tasking. Results-oriented.Conflict resolution. Patient, tolerant, diplomatic. Good judge of character.Negotiating, mediating, facilitating.Cooperating, collaborating, coordinating.Creative, innovative, imaginative, original.Project Management Strategic planning.Networking.Strong work ethic. Responsible, disciplined. Initiative-taker.Cultural intelligence. Diversity awareness. Disability awareness.Work well under pressure. Crisis management.

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