Claudia Gadea

*** ********* ******, *** ***** Harrison, NJ 07029 973-***-**** E-mail: aczeqg@r.postjobfree.com

PROFESSIONAL SUMMARY

Accomplished, achievement-driven, and result’s oriented professional seeking a human resources position with a reputable company offering learning and growth potential.

Demonstrated broad strengths in:

Technical Skills:

Communication Skills – Oral & Written

Compliance

Database Management

Meeting Management

Presentation Skills

Presentation Materials

Prioritization Skills

Spreadsheets, Graphs, Charts

Staff Recruitment & Retention

Orientation & On-Boarding

Training & Development

Employee Relations

FMLA/ADA/EEO/WC

OSHA

Character Skills:

Adaptability

Articulate

Analytical

Demonstrated Poise, Tact & Diplomacy

Networking Skills

Pro-Active

Professional & Diplomatic

Professional Business Sense

Self Directed

Positive Energetic Attitude

Strong Sense of Urgency

Detail Oriented

Multi-tasking Abilities

PROFESSIONAL EXPERIENCE

CAREONE MANAGEMENT (06/2015 – Present) Fort Lee, New Jersey

Worker’s Compensation Specialist

Investigate new claims in various locations throughout six different states.

Contact injured employee immediately upon notification of injury.

Evaluate claim facts and application of worker’s compensation statutes.

Direct injured employees to appropriate medical treatment and service providers.

Investigate work-related injuries and claims through direct contact with employees, supervisors and other witnesses.

Monitor employee's medical condition and treatment plan.

Act as a liaison between management, claim adjuster, and employee to push return-to-work (regular or transitional) duties.

Prepare monthly reports of claim completions with claimants.

Knowledge of jurisdiction law, procedures and regulations.

Keep supervisor advised of significant developments in claims.

Prepare and submit required reports to regulatory agencies for compliance audits.

Update OSHA log and assist with annual survey.

CONTINENTAL AUTO PARTS (10/2014-06/2015) Newark, New Jersey

HR Coordinator (Contract Assignment)

Managed the coordination and implementation of policies, and programs for 200+ employees at 7 locations across three states.

Advised managers, supervisors, or administrators in all HR practices; provide information to employees about regulations, and policies, and provide general support to field team.

Charge of staffing needs such as seasonal or temporary workers.

Monitored and updated OSHA logs for any injury and incident occurrences.

Responsible for all NJ/NY workers’ compensation cases.

Reported claim information and injury reports promptly to the insurance carrier.

Responsible for running and preparing wage reports, overtime reports, and vacation payouts for all branch managers on a biweekly basis.

Administered the new hire on-boarding and orientation processes and ensure consistency for employee retention.

Managed and tracked leave of absences for all employees; including Short-Term Disability, Worker’s Comp, FMLA.

Managed confidential employee relations and conflict resolution, including conducting employment-related investigations, addressing complaints and conflicts, performance management, disciplinary actions, etc.

Serve as the company’s benefits administrator including medical, dental, and life; guided employees through change in medical and dental plans at the end of 2014.

Responded to employee benefit inquiries, contacting vendors as required to resolve moderately complex issues.

Processed payroll on a bi-weekly basis; Analyzed and reviewed payroll documentation for accuracy.

Periodically reviewed and updated HRIS system to ensure system accuracy; complete all wage and hour verification for unemployment claims.

Managed and maintained HRIS database systems.

Performs ad-hoc tasks and projects as requested.

UNITEDHEALTH GROUP (8/2011-10/2014) Newark, New Jersey

Clinical Administrator Coordinator

Ensured accuracy of denial letters while maintaining compliance standards for NJ/NY Medicaid lines of business (CHP, FHP, and MMC) as well as Medicare standards.

Interacted with internal and external Physicians and Nurses.

Maintained NCQA and HIPPA requirements at all times.

Maintained /Updated Standard Operating Procedures for letter process.

Experienced in working w/ and developing Electronic Health Records EHR systems or SDLC management

Maintained compliance with guidelines for completing Initial Adverse Determination letters (Denial letters).

Proficient with: Diamond, Citrix (Care One), MEDM.

