Human Resources Director

• May 2022 - Present

Human Resources Specialist

• Aug 2018 - Present

Human Resources Manager

• Aug 2018 - May 2022

Manages all functions of Human Resources and Employee Benefits program. Serves as the Security & Compliance Officer, tracks, implements and monitors HIPAA policies, OSHA reports, Workers Compensation claims. Co-Chair of policies and procedures committee. Assists in the annual employee evaluation process and development of programs and practices to enhance the Organizations talent and effectiveness. • Plans and conducts new employee orientation to foster positive attitude towards the… Show more Manages all functions of Human Resources and Employee Benefits program. Serves as the Security & Compliance Officer, tracks, implements and monitors HIPAA policies, OSHA reports, Workers Compensation claims. Co-Chair of policies and procedures committee. Assists in the annual employee evaluation process and development of programs and practices to enhance the Organizations talent and effectiveness. • Plans and conducts new employee orientation to foster positive attitude towards the Foundation mission and strategic goals • Maintains records of benefits plans participation such as insurance and pension plan, personnel transactions such as hires, promotions, transfers, performance reviews, termination, and employee statistics for government reporting. • Track and maintain appropriate COBRA forms and information for the Foundation. • Assists payroll in validation of bi-weekly payroll and other audits as deemed appropriate • Assist Payroll in entering new employee information and deductions into payroll system, as well as, any changes to current employee payroll & deduction information • Determine individual employee plan benefits, assists in enrolling and terminating employees from plan. This includes health insurance, dental insurance, disability and life insurance, and flexible spending accounts. • Maintains employee benefits programs and informs employees of benefits by studying and assessing benefit needs and trends, recommending benefit programs to management, obtaining and evaluating benefit contract bids awarding benefit contracts with management approval and conducting employee training on benefits programs. • Coordinate open enrollment annually. • Assist with filing of liability and property insurance claims. • Handles worker compensation related events and follow up • Maintains and updates job requirements and job descriptions for all positions. planning, and implementing pay structure revisions.

Employee Benefits

• Jul 2015 - Aug 2018

- Assist in administering employee benefits programs such as Medical, Dental, Vision and Short Term Disability programs. - Prepares benefit information and statistical/census data for actuaries, insurance carriers and management. - Handles benefit inquiries and question from employees and outside contacts. - Verifies monthly calculation of premiums for all lines of coverage. - Assists in maintenance and enrollment of all employees for all benefit plans. - Complies with COBRA… Show more - Assist in administering employee benefits programs such as Medical, Dental, Vision and Short Term Disability programs. - Prepares benefit information and statistical/census data for actuaries, insurance carriers and management. - Handles benefit inquiries and question from employees and outside contacts. - Verifies monthly calculation of premiums for all lines of coverage. - Assists in maintenance and enrollment of all employees for all benefit plans. - Complies with COBRA, HIPAA and ERISA. - Reviews payroll records to ensure that employee deductions are accurate. - Maintains strict confidentiality for all employees. - Maintain employee benefit files Show less - Assist in administering employee benefits programs such as Medical, Dental, Vision and Short Term Disability programs. - Prepares benefit information and statistical/census data for actuaries, insurance carriers and management. - Handles benefit inquiries and question from employees and outside contacts. - Verifies monthly calculation of premiums for all lines of coverage. - Assists in maintenance and enrollment of all employees for all benefit plans. - Complies with COBRA… Show more - Assist in administering employee benefits programs such as Medical, Dental, Vision and Short Term Disability programs. - Prepares benefit information and statistical/census data for actuaries, insurance carriers and management. - Handles benefit inquiries and question from employees and outside contacts. - Verifies monthly calculation of premiums for all lines of coverage. - Assists in maintenance and enrollment of all employees for all benefit plans. - Complies with COBRA, HIPAA and ERISA. - Reviews payroll records to ensure that employee deductions are accurate. - Maintains strict confidentiality for all employees. - Maintain employee benefit files Show less

