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Customer Service Case Manager

Location:
Riverview, FL
Salary:
68,000
Posted:
March 11, 2024

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Resume:

`Gwendaline Smith

972-***-****

Ruskin, FL. ***73

ad39yj@r.postjobfree.com

https://www.linkedin.com/in/gwendaline-smith-5a239847/

SUMMARY STATEMENT

I am an extremely driven person who strives for success. I am an outgoing, creative, goal-oriented, and resourceful person with a growing academic hunger.

Professional Experience

Charter Communications (Spectrum) in Bradenton, FL

Offline Customer Support June2023 to Present

●Assisted in making a positive impact on the communities where customers live and work.

●Researching and analyzing data in support of business functions, process knowledge, and systems requirements, correct billing errors and review performance reviews.

HR Specialist II / Case Manager in Disability & Leave Services (Contract) Oct 2022 to Nov 2022

Amazon (Worked Remotely) May 2021 to May 2022

●Provide leave and disability management services to employees while successfully managing assigned locations encompassing employees.

●Respond to inquiries regarding various leave of absence, i.e., short, and long-term disability, personal, medical, military, bereavement, family, and medical leave, etc. Review medical documentation to adjudicate leaves in compliance with the corresponding leave plans, federal and state laws, and benefit plans. Update managers and business partners on employee leave status. Consult, coordinate, and partner with TPAs, Safety, Legal, Payroll, Benefits, and team members.

●Streamlined process with the establishment of PLOA, CFFM, FMLA and LOA workflow procedures on Service Now, provided excellent Customer Service for employees needing assistance with their medical documentation or payroll.

●Determined claim eligibility, promptly reviewing, and evaluating all new PLOA,

Quest Diagnostics - Tampa, FL Dec 2020 to Feb 2021

HR Customer Service Rep (Worked Remotely

●Enacted with the team by collecting data information concerning Covid -19 kits to help employees of the company.

●Ensured the customers were satisfied with the Quest products and answered any given questions.

Choice / Fourth Company - Tampa, FL May 2019 to Jan 2020

Benefits Reconciliation Specialists/ Team Lead

●Spearheaded with the team to provide medical, dental, 401K and vision benefits for the employees’ enrollment process.

●Coordinated with employees that had FMLA, workman’s compensation, STD and LTD benefits as well as locating reconciled problems within the payroll department. “Saved $5,000 in operating costs in the first 60 days by assisting in repairing and servicing equipment”.

●Created presentations and reports based on recommendations and findings with the data.

The Coca-Cola Company - Tampa, FL May 2017 to Dec 2017

HR Leave Coordinator

●Finalized with corporate, FMLA, short-term and long-term disability, and leave of absence claims for associates who had transitioned to Coca-Cola affiliate companies.

●Collaborated with team members to collect and initiate STD w/their payroll on Service Now & Salesforce.

●Enhanced communications regarding leave of absence claim status, providing updates to business managers, supervisors, and human resources business partners.

●Coordinated multi-state administration and processing of Non-Occupational Leave of Absence Claims, collaborating with the Third-Party Disability Administrator.

●Optimized benefits administration through benefit plans and program recommendations based on research, analysis, and evaluation. Also, structured large data sets to find usable information on the data sheets.

●Safeguarded employees’ payroll and benefits information.

●Volunteered with 401K benefits, providing employees with benefit packets and consultations regarding loans and balances.

●Ensured seamless leave of absence requests while meeting deadlines per record retention policy, efficiently and accurately updating documents and records in SAP, Salesforce, and Kronos.

MetLife Insurance Company - Tampa, FL Apr 2016 to May 2017

Case Manager/ TAM Coordinator

●Administered Family and Medical Leave Act, FMLA, and leave of absence, LOA, standalone claims.

●Achieved recertification of health condition, intermittent claim tracking, and

●RTW confirmation requirements by efficiently and thoroughly performing follow-up for all leave of absence claims.

●Delivered exemplary customer service, managing all inbound calls related to short-term and long-term disability.

●Determined claim eligibility, promptly reviewing, and evaluating all new FMLA and LOA claims.

●Streamlined process with the establishment of FMLA and LOA workflow procedures.

●Ensured compliance with all federal and state regulatory agencies as well as company policies.

Coca-Cola Enterprises, Inc. - Brandon, FL Aug 2013 to Apr 2014

HR Advisor

●Assisted with the screening of resumes, reference, and background checks as a critical part of the selection process while managing all customer service calls within the HR department. Assisted employees with selecting their benefits of dental, vision and medical.

●Facilitated new hire onboarding, preparing, and providing onboarding packets.

●Guided employees with all payroll processes, benefits administration, and termination while tracking vacation time, holiday schedule.

●Ensured compliance with all company policies, informing new hires and employees.

●Effectively responded to all inquiries regarding payroll deductions, accruals, and wage garnishment.

UPS, INC. - Dallas, TX Jan 2012 to Dec 2012

HR Specialist Coordinator

●Administered health and welfare plans, including enrollments, changes, and terminations.

Education:

●MBA in Management - Argosy University in Dallas, TX. - March 2012

●Bachelor of Arts in BA, Business Management - University of North Texas in Denton, TX. - August 2009

Professional Skills:

Human Resources Program • Compensation & Benefits Administration • Orientation & Onboarding • HIPPA / Short- & Long-term Disability • FMLA/PLOA/CFFM/COBRA/WC • Policies & Procedures • Training & Professional Development • Recruitment, Retirement & Retention • MS Office Outlook 2010 SAP • Link & Google Messaging • QuickBooks • HRIS • ADP • Salesforce and Service Now • Kronos • Fieldglass • Adobe • Prism • Human resources • Communication skills • Relationship management • Employee relations



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