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Customer Service Medical

Location:
Berwyn, IL
Salary:
60000
Posted:
January 27, 2021

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Resume:

Sylvia San Miguel

**** *** **** *** ******** IL, 60402 Cell # 224-***-**** / adjq16@r.postjobfree.com

OBJECTIVE:

To obtain a Claims Management oriented position in a Corporation that will utilize my experience and be a contributing factor to the success of your organization.

EMPLOYMENT HISTORY:

Atlas Employment Servicrs - Risk Manager/Workers Compensation Schiller Park IL, 5/2013 - present

Manage the Worker's Compensation claim review process to minimize worker’s compensation costs, attorney's fees and related expenses with approval of claims.

Update appropriate parties as needed, providing new medical facts as they become available, and analyzing their impact upon the exposure analysis and/or return to work process.

Provide efficient, prompt, courteous service and communication to internal business partners and external customers about resolution of coverage, compensability, reserves and other claim service issues.

Coordinate, direct and support medical management strategies, including employee health screening and surveillance programs, and disability management programs to assure the health and safety of workers.

Direct contact with medical providers to set up appointments, following up for appointment results and contacting locations to return employees to work.

Represent the company as a technical resource; attending legal proceedings as needed, acting within established professional guidelines.

Facilitate the highest level of mandatory medical monitoring and/or treatment of injured employees as required and directed by circumstances, physicians, and professional standards.

Maintain responsibility for confidentiality of medical records through a comprehensive system of documentation, record keeping, reporting services provided in conformance to both regulatory medical-legal requirements and internal policies; maintain these records in the computerized data base.

Continue professional growth by obtaining continuing education credits through participation in seminars and conferences.

Maintain accurate records of all payments by entering in data base, Schedule payments, prepare disbursements, obtain authorization of payment, prepare and mail invoices; identify delinquent accounts and ensure payments

Workforce LLC- Branch Manager Cicero IL, 03/2008 -05/2013

Oversee all branch operations.

Manage and operate the payroll process of over 500 temporary employees and ensure it is completed efficiently and in a timely manner, along with reporting our internal payroll.

Communicate and complete any and all injury reports to our safety department, as well as update all on the employee status.

Investigate workplace mishaps and take prompt corrective action necessary to ensure the safety and health of employees

Keep in constant contact with our clinics for employee updates.

Assign and coordinate light duty assignments for the injured employee.

Complete and Process Workers Comp Payroll.

Manage the activities of the job coordinators and drivers.

Manage all incoming job orders and ensure that they are filled in timely manner with appropriate personnel.

Determine and communicate priorities to maintain the highest level of customer service and satisfaction.

Participate in 'outside' recruiting efforts as well as reviewing application, resumes, conduct interviews, process screening tests as needed and coordinate placement of general labor, semi-skilled and skilled individuals.

Provide job performance feedback to job coordinators and van drivers as well as identifying areas of improvement by mentoring and providing training as needed.

Provide services and available candidates to both customers and prospects in person and over the phone. Involve in a various networking and professional events including occasional off hours meeting as well as participating in monthly management meetings with other staff members and other offices.

Staff-On-Site - On-Site Staffing Coordinator/Front Desk attendant: Bolingbrook IL, 12/05/05-03/08

Manage daily on-site operations such as headcount, check-ins of employees to ensure staff’s availability during working hours.

Train all temporary employees and new hired staff in line with company policies and procedures.

Organize business review meetings with clients to improve performance continuously and qualitatively.

Monitor all company activities and ensure compliance with company procedures and policies.

Recruit, train and induct employees to achieve and maintain designed staffing pattern.

Organize and conduct interviews and perform background investigation and provide on-site tests to all prospective employees.

Coordinate with supervisors and management to plan activities for higher productivity on production site.

Develop and maintain relationship with management and supervisors to resolve employee issues, concerns and grievances as per existing company policy.

Develop ways to retain all employees through motivation and encouragement.

Manage employee pool by hiring, retaining or terminating of same, evaluate performance and counsel employees to improve performance.

Maintain weekly temporary payroll and employee personal files to facilitate effective personnel management for over 250 employees.

Pierce Distribution - Clerical/Shipping & Receiving: Bolingbrook IL, 3/28/04-12/04/05

Clerical:

Answering phones, invoice trailer

loads, data entry, keep tonnage & trailer logs.

Shipping & Receiving:

take customer call requests for hot orders, investigate & fix any

mistake on the order we receive, log all problems, keep track of all product inventory we have available for customers.

EDUCATION:

Morton College Office Management Technology 2010

Cicero, IL Workman’s Compensation Certificate 2013

Employment Law Fundamentals Certificate 2014

Richard J. DALEY COLLEGE, General Courses 1999-2000

Chicago IL,

Computer Skills

ABD employee software

Windows 7 / Vista

Temps Plus / Citrix

Coats / Staffing Software

Microsoft Outlook, Excel, Power Point, Word

I-9 / E-Verification System

SUMMARY OF QUALIFICATIONS

Fully bilingual – English/Spanish

Able to multitask with dynamic and diverse credentials.

Solid tactical leadership and human resource experience.

Able to work under minimal supervision in a team-oriented environment



Contact this candidate