Claims Processor/Trainer

• Nov 2001 - Jul 2015

- Processed first report of accidents, loss of property, casualty, work comp, liability, property damage and cargo claims. - Determine insurance coverage by examining policy and assigning independent adjuster for on scene assessment when necessary. - Verified coverage, policy limits, investigating claim and comparing claim information with evidence. - Prepare reports by collecting, analyzing, and summarizing information for notification of serious losses, cargo claims and… Show more - Processed first report of accidents, loss of property, casualty, work comp, liability, property damage and cargo claims. - Determine insurance coverage by examining policy and assigning independent adjuster for on scene assessment when necessary. - Verified coverage, policy limits, investigating claim and comparing claim information with evidence. - Prepare reports by collecting, analyzing, and summarizing information for notification of serious losses, cargo claims and appropriate reserve balances. - Work with customers directly collecting detailed information and assessing safety factors. - Resolve product or service problems by clarifying the customer’s concerns to determine the cause of the problem, selecting and explaining the best solution to expedite correction and follow up to ensure resolution. - Facilitate training for department initiatives; train and mentor new employees through all facets of the claims processing position. - Sustained insurance product and company reputation by complying with federal and state regulations. - Maintained professional knowledge by completing several insurance courses including Supervisory Skills, Essentials of Supervision, the complete Claims Law series along with other courses. Show less - Processed first report of accidents, loss of property, casualty, work comp, liability, property damage and cargo claims. - Determine insurance coverage by examining policy and assigning independent adjuster for on scene assessment when necessary. - Verified coverage, policy limits, investigating claim and comparing claim information with evidence. - Prepare reports by collecting, analyzing, and summarizing information for notification of serious losses, cargo claims and… Show more - Processed first report of accidents, loss of property, casualty, work comp, liability, property damage and cargo claims. - Determine insurance coverage by examining policy and assigning independent adjuster for on scene assessment when necessary. - Verified coverage, policy limits, investigating claim and comparing claim information with evidence. - Prepare reports by collecting, analyzing, and summarizing information for notification of serious losses, cargo claims and appropriate reserve balances. - Work with customers directly collecting detailed information and assessing safety factors. - Resolve product or service problems by clarifying the customer’s concerns to determine the cause of the problem, selecting and explaining the best solution to expedite correction and follow up to ensure resolution. - Facilitate training for department initiatives; train and mentor new employees through all facets of the claims processing position. - Sustained insurance product and company reputation by complying with federal and state regulations. - Maintained professional knowledge by completing several insurance courses including Supervisory Skills, Essentials of Supervision, the complete Claims Law series along with other courses. Show less

Claims processor/Unit Leader

• Aug 1989 - Nov 2001

Claims Processor - Processed medical, dental, work comp, and prescription claims. - Assisted with medical claims and medical records review to determine pre-existing conditions, subrogation, and coordination of benefits. - Investigated workers compensation claims determining eligibility and benefits. - Reviewed and modified Summary Plan Description books for several clients analyzing several distinct programs. Unit Leader - Direct office staff by recruiting, selecting… Show more Claims Processor - Processed medical, dental, work comp, and prescription claims. - Assisted with medical claims and medical records review to determine pre-existing conditions, subrogation, and coordination of benefits. - Investigated workers compensation claims determining eligibility and benefits. - Reviewed and modified Summary Plan Description books for several clients analyzing several distinct programs. Unit Leader - Direct office staff by recruiting, selecting, orienting, and training employees. - Manager team through coaching, counseling, and disciplining employees, planned, monitored and appraising job results. - Responsible for processing voids, refund checks, requesting overpayments, posted payment audits and refund checks. - Conducted new employer group benefit meetings insuring understanding. - Presented claim appeals to board for review and determination. - Point of contact for large employer groups and employees. Customer Service Representative - Reprice claims calculating discounts and establishing fee schedules. - Understand ICD9, CPT, and HCPCS coding, medical terminology. - Responsible for training of claims processors, quality control and quality improvement specialist. - Point of contact for verification and explanation of benefits to insured and providers. - Complied with Health Insurance Portability and Accountability Act (HIPAA) ensuring the confidentiality of all personal health information. Show less Claims Processor - Processed medical, dental, work comp, and prescription claims. - Assisted with medical claims and medical records review to determine pre-existing conditions, subrogation, and coordination of benefits. - Investigated workers compensation claims determining eligibility and benefits. - Reviewed and modified Summary Plan Description books for several clients analyzing several distinct programs. Unit Leader - Direct office staff by recruiting, selecting… Show more Claims Processor - Processed medical, dental, work comp, and prescription claims. - Assisted with medical claims and medical records review to determine pre-existing conditions, subrogation, and coordination of benefits. - Investigated workers compensation claims determining eligibility and benefits. - Reviewed and modified Summary Plan Description books for several clients analyzing several distinct programs. Unit Leader - Direct office staff by recruiting, selecting, orienting, and training employees. - Manager team through coaching, counseling, and disciplining employees, planned, monitored and appraising job results. - Responsible for processing voids, refund checks, requesting overpayments, posted payment audits and refund checks. - Conducted new employer group benefit meetings insuring understanding. - Presented claim appeals to board for review and determination. - Point of contact for large employer groups and employees. Customer Service Representative - Reprice claims calculating discounts and establishing fee schedules. - Understand ICD9, CPT, and HCPCS coding, medical terminology. - Responsible for training of claims processors, quality control and quality improvement specialist. - Point of contact for verification and explanation of benefits to insured and providers. - Complied with Health Insurance Portability and Accountability Act (HIPAA) ensuring the confidentiality of all personal health information. Show less