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Title Administrative Assistant Claims Specialist
Target Location US-NY-Bronx
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
LOA Claims SpecialistProfileClient-oriented Administrative Assistant with extensive experience working in a high volume, deadline driven environment. Proven ability to work under pressure and remain focused during constant interruptions. Self-directed and knowledgeable of improving the efficiency and accuracy of office restructuring and office flow, A multi-tasked and self-motivated individual, with excellent communication skills, sensitive to the needs of clients, staff, faculty and patients.Employment HistoryLOA Claims Specialist at HireGenics (Southwest Airlines), Dallas March 2023  March 2024Review the Family Medical Leave Act (FMLA), state and company leaves medical certifications as mandated by state and federal guidelines and in coordination with our customers policies.Processed FMLA Leaves from eligibility to return to work for SWA employees. Provide accurate, professional, and timely responses to communications from internal and external clients.Serve as an internal reference to the team for certification requirements and processing.Contact medical providers to obtain or clarify medical facts supporting the need for a leave of absence.Maintain complete and accurate documentation of leaves within our proprietary database.Correspond with clients regarding leave status and assist with decision making.Compose and send client-specific letters and emails regarding final decisions. Process reports for clients and short term disability partners. Provide innovative ideas that can support the ongoing growth of the FMLA Department.Support management with special projects as necessary. Other duties as assigned.LOA Coordinator at Sedgwick Claim Services, Irving August 2020  February 2023Administer various types of leaves, including FMLA, ADA, Short Term Disability, Long Term Disability.Analyze, process and manage FMLA claims to determine eligibility and certification in compliance with state and federal regulations. Education Coordinator at UT Southwestern Medical Center, Dallas February 2015  March 2020DetailsJacksonville, NCPHONE NUMBER AVAILABLEEMAIL AVAILABLESkillsProblem SolvingAbility to MultitaskMicrosoft OfficeMicrosoft PowerPointAbility to Work Under PressureLeadershipComputer SkillsPathologyMicrosoft ExcelGoogle DriveCustomer ServiceMicrosoft TeamsInternal MedicineData EntryMicrosoft WordBillingCommunicationsManagementClassified InformationMicrosoft OutlookTeamworkSchedulingResearchCooperationLiaison who was responsible in implementing and compliance of all aspects of the management and administration of the Internal Medicine Residency Program.Responsible for the administration and management of the program as well as planning and coordinating academic, operational, and financial activities; assist in the development, implementation, and ongoing compliance with the program's goals and objectives, monitor and bring to attention any changes in national requirements, and provide sound guidance and advice regarding residency program issues.Department of Medical Education/Academic Students Coordinator at Icahn School of Medicine at Mount Sinai, New YorkDecember 2007  August 2014 Managed daily calendars for faculty directors. Solved complex problems and takes a new perspective on existing solutions; exercises judgment based on the analysis of multiple sources of information. Received, sorted and distributed incoming mail. Made copies, scanned documents, sent/received emails with attachments. Adheres to hospital policies and procedures and Standards of Performance. Process confidential medical student records and computer biographical information on all medical students. Provide assistance for special events. Editor for electives titles and enhancements. Maintained supply inventory. Assisting in recruitment for future medical applicants through ERAS. Equipment operator within the department. Administered mandatory student's compliances. Processed medical compliance for all current and alumni students. Prepared for conferences and set up schedules needed for services. Actively looks for ways to improve standard work processes and shares insights with team members, team leaders, and group leaders with the same level of importance as performing quality technical work. Promoted teamwork and cooperation through helpful, courteous, and positive interactions with colleagues. Performed other duties when needed.Department of Pathology/Specimen Slides Coordinator at Icahn School of Medicine at Mount Sinai, New YorkMay 2001  December 2007 Entered patient's classified information into computer system. Billing and Auditing. Answered and forwarded calls in a courteous professional manner. Processed consult requests as requested by patients or facilities. Grossing specimens for pathologists. Maintain a customer service driven environment. Accessioned slides for pathologists. Provide administrative support to Pathologists, Fellows, and residents of the Pathology Office. Direct the administrative services of the pathologists including computer programs, printing, filing, mailing, and distribution of office supplies. Respond to routine and non-routine inquiries of pathologists and outside clients using standardized policies and procedures. Promote teamwork and cooperation through helpful, courteous, and positive interactions with colleagues.Written CommunicationCustomer Relationship ManagementRestructuring (Business)LanguagesSpanishDepartment of Receiving/Equipment Supply Handler at Icahn School of Medicine at Mount Sinai, New YorkJuly 1998  May 2001 Processed all receiving services between vendors and end-user for critical hospital and research community. Check-in and deliver packages and confirm purchase order labels from UPS, FedEx, RPS and other couriers. Lifted packages over 50lbs. Handled manual and electrical power jacks. Distributed received packages throughout the institution. Distributed assignments to fellow staff members. Attend and participate in shift stand up meetings, staff meetings and Town Hall meetings.EducationHS Diploma,

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