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Customer Service Human Resources

Location:
Thousand Oaks, CA
Posted:
August 28, 2023

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Resume:

HEALTHCARE AND SAFETY PROFESSIONAL

Highly skilled and self-starting professional with a healthcare and corporate background prepared to offer the benefits of extensive experience, dedication, and creative talents to a productive organization with high standards for teamwork, analytical, and decision-making skills.

EDUCATION

College of Notre Dame; Belmont, CA

Bachelor of Science, Business Management

SKILLS AND ACCOMPLISHMENTS

Outstanding in analysis, strategy, and planning

Organized and detail oriented

Clear and effective business communication

Proactive and independent worker

Collaborative team player and leader

Superior customer service

EXPERIENCE

Afirm Audit Solutions; Los Angeles, CA September 2021 – Present

Premium Auditor

Completing audits on existing accounts in the territory of Los Angeles County and Ventura County

Coordinating audits with policyholders and completing site visits and/or interviews when necessary

Submitting reports

Completing any work assigned

Liaising with agents, customer service representatives and insured to complete audits.

Lowry and Associates; Los Angeles, CA 20March21 – September 2021

Premium Auditor

Completing audits on existing accounts in the territory of Los Angeles County and Ventura County

Coordinating audits with policyholders and completing site visits and/or interviews when necessary

Submitting reports

Completing any work assigned

Liaising with underwriters and other insurance professionals regarding final premiums

PMA USA; Los Angeles, CA April 2019 – July 2019

Sales Associate

Selling voluntary benefits to employees

Prospects to enroll new businesses

Kaiser Permanente Hospital; Woodland Hills, CA March 2017 – March 2019

Nursing Administration Manager

Directed various nursing administrative functions, including transportation, staffing, scheduling, and payroll

Ensured functions were appropriately completed for specified departments in accordance with administrative, legal, and bargaining group requirements

Provided high-quality, cost-effective services that added value and were linked to the delivery of patient-focused nursing services

Managed the department’s day-to-day operations

Supported daily operations by supervising, assisting, and providing direction to subordinate staff

Interviewed, managed, and evaluated performance

Provided guidance, coaching, and training

Monitored the service provided to ensure high-quality patient care

Developed systems and processes to monitor financial problems and identify/implement strategies to reduce/manage costs and improve service

Kaiser Permanente Hospital; Woodland Hills, CA September 2008 – March 2017

Environmental Health and Safety Manager

Managed and implemented environmental health and safety programs for the medical center, including Hazard Identification & Evaluation, Accident/Injury Prevention, Hazardous Materials/Waste Management, Emergency Preparedness, Fire/Life Safety, Industry Hygiene and Environmental Regulatory Compliance, Workplace Safety, and Ergonomic Program

Assisted in the management of medical center telecommunications, employee badging, and access control systems

Oversaw regulatory compliance and survey preparation

Conducted periodic inspection rounds, audits, and other compliance activities

Maintained the department’s quality assurance program

Collaboratively developed action plans for required improvements

Member of RCA committee for workplace safety injury investigations

Participated as a member of safety-related committees and groups

Managed 10 Communication Operators

Conducted performance reviews, timekeeping, and hiring

Carpinteria Sanitation District; Carpinteria, CA October 2007 – March 2008

Safety and Training Officer

Consulted for five sanitation districts

Assisted in developing, coordinating, and implementing employee safety programs

Met state and federal OSHA requirements

Led on-going programs for instruction on work-related procedures and safety and professional development

Developed safety policies and procedures

Made recommendations to supervisory personnel regarding improvements to safe working conditions and procedures

Developed and implemented written safety programs, inspections, and training programs

Conducted new employee orientation classes and accidental investigations

Was the primary contact for claims handling

Securitas Security Services, Inc.; Westlake Village, CA January 2007 – October 2007

Risk Management Trainer

Developed and implemented safety programs that increased the proficiency of risk management in field offices and promoted safety in the business culture

Was the primary contact for claims adjusters, branch managers, and human resources departments

Participated in claim reviews to help develop action plans

Assisted branch offices in investigating reports

Effectively communicated goals while ensuring compliance with company policies

Maintained working knowledge of current workers’ compensation statutes in addition to federal and state safety and health regulations

Compiled safety audit statistics and made recommendations for improvement

State Compensation Insurance Fund; San Francisco & Los Angeles, CA January 2001 – January 2007

Claims Adjuster

Under limited supervision, proactively managed and controlled a disability and maintenance caseload

Identified and resolved issues

Documented cases in a timely and accurate manner in accordance with district office and corporate guidelines and division of workers’ compensation laws and regulations

Proactively managed, finalized, and controlled caseload

Provided quality customer service

Established and maintained timely, current, and accurate estimates

Provided professional public relations services and negotiations

Participated in claim reviews to help develop action plans

Assisted branch offices in investigating reports

Effectively communicated goals while ensuring compliance with company policies

Maintained working knowledge of current workers’ compensation statutes in addition to federal and state safety and health regulations

Compiled safety audit statistics and made recommendations for improvement

Loss Control Representative

Provided effective loss-control services that achieved program plan goals

Assisted policyholders in providing safe workplaces

Served as technical resource to regional office

Established and maintained effective working relationships

Provided quality customer service in a timely manner

Responded to service requests from policyholders and regional staff

Allocated accident prevention efforts and resources to maximize profit

WCPA Field Auditor

Produced accurate audits for premium billing

Read and interpreted payroll records and financial statements

Tabulated payrolls from most accurate records

Ascertained proper payroll classifications

Reconciled payroll records with records for use in tabulations

Developed and maintained knowledge of special rules pertaining to premium calculation

WCPA Audit Analyst

Reviewed and approved premium billings following employer payroll reporting audits

Justified and explained unusual refunds

Read, interpreted, and applied audit and policy rules

Used PNUM to check policy information accuracy on audits

Ensured auditing procedures were followed

Analyzed classifications with job prescriptions for accuracy

OTHER ACCOMPLISHMENTS

Proficient in Microsoft Office and Microsoft Access database management

Insurance Broker License #0C27595

Healthcare Environmental Manager Certification

Board of Directors, Westlake Agoura Girls Softball, 2006 – 2010

Foster for Loved Again Pets Animal Rescue



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