Sira Garib
Business Owner at Pure Vegan Cakes- Claim this Profile
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English Native or bilingual proficiency
Topline Score
Bio
Credentials
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0620 Adjuster-All Lines
Florida Department of Financial ServicesJul, 2013- Nov, 2024 -
National Certified Insurance & Coding Specialist (NCICS)
-Oct, 2006- Nov, 2024 -
CompTIA A+
Comptia -
CompTIA Project+
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Experience
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Pure Vegan Cakes
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United States
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Food Production
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1 - 100 Employee
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Business Owner
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Apr 2021 - Present
Our mission is to provide delicious vegan/ plant-based cakes and desserts to everyone with a dietary restriction. We specialize in custom cakes, cookies, and cupcakes. Our mission is to provide delicious vegan/ plant-based cakes and desserts to everyone with a dietary restriction. We specialize in custom cakes, cookies, and cupcakes.
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LandrumHR
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United States
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Human Resources Services
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100 - 200 Employee
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Benefits Business Analyst
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Jan 2019 - Mar 2021
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Oasis
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United States
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Human Resources
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400 - 500 Employee
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Benefits Data Analyst
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May 2016 - Oct 2017
• Extract data, provide analytics and create standard and ad hoc internal and client-facing reports for various functions within and out of Benefits/Service Center. • Collaborate with functional and technical partners on data requirements such as data structure, data flow, dependencies, and data mapping in the context of relational databases. • Analyze business requirements, creating solutions that will enhance HR systems with a focus on benefits and reporting. • Maintain the integrity of the benefits systems by conducting regular audits, increasing data integrity, and providing valuable guidance to the end users. • Mine data from Oasis, market, carrier, government, and free access databases • Analyze sales effectiveness through data analytics • Develop predictive analysis tools supporting the Oasis Benefits mission • Prepare and configure reporting systems/mechanisms (Report Writer, MS Office, Equifax) • All other duties and projects as assigned
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Gehring Group, A Risk Strategies Company
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United States
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Insurance
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1 - 100 Employee
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Analytic Services Associate
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Dec 2014 - Sep 2015
-Monthly/Quarterly Claims Reports (primarily for fully insured clients and level-funded/minimum premium)- Assistance with preparing for issuance of RFP’s for all lines of business- RFP evaluation assistance- Employee benefits premium/month projections- Claims projections for renewal meetings- Accuracy validation of departmental work products- Produce Benefit Comparison Surveys- Attend annual conferences and seminars and assist in representing Gehring Group- Update CRM with renewal benefits and comission schedule
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NCCI
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United States
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Insurance
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700 & Above Employee
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Experience Rating Analyst- Ownership
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Nov 2013 - Dec 2014
- Process ERM-14 forms within the SLA- Interpret ownership information based on ERM-14 and produce a Ruling Letter- Obtain additional information as needed to complete a ruling by contacting the submitter, carrier, agent, or insured via phone. E-mail, correspondence, and fax.- Request separate data from Insurance Carriers if needed based on Ruling Letter.- Produce or revised appropriate modifications according to ownership change (involves payroll, exposure, claim data, etc.).- Interact with other departments such as Customer Service and Assigned Risk in order to complete time sensitive requests (involves binder pending).- Complete weekly reports involving production
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Experience Rating -Production
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Nov 2012 - Nov 2013
▪ Research and analyze data using multiple on-line systems and documentation from insureds, agents, and/or carriers to appropriately calculate experience rating factors.▪ Analyzes and resolves anomalies, missing, incomplete, and/or questionable data. Ensure ratings are distributed to the correct carriers and rulings are distributed to all appropriate parties.▪ Utilize a variety NCCI’s applications which maintains accurate records of transaction histories and employer information. ▪ Interact with customers via telephone, e-mail, or other systems to obtain additional information or clarify data (i.e. ownership rulings, experience rating factor such as payroll, claim data, classification, discount programs), and provides explanation and guidance relative to workers compensation plan rules. ▪ Produce hundreds of initials ratings (modification factor) per month. Work a variety of single and multiple edits in order for rating to free flow in the system.▪ Complete hundreds of Reports monthly involving rating production and edits.▪ Process ERM-6 (non- affiliated data), FL-1372 & NC-2745 (employee leasing) forms. Forms contain confidential classification, payroll, and claim data related to workers compensation.
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Customer Service Specialist- Mods Team
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Jun 2011 - Nov 2012
▪ Work closely in assisting Insurance Carriers, Agents, Insured, and Third-party(PEO, TPA) with variety of questions pertaining to the modification factor. ▪ Answers may require researching multiple applications to analyze data reported such as submitting internal requests, working with other teams, researching policy data submitted by Carrier, etc.▪ Provide In-depth step by step explanations are required to explain how modification number was derived (increase in loss or payroll, change in state rating values, etc). ▪ Interpret and advise rules in the Experience Rating Plan Manual 2003 Edition to callers (state specials and exclusions related to experience rating modification).▪ Follow up in a timely manner with outstanding customers issues which required additional research. Log forms and assist customers in completing a variety of forms such as ERM-6, ERM-14, CCPAP, and Employee Leasing. ▪ Suggest and direct callers to educational tools and Riskworkstation.
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Insurance Coordinator/Administrative Assistant
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Apr 2010 - Jun 2011
(Electronic base office) Answer patient questions via the phone and e-mail.▪ Communicate with other Doctor's office to rely patient referral information.▪ Organize, analyze and present office correspondence, phone message and faxes to the doctor.▪ In charge of managing the doctor and hygienist daily work schedule. ▪ Serve as liaison between patient, practice and Insurance Co. to validate dental benefits via phone and online. ▪ Communicate with Ins Co ex: Aetna, Cigna, United Healthcare, Metlife, Humana, etc. on a daily basis. ▪ Analyze dental benefits and relay to patient ex: policy breakdown. ▪ Follow-up on claims with insurance companies and analyze EOB's.▪ Check-in and check-out patients and confirm & schedule patient appointments.▪ Collect and post payments for patient's co-pay and prior balance. ▪ Relay prescription information to pharmacy technicians.▪ Enter treatment plans prescribed by the doctor and ensure the correct coding and applicable fees are assigned. ▪ Review consent forms & prescriptions for patients who are scheduled for surgery.▪ Adhered to OSHA guidelines by escorting sedated patients from operatory room to their transportation.▪ Ensure proper documentation is entered in patient's chart for all transactions and communication that occurs between the office and the patient. ▪ Also perform additional administrative duties as needed. ▪ Create data worksheets within MS Excel and also create monthly marketing advertisements with MS Word.
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Education
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Western Governors University
BA- General IT, Business- IT Management -
DeVry University
Associate of Arts and Sciences (AAS), Healthcare Information Technology