Human Resources Team Members

EDUCATION

University of Arkansas Fayetteville, AR

B.A. Political Science September 2011 - May 2015

Minor: History

SKILLS & PROFICIENCIES

Experience with Excel, PowerPoint, Word, Outlook

Project Management, Leadership, Client Relationship Management, Employee Benefits, and Human Resources, Claims investigation, Risk management

EXPERIENCE

State Farm Mutual Automobile Insurance Company July 2019 – Present

Claims Specialists – PIP/MPC

Handle claims inventor averaging approximately 100-120 claims at any given time

Handle all aspects of claim including, but not limited to, coverage investigation/qualification, wage loss, medical management, and handled all litigation associated with claims in my inventory

Worked with defense & claimant/plaintiff counsel to negotiate settlements and proper payments of monies owed

Technical knowledge and experience in handling investigations, claim analysis, verification of coverage, and extent of damage to individuals which may require contact by telephone and or other electronic media.

Work in partnership with and provide instruction to Claim Associates and other team members including members of management.

Work in partnership with the Michigan Catastrophic Claims Association to ensure proper claims reporting and ensured all monies reimbursable to State Farm and received

Provide active assistance with team members and new hires

Assist team manager in their absence by relaying important information to the team and communication team needs to other management.

Motivate team members on how to understand and reach common department and company goals.

Encourage team members to achieve results, based on a clear understanding of goals and initiatives.

J.C. Penney Company, Inc. November 2018 - May 2019

HR Specialist, Benefits Analyst, Plano, TX

Develop financial analyses for all proposed design changes of health and welfare programs.

Support the benchmarking of competitiveness of programs, analyze new legislative requirements and trends in health and welfare and retirement programs.

Prepare materials for management presentations including the development of a monthly dashboard to report key metrics of benefit plan performance.

Assist with vendor selection process, including evaluation of proposals, modification of benefit materials, contracting and integration of new vendors.

Ensure that all benefit plans have current documentation, including plan summaries, plan documents, summary plan descriptions, etc.

Assist with annual budget, monitor actual costs to budget and work with vendors to reconcile invoices.

Develop reports using our claims database to monitor plan performance and to assist with benefit design.

Assist with management of and lead special projects as requested to support the overall Benefits team.

Optum 360 October 2016 – Nov 2018

Revenue Cycle Analyst, Irving, TX

Reconcile billing collections for large clients including hospital groups, clinics and private physicians.

Research payment reconciliation issues by partnering with internal departments and offshore teams to resolve.

Generate required reports to validate payments and resolve discrepancies.

Ensure all procedures are conducted in full compliance with local, state and federal regulations.

Organize monthly revenues using Excel models to provide reports to management and to the client

Prepare presentations for Operations personnel.

Prepare monthly reports for client reviews and analysis

Monthly and quarterly meetings with clients to verify successes as long as listen to and voice concerns

Implement clients needs and concerns into processes for next month and/or quarter

Schaumburg Kia November 2015 – September 2016

Service Advisor, Schaumburg, IL February 2016 – September 2016

Prepared accurate and detailed repair orders that describe customer concerns, known issues, and possible causes along with service and repairs required.

Verified current vehicle warranty coverage and explained fee structures.

Dealt with customers of all walks of life and addressed their concerns in a manner specific to them

Sales Associate, Schaumburg, IL November 2015 - February 2016

Sold both new and used cars as well as finance and related products to clients.

Negotiated the terms and conditions of a sales agreement with prospective clients.

Catered sales approach specific to customer’s needs

Optum 360 August 2015 - October 2015

Revenue Cycle Analyst, Irving, TX

Reconciled billing collections for large clients including hospital groups, clinics and private physicians.

Researched payment reconciliation issues and partner with internal departments and offshore teams to resolve.

Download and post lockbox deposits for previous day of deposit

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