Used pertinent data, resources, and analytical skills to solve a range of disputes arising from both providers and members

Assisted clinical team in auditing work products and/or reports as requested for CMS (Center for Medicare and Medicaid).

Analyzed information and applied information to reduce errors and improve process performance.

Supported cross training for departmental tasks such as Appeals, Out of Network/Off Panel etc. on different states.

Communicated and liaised verbally and in writing between providers and relevant staff.

Assisted with new employees training. Serve as a SME (subject matter export) for team member and management

ADDUS HEALTHCARE INC. (6/2009-8/2011) Bloomfield, New Jersey

HR/Staffing Coordinator

Maintained staff by assisting in recruiting, testing, and interviewing program; conducting and analyzing exit interviews; recommending changes.

High volume of staffing needs (per diem and weekends)

Responsible to track, process, set up all new employees in HRIS system.

Conducted new hire orientation for all part-time employees.

Assisted with recruitment needs by advising HR of open positions.

Organized Recruitment events and supervised the internship program.

Coordinated all leaves of absence, including Short-Term Disability, Worker’s Comp, FMLA, PLOA, Military Leave etc.

Assisted in the yearly benefits open enrollment period.

Monitored compliance requirements such as I-9’s, 8850’s, licensure, certification, and training.

Primary point of contact for all leaves inquiries; educated employees and managers on the leave process and related policies.

Maintained employees’ information current with State and Federal compliance.

Worked with union 1199 SEIU members and representatives.

Assisted and coordinated employee’s annual HIPPA training requirements.

Represented company in unemployment hearings.

Helped with State audits and internal audits.

Maintained confidentiality of all information in accordance with state/federal regulations, company policy and HIPPA requirements.

American Fidelity Mortgage (9/2006-04/2009) Newark, New Jersey

Sr. Loan Officer Assistant

Managed broker’s daily calendar, travel arrangements and training courses.

Provided backup customer service to customers in broker’s or loan officer’s absence.

Assisted broker and high producing loan officers in loan application and origination, pricing, coordination with operations teams and follow up with customers.

Worked with the processor to collect documentation to clear all pending conditions.

Confirmed that titles, appraisals, and homeowners insurance were ordered.

Communicated daily with customers, real estate agents, title companies and other partners.

Assisted in the development and maintenance of a marketing database of new, existing and previous customers for the solicitation of new business to support the marketing plans of the broker of record.

Maintained computer records in Calyx and Point to increase access to loan and client information

Adhered to all federal and state compliance guidelines relative to the retail mortgage lending.

American Fidelity Mortgage (5/2005-9/2006) Newark, New Jersey Elizabeth, New Jersey Elizabeth, New Jersey

HR/Administrative Assistant

Assisted with the creation and editing of marketing folder, client literature, and company’s brochure outlining loan options and terms.

Responsible for continuing excellent customer service relationships with private investors

Created basic tracking reports for office manager.

Managed loan officers employment application process, new hire paperwork, new hire training coordination and management of personnel files.

Assisted in yearly audit of personnel files to keep in compliance with federal and state regulations.

Handled employee benefit files, processed employee benefit changes on vendor portals, created new employee benefit file folders, file benefit documents, removed terminated employee files and performed other related file maintenance.

Assisted in coordination of special projects.

Ordered office supplies and maintained inventory.

EDUCATION

NEW YORK INSTITUTE OF TECHNOLOGY- B. S. Interdisciplinary Studies. Concentrations in Communications, Social Sciences & Business. (2005-2008)

ESSEX COUNTY COLLEGE- A.A. Liberal Arts (2000 - 2003)

ESSEX COUNTY COLLEGE – PowerPoint and Word Certification (2014)

ABS SCHOOL- Real Estate Course (11/2016)

SPECIAL SKILLS

Microsoft Office (Word, Excel, Powerpoint, Access)

PeopleSoft

Taleo

McKesson

ICD-9CM/CPT-4

ADP Workforce

Oracle

Lotus Notes

Smartlinx

Freddie Mac/Fannie Mae

Calyx

Languages: Fluent in Spanish.

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