Experience

Maryland State Retirement and Pension System

• Government Administration
• 100 - 200 Employee

• Retirement Specialist

  • Jan 2020 - Present

  Assist Members, Retirees and Survivors with any questions they have regarding retirement eligibility, the types of retirement plans and benefits available to them and the transition into retirement. Information is provided via phone, in-person appointments and by hosting pre-retirement seminars. Assist Members, Retirees and Survivors with any questions they have regarding retirement eligibility, the types of retirement plans and benefits available to them and the transition into retirement. Information is provided via phone, in-person appointments and by hosting pre-retirement seminars.



Target

• United States
• Retail
• 700 & Above Employee

• Human Resources Specialist

  • Aug 2019 - Present

  • Provide a full spectrum of HR support to the associates by recruiting, developing, and sustaining a professional workforce through effective, efficient, and responsive HR products and advisory services. • Advise management on multiple human resources functions (recruitment/staffing, pay setting, reduction-in-force) • Develop new methods or processes to improve human resources services and assist implementing human resources policy guidance across different functions (recruitment, benefits). • Collaborate with hiring managers to identify the most effective approach to filling vacancies (reassignment, reinstatement, priority placement, promotions, new appointments) and to determine position management concerns (alignment, supervisor-to-employee ratios, delineation of duties). • Participate in recruitment efforts (college recruitment or job fairs) to solicit applications for hard-to-fill positions. • Utilizes multiple HRIS database to house required/sensitive documentation and employee records, ensure reconciliation in Workday, process employee terminations, as well as maintain illegal substance consortium files. • Maintain EEO, attendance records and employee statistics. • Conducts interviews, provide on-boarding, host new-hire orientations and performs customer service. • Assists employees with understanding company benefits, direct deposit and payroll election enrollment. • Conduct executive level ad hoc research and special projects. • Maintain a comprehensive knowledge of industry Federal, State and local policies and software used to provide effective and efficient HR consultation. Show less



Nationwide

• Insurance
• 700 & Above Employee

• Claims Adjuster

  • Nov 2015 - Apr 2019

  • Investigate the loss, evaluate the damage and assign an estimated value for the insured. Serves as an SME to others requiring knowledge of beneficiary, Patient Funds, and other program eligibilities. • Utilize industry software and programs (Claims Center, Workbench, Lexis Nexus, ISO/Decision) to investigate assigned cases and confirm coverage as well as any damages owed. Process daily claims of medical and liability, CAT, tow, and single vehicle loss. • Updated and closed claims files by moving to archive efficiently. Reviewed and updated pending claims. • Utilizes various methods of settlement in cases; assign cases to outside vendors as warranted. Use appropriate structure settlement on all applicable cases. • Promptly and effectively handle all assigned claims adhering to high standards of professional conduct consistent with the delivery of superior service. • Determine proper policy coverages and investigates, evaluates, negotiates and equitably settles all assigned liability/bodily injury claims cases in accordance with company policies and procedures at values commensurate with damages sustained. • Maintain and develops current knowledge of assigned insurance lines and court decisions which possibly impact the claims function. Utilize current legislation and company policy in claims function, policy changes and modifications. • Submit severe incident reports, reinsurance reports and other information to claims management. Prepares files for suit, trial, or subrogation. Utilize all internal resources (special investigation, medical, claim legal, etc.) when appropriate in the handling and resolution of claims. Show less



Mercy Medical Center, Baltimore, MD

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Medical Billing Specialist

  • Mar 2013 - Nov 2015

  • Provide responsive account management in order to optimize operational and business strategies in support of Mercy Medical Center. Insure obligations while complying with policy and federal regulations. • Analyze and report on the status of assigned accounts, log collections and related correspondence. • Prepare hospital claims via the MSys and EPIC billing systems. Prepare vouchers to refund collections not in compliance with laws. Prioritizes workload with assigned tasks for timely completion. • Reduced case load by 60% by reviewing, researching, investigating and resolving patient/provider issues. • Perform follow-up via email, company websites or phone until a payment or rejection is received. • Makes outbound calls to gather information and/or communicate the resolution to the patient/provider. • Lowered accounts receivable for my caseload by 30%. • Documented all case research notes and resolution actions, in the EPIC system, upon the end of communication. • Continuously reviewed existing practice operations with a view towards enhancing quality, efficiency, innovation, patient satisfaction, and cost reduction. Show less