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Claims Specialist Relations Representative

Location:
Bridgewater, MA
Salary:
65,000
Posted:
April 23, 2023

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Resume:

THOMAS J MALONEY

HUMAN RESOURCES

adwpgm@r.postjobfree.com • 857-***-****

LinkedIn • Bridgewater, MA

PROFILE

Dedicated and goal-oriented professional with 15+ years of experience in HR and Risk Management. Demonstrated track record of leading and managing various operation to minimize claims while maximizing employee experience and retention. Proven success at directing large volumes of cases in a fast-paced environment while coordinating leaves, accommodation requests, and grievances. Possess extensive expertise in all policies, laws, and regulations. Proficient in Microsoft Suite, Outlook, and People Soft.

AREAS OF EXPERTISE

HR Strategy & Management

Employee Development & Training

Communication & Collaboration

Compensations & Benefits

Case Management

Leave Coordination

Workspace Enhancement

Grievance & Problem Resolution

Policies & Regulations

EDUCATION

Associates in Business Management

Quincy College, Quincy, MA

PROFESSIONAL TRAINING

Labor and Associate Relations

Conducting Investigations of Workplace Misconduct

Communications and Communicating Performance Standards

PHR 2003-2009

Medicare Set Aside Seminar

Massachusetts Workers’ Compensation Law

Rhode Island Workers’ Compensation Law

Maryland Workers’ Compensation Law

PROFESSIONAL EXPERIENCE

CVS Health, Woonsocket, RI, 2014 - Present

Reasonable Accommodations Partner

Spearhead complete spectrum of operations, aligning with company growth. Facilitate channels of communication with executives and interdepartmental teams, along with negotiating and influencing managers. Boost people development, building high-performing teams through training, counselling, and appraisals while fostering a collaborative environment to ensure employee satisfaction and retention. Proactively recognize areas of improvement and implement measures to enhance processes. Develop knowledge base of FMLA, ADA / ADAA, and State and Federal Compliance rules to adhere to polices and regulations. Cooperate with Legal and Employee Relations departments.

Leveraged insights of the interactive process under the Americans with disabilities act

Managed, supervised, and closed 1300+ cases per year.

Shaw’s Supermarket Inc, West Bridgewater, MA 2005 - 2013

Promoted through increasing scope of position and responsibility by showcasing promising performance.

Associate Relations Representative, 2012 - 2013

Guided and directed HR department on disciplinary policies affecting pay, demotions, and transfers. Collaborated with senior management and associates to implement ADA and legally required accommodations for associate placement. Resolved grievances and employee complaints promptly by investigating and integrating a hotline call service. Referred to Labor Relations for lawsuits, charges, contract interpretation, and discipline to hourly associates

Designed and implemented resolutions on associate relations issues within company policy and union contract.

Actively engaged with local unions to settle grievances effectively.

Worker’s Compensation Claims Specialist, 2005 - 2012

Collaborated with managers to identify and forecast current trends and mitigate exposures. Ensured accurate and timely reservation of files by directing and coordinating periodic and ongoing evaluation of cases while minimizing costs. Resolved each claim while assuring quality by coordinating with third party administrators. Oversaw appropriate workers compensation benefits in adherence to FMLA, STD, an RA. Played an integral role in TPA audits while networking.

Additional Experience

Talent Management Representative, Shaw’s Supermarket Inc, West Bridgewater, MA

Area Human Resources Manager, Shaw’s Supermarket Inc, West Bridgewater, MA

Personnel and Training Coordinator, Shaw’s Supermarket Inc, West Bridgewater, MA



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