Nicole T Thomas

CONTACT

863-***-****

adtrhp@r.postjobfree.com

**** ********** *****

Bartow, FL 33830

SKILLS

Recruiter Quality Analyst

Onboarding Q A

Project Management tracking

Operational Negotiator

B a nk in g Human Resources

Onboarding Claim Adjuster

Financial R i s k Management

Medicaid and Medicare Claim

Analyst

EDUCATION

Associate

Arts

UNC Chapel Hill

AA

Business

Chapel Hill, NC

CCS Certified Customer Service

Benefits

Claims Adjuster

Management

Customer/Client Service

Management Risk Management

Certification of Completion -

HIPPA Privacy & Security

Certificate of Completion -

Certified Software Quality

Analyst CSQA/Quality

Assurance

360 Certificate of Certification -

Food and Beverages

PROFESSIONAL SUMMARY

Onboarding Recruitment Skilled I n d i v i d u a l w h o m d i s p l a y a demonstrator ethical background in Leadership environments. Works well independently to handle

assignments and always ready to go beyond basics

assignments. Quick learner with good computer abilities. Hardworking Individual focused on completing work

quickly to consistently exceed targets. Reliable team member accustomed to taking on challenging tasks.

Dedicated to business success.

EXPERIENCE

Toys for Tots Foundation, Non-Profit Organization

Campaign Manager/ Recruitment Charities Organization Lakeland, FL - Jan 1998 2022

• Recruiter Larger groups and Organization Companies Families Business Individuals

Disbursement of toys, disbursement to families and organizations.

Verification of application approval, inventory, staffing. Onboarding Project Management Compliance

Documentation

Reports, meetings, budgets, phone calls, inbound and outbound emails.

Scheduled pick up, toys marketing, inventory, inspections, recruiting, marketed Toys for Tots Campaign, client service, inbound and outbound calls to prospers families. Traveling requirement

Fundraising for donation for Toys for Tots Campaign. Oversaw brand advertising budget and aligned spending with forecasts on monthly basis.

Devised, implemented and managed branding strategies to increase awareness, engagement and marketing success. Worked closely with creative, development and account teams to keep each project on-strategy, on-time and within budget targets.

Maintained productive, diverse candidate pipeline to meet present and future recruitment needs.

Budget shopping for Toys various age group

Screened and pre- interviewed candidates referred to Toys for Tots consideration.

Humana Medicaid and Medicare (Remote), Claims

Specialist Remote (Supervisor)

California - Jan 2020 Mar 2022

Helped navigate more complex claims, analyzing

documentation and quickly settling the most straight- forward and routine claims.

Worked with insured customers and representing agents to collect information and convey changes to the involved accounts.

Modified and updated policies to reflect changes such as beneficiary names, coverage amounts and the types of insurance.

Managed the efficient processing and documentation of new insurance policies and customer claims.

Completed accurate calculations of premiums, refunds and adjustments in line with insurance rate standards. Negotiated claims settlements with the involved parties, supporting the litigation process when claims could not be negotiated.

Continuously work the flow of the claims to verify detail information and billing to code conformance with the procedures.

Assessed the Medical procedure of customers coverage POA of requirement

Obtained supporting documentation from the claimants and their representatives and transferred to vendor partners.

Organized the insurance claims forms and related

documents, checking each closely for completeness. Performed extensive research to process or adjust

healthcare claims and appeals.

Reviewed medical records for accuracy, completeness and regulation compliance while maintaining HIPAA

regulations.

Travel requirements and Office visited

Molina Health Plans Service (Remote), Quality Analyst Supervisor

Tampa, FL - Jun 2019 Nov 2021

Onboarding operational Management Vendors/Contractors, Staffing verification of license and insurance.

Human resources benefits, policies/procedures

compliance Payroll, timesheets, Assignment of scope and work, project inventory, material punch list, agreements with clients and company scheduling, meetings, reports, invoice, billing, budget, payment collection, staffing, HR letters, reports, staff meeting, marketing service, customer service, inbound & outbound calls to clients marketing research.

Recruiting compliance, interviewed employees, provident administration function. Recruiter

Delivered high-quality HR processes with sound decisions based on collaboration with department leaders and implementation of industry best practices.

Assisted employees with navigating benefits systems, leveraging available tools and answering questions about policies and procedures.

Fostered and promoted climate of accountability by working closely with leadership team.

Supervised work of generalists, coordinators and

administrative staff to handle needs of employees in different departments.

Contributed to implementing various initiatives across Large Groups organization F a c i l i t i.e. s I n s t i t u t i o n s P r i v a t e M e d i c a l P r o v i d e r s to generate maximum value addition toward performance improvement, employee retention and employee welfare.

