Summary
Overview
Work History
Education
Skills
Timeline
Generic

Aja Starks

Summerville

Summary

Dedicated HR professional with a strong grasp of employment laws, compliance issues and benefits plans. Has been proven successful in introducing process improvements and staff-development initiatives to drive corporate goal attainment. I am looking to utilize my skills and knowledge that I have attained through my studies and HR background to drive organizational success. Known for sustaining high morale by providing a sense of purpose and direction, displaying professionalism, demonstrating leadership by example, taking accountability, and getting the job done. My goal is to secure a Human Resources position with an established organization that will allow me to use my strong communication, interpersonal and problem-solving skills to build a successful career.

Overview

17
17
years of professional experience

Work History

Engagement Specialists

Somatus
12.2024 - Current
  • Build and maintain relationships with patients, providers, and community partners to improve engagement and health outcomes
  • Develop and implement strategies to increase patient participation in kidney care programs
  • Educate patients and families on available resources, care coordination, and health literacy
  • Collaborate cross-functionally with care teams to ensure timely support and effective communication
  • Track engagement metrics to evaluate effectiveness and identify opportunities for improvement

Engagement Specialist

Carenet Health
08.2024 - 12.2024
  • Responsible for building a positive relationship with a client after they have signed a contract for Wellcare Prescription Drug Plan.
  • Responsible for solving any issue that a client experiences.
  • Tracked inconsistencies in prescription refills and reached out to Wellcare members regarding their medicine adherence.
  • Served as liaison for Wellcare members, pharmacies and physicians.
  • Remote

Gig Brand Ambassador/Contractor (Benefits Specialist- CVS Caremark Campaign)

OMNI Interactions
01.2023 - 01.2024
  • Assists with processing, insurance verification and authorization, revenue cycle management, compliance and documentation, as well as customer service and issue resolution. Provides support in ensuring accurate billing, efficient revenue flow, and compliance with regulations.
  • Gathers necessary information to verify critical member benefits insurance coverage, such as policy numbers, group numbers, and demographic details.
  • Reviews insurance plans and policies to determine the extent of coverage for different medical procedures, treatments, medications, or services.
  • Contacts insurance providers to verify eligibility, coverage limits, pre-authorization requirements, and any specific benefits relevant to member services or treatments.
  • Explains the verification process, provides updates on the status of benefits verification, and addresses any questions or concerns related to coverage or financial responsibility.
  • Maintains accurate and detailed records of insurance verification activities, including documenting conversations, collecting insurance information, and updating patient or member profiles.
  • Communicates any authorization requirements, coverage limitations, or pre-certification processes to ensure smooth billing and claims processing.
  • Investigates and resolves any challenges or conflicts that may arise during the verification process, working closely with insurance providers, patients, or members to find resolutions.
  • Proposes process enhancements, automation, or system improvements to streamline operations and enhance the overall effectiveness of benefits verification activities.
  • Responds to member inquiries and concerns promptly, empathetically, and professionally, ensuring a positive customer experience.
  • Remote

Member Care Representative

Tranzact Insurance (Humana Campaign)
01.2023 - 01.2023
  • Obtain all necessary information from a client after an insurance application is submitted to Humana.
  • Addresses member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care.
  • Responsible for receiving, responding to, and directing member phone calls, or written questions.
  • Being a Member Services Representative provides available information upon request and researches or escalates issues as appropriate.
  • Maintains confidentiality per HIPAA guidelines.
  • Seasonal
  • Remote

Human Resources Administrator

Legacy Supply Chain Services (Sam’s Club Distribution Center)
01.2021 - 01.2023
  • Partners with General Manager in the planning and implementation of human resources initiatives for the facility.
  • Leads a broad range of human resources processes and is responsible for overall operational effectiveness and compliance with company policies and applicable legislation.
  • Reconcile and process payroll.
  • Partners with managers and employees to resolve issues and concerns.
  • Establishes strategies with business leaders to select and retain the diverse talent required to maintain a competitive advantage and to align with recruiting strategies.
  • Resolves conflicts and provides coaching and counseling on human resources matters for functional or organizational leadership.
  • Provides employee development, support systems and processes focused on continuous learning and knowledge sharing
  • Communicates and consults on all areas of human resources including compensation, benefits, staffing, organizational development, employee relations, and performance management in alignment with human resources strategies and processes.
  • Create and distribute internal communications regarding status changes, benefits, or company policies.
  • Administer new employee on-boarding and orientation.
  • Develop and maintain talent management processes.
  • Monitor employee morale and company culture.
  • Collaborate with the human resources team to develop effective recruitment strategies.
  • Identify future staffing needs.
  • Process complaints regarding sexual harassment, discrimination, or other instances of workplace harassment and assist in any necessary investigations and disciplinary actions.
  • Maintain employee personnel records.
  • Conduct exit interviews and recommend corrective action if necessary.