Maintained and updated complete records for all

personnel, including records management, attendance, Banking configuration Records absenteeism, performance, pay-slips and timesheets. Ensured proper communication across hierarchy and with employees for timely redressal of employees' grievances, complaints and harassment

allegations, promoting harmonious work environment. Recommended policy and training changes to keep

employees current with new strategies and requirements. Introduced new hires and conducted induction training sessions explaining HR policies, procedures, laws, rules, regulations and standards.

Collaborated with both manager and employees to handle questions and resolve work-related issues.

Assisted leadership in streamlining all HR functions, analyzing and developing compensation structures,

evaluating pay practices and streamlining payroll process. Assessed workforce requirements across each project and conducted recruitment drives and selection processes. Reviewed incoming orders for mistakes to maintain

accurate inventory levels.

Supported operations with consistent maintenance and updates of corporate files and records.

Oversaw the consistent and fair discipline of all company employees, including performance improvement strategies and staff terminations.

MBGR, Operations Manager/Human Resources Recruiter Onboarding

Bartow, FL - Mar 2013 Jul 2020

Recruitment Staffing Presentation Project M

management hired vendors/contractors, verification of license and

insurance.

Human resources benefits, policies/procedures

Re

compliance, filed permits, payroll, timesheets, onboarding. Assignment of scope and work, project inventory, material punch list, agreements with clients and company

scheduling, meetings, reports, invoice, billing, budget, payment collection, staffing, HR letters, reports, staff meeting, marketing service, customer service, inbound & outbound calls to clients marketing research.

Recruiting compliance, interviewed employees, provident administration function.

Delivered high-quality HR processes with sound decisions based on collaboration with department leaders and implementation of industry best practices.

Assisted employees with navigating benefits systems, leveraging available tools and answering questions about policies and procedures.

Fostered and promoted climate of accountability by working closely with leadership team.

Supervised work of generalists, coordinators and

administrative staff to handle needs of employees in different departments.

Contributed to implementing various initiatives across organization to generate maximum value addition towards performance improvement, employee retention and

employee welfare.

Maintained and updated complete records for all

personnel, including records management, attendance, absenteeism, performance, pay-slips and timesheets. Ensured proper communication across hierarchy and with employees for timely redressal of employees' grievances, complaints and harassment allegations, promoting

harmonious work environment.

Recommended policy and training changes to keep

employees current with new strategies and requirements. Introduced new hires and conducted induction training sessions explaining HR policies, procedures, laws, rules, regulations and standards.

Collaborated with both manager and employees to handle questions and resolve work-related issues.

Assisted leadership in streamlining all HR functions, analyzing and developing compensation structures,

evaluating pay practices and streamlining payroll process. Assessed workforce requirements across each project and conducted recruitment drives and selection processes. Reviewed incoming orders for mistakes to maintain

accurate inventory levels.

Supported operations with consistent maintenance and updates of corporate files and records.

Oversaw the consistent and fair discipline of all company Banking Written Contracts Agreements Contracts employees, including performance evaluation Mapping scheduling P ay r o l l Benefits Bu dg et R e p ort s Inventory M arterial ordering strategies and staff Onboarding OSHA Regulation and requirements of Laws and Codes Decision maker judgement. Resolution Complaints

Tropical Orange Juice, Quality Analyst/Quality Assurance Lake Wales, FL - Jan 2013 Jan 2017

Quality was checked throughout the production process. Inspectors graded the fruit before the juice was extracted. After extraction and concentration, the product was checked to ensure it met several of USDA quality control standards.

The most important measurement in orange juice

production was the sugar level, which was measured in degrees Brix percentages by weight of sugar in a solution. The types of oranges used and the climate in which they were grown effected the sugar level.

Manufacturers blended juices with different sugar levels together to achieve a desired sugar balance.

The final juice product was evaluated for a few key parameters included acidity, citrus oil level, pulp level, pulp cell integrity, color, viscosity, microbiological contamination, mouth feel, and taste.

A sensory panel was used to evaluate subjective qualities like flavor and texture.

Lastly, during the filling was process, units are inspected to make sure they are filled and sealed appropriately report was generated.

As QA performed and worked with quality assurance

programs designed to ensure quality production of food products consistent with food safety standards,

government regulations, and industry practices including GMP, SQF and HACCP.

Provided the required technical support for QA

documentation.

Compiles and submits monthly reports as assigned.

Coordinated flow of GMP documentation, e.g., internal, and external audits, SOP control, change control, material approval documentation.

Provided the required technical support for quality assurance documentation.

Performed receiving inspections on raw ingredients and assists with receiving documentation.

Procured technical information for Tropical specification sheets.