Benefits Analyst

Cuyahoga County
01.2020 - 01.2021
  • Assists Benefits Manager with facilitation and administration of the County’s benefits programs; recommends and implements benefit plan process changes; revises and updates benefits plan documents; researches, analyzes, and reports the impact of state and federal laws on the benefits plan design and administration; provides day-to-day administration of the County’s benefits programs, including identifying continuous improvement in processes for administering and monitoring benefits programs; provides support and assistance to County employees and Human Resources with benefits claim questions and issues; assists with oversight on benefits administration audits, billing, and system transmissions to ensure data and system integrity; ensures organizational benefits and wellness program compliance with federal and state laws, County guidelines, and implements required communications when necessary.
  • Works with Human Resource leadership to develop, implement and execute HR solutions strategies, policies, and processes such as research, analysis and benchmark reporting for benefits and wellness programs; assists with benefit analysis requests regarding unions; prepares benefits and wellness recommendations to County Department of Law and HR Employment and Labor Relations for negotiations as well as responses to unions.
  • Develops processes and strategies to ensure benefits plans meet the current and future requirements of healthcare laws; works with Benefits Consultants to proactively manage healthcare laws and Internal Revenue Service (IRS) filing requirements and communications to plan participants; develops and maintains reports to effectively track benefits costs; monitors and analyzes utilization, experience and trends, as well as maintains all related financial accounting and reconciliation data, including providing comprehensive benefits analysis as requested by management.
  • Supports open enrollment by overseeing the drafting, editing, and distribution of benefits enrollment communications to employees and qualified beneficiaries; assists Benefits Manager with project plan development; trains HR as well as internal and external partners on enrollment process and plan design changes; assists with open enrollment system testing.
  • Performs related administrative duties; data entry, calculations, maintains and files records; participates in vendor evaluation, selection process and assists with managing and maintaining vendor relationships; coordinates and hears appeals; prepares and disseminates information about employee benefits; answers calls and correspondence concerning benefits general inquiries and issues; updates employee data; tracks attendance and other related performance data; develops and conducts benefits surveys.

Senior Human Resources Associate

Cuyahoga County
01.2018 - 01.2020
  • Completes complex tasks to assist with coordinating the administration of various benefit administration HR processes.
  • Serves as a liaison between administrator and employees; transmits administrator’s decisions to employees; handles routine problems or details in place of administrator; composes responses to correspondence and requests for information; signs correspondence in administrator’s name as directed.
  • Gathers, tracks, and performs initial evaluation of information related to various HR actions; gathers information from claimants; research information required to complete forms, paperwork, and filings; files and processes completed forms; monitors claims, HR filings, and audits through completion; responds to basic through moderately complex HR requests, questions, and data issues; responds to records requests; provides interpretation of HR policies, procedures, programs, and regulations.
  • Performs clerical tasks (e.g.- greets visitors; directs visitors and callers to appropriate office or personnel; answers telephone, directs calls, takes message and/or responds to routine telephone inquiries; opens, screens and distributes mail; copies, collates and distributes documents; maintains office supply inventory).
  • Generates HR data reports to assist with the evaluation of various HR programs and achievement of HR strategic goals; develops updates, and provides basic interpretation of various spreadsheets to support the day-to-day work of more senior HR professionals; analyzes and identifies potential barriers or trends that are inhibiting various HR programs; brings issues and potential solutions to the attention of senior staff.
  • Provides basic support with HRIS functions; enters and maintains data entered into HRIS including personnel files, organizational charts, job descriptions, benefits changes and updates, basic payroll updates, and other HR & personnel information; analyzes and troubleshoots basic data related issues in the HRIS; tests system changes and upgrades by inputting new data and reviewing outputs against test scripts; assists with developing test scripts; generates data reports using HRIS.
  • Performs related administrative responsibilities; assists with producing basic reports, records, memos, routine forms, and data reports; represents the department at various administrative staff meetings; provides support with planning and coordinating various HR events and presentations; assists with development of presentation materials for events and presentations; creates and facilitates simple presentations and meetings; provides front desk support as necessary.

Human Resources Generalist/ Staffing Specialist

Triad Staffing
01.2016 - 01.2018
  • Worked with many large companies throughout Ohio to find highly- skilled employees for their growing companies.
  • Answer a high volume of phone calls and emails to communicate with people within the company to accommodate the client needs.
  • Perform overall recruiting and staffing strategies for the manufacturing, industrial, and clerical fields.
  • Explore all sources of recruitment including social media, online websites, and job fairs.
  • The goal is to provide trusted and professional relationships with potential and current clients with our clients along with screening resumes and interviewing all applicants.
  • Responsible for completing drug screens and the