Completed, verified accuracy, and maintained finished product specifications.

Participated in and completes administrative project work as assigned.

Complied with safety and GMP requirements.

Coordinated reviews and revisions of all auditable documents & files pertaining to Quality System for manufacturing operation.

Maintained and updated the vendor approval matrix for the company.

Managed and updated internal corrective action logs, and tracks/trends analysis of incidents.

Maintained inventory and orders office supplies for QA lab. Ensured that the procedures and forms used in the

production, warehouse, maintenance, sanitation, and all areas matched the latest version in the Document Control System.

Other functions included assisting with Calibration Program, Purchase Order requests, PowerPoint

presentations for GMP training, filling documents, participation in the Food Safety monthly audits and keep/report Hold Tag file.

Development of product labels in compliance with FDA regulations.

Digital Market Media, Inc (Part Time), Digital

Development/Sales/Marketing/Client Service

Deerfield Beach, FL - Jul 2011 Oct 2012

Onboarding Recruitment provide customers with efficient assistance explaining the marketing benefits compared to the method of marketing being used at the current time of the purchase, VS Mobile Apps.

Performed coordination with other employees and

departments to ensured 100% client satisfaction.

Processed order, forms, invoices, applications.

Data entry.

Excel, marketing coordinators inbound and outbound call center.

Developed and implemented program improvements to

meet changing mission parameters and client needs. Participated in planning discussions and recommended strategies or changes based on history and best practices. Managed operations and supervised, trained and coached team by balancing workloads and setting goals.

Nationwide Alliance Group Management (Part time), Processor Account Management Compliance Officer

Boynton Beach, FL - Jun 2010 Apr 2012

Auto finance, account management, skip tracing, billing, collection, repossession, verification of insurance, inspection manager, trainer, processed documents,

recruiting, marketing, computer savvy, accounting, customer service call center.

Developed reports and other tools to deliver information enabling business users and leaders to make informed decisions.

Gathered, aggregated and modeled critical business data to forecast changing market variables.

Helped the company avoid major earning hits by detecting and detailing threats early.

Conducted statistical analyses to quantify risk using statistical analysis software or econometric models. Analyzed areas of potential risk to assets, earning capacity and organizational success.

Affordable Financial Solutions, Homeowner, Advocate Fort Lauderdale, FL - Aug 2010 Feb 2012

Onboarding into Reconstruction to Mortgages,

Recruitment Modification, Refinance, Programs defense to your home, Hardship, Foreclosed Defense verification modification foreclosure defense credit card, ligation work schedule, schedule breaks monitor calls trainer, closer marketing. Insurance Billing/Medical

Billing/Medical Service Provider/Marketing Upgrades/Plan Changing (Insurance Coverage Dept.).

Out of network provided, in network provided, PPO, HMO, billing, copy, Medicaid verification, Medicare verification and coverage, insurance verification, copay benefits coverage, deductible payments, marketing primary doctors billing, provider enrollment quality analyst recording monitor rating scoring calibration state guidelines requirement. Assisted in locating housing for displaced individuals. Worked with clients to prepare and submit tax and Housing forms.

Assessed clients' cognitive abilities and physical and emotional needs to determine appropriate interventions. Traveling Requirement

Worked with clients to identify their specific issues potential support options.

Debt Management Credit Soft Enrollment Specialist

Boca Raton, FL - May 2006 Oct 2009

Quality assurance/sales agent/administrator, inbound and outbound phones, professionally responded to customer inquiries.

Closer, sale, probed client for information to create a profile of data info, data entry, enrolled client in the correct program to help agent to regain control of credit. ratings to get out of debt, marketing coordinators recruiting.

Interviewed customers to obtain information and explain available financial programs, credit card, taxes, student loans, loan modification, refinance, short sale, negotiate client pay off, email.

Set-up clients into the programs.

Followed- up/maintained client program.

Prepared financial documents, imported and exported, set up the clients file, obtained the needed client information. Accounts numbers, creditor name, address phone, name on the accounts, balance, copy of statements limited power attorney, budget, ACH authorization, copy of payment, service agreement.

Restructured and improved client budget, displayed savings, modified payment approval.

QA hardship trainer and managed team of 15 achieved significant improvements in client productivity executed daily operations.

Time MGT quality assurance supervisor & trainer.

Resolved conflicts, troubleshot, cancelation, enrollment, old agreement, reconstructed payments, modification agreement, collection of payments.

Provided accurate, consistent, and fair evaluations. Monitored successful completion of tasks such as the application of departmental policies, accurate tracking of data, and proper observance of follow- ups on data and inter- departmental communication.

Tracked results of monitoring for CSR, worked with management.

Administration duties.

Contact this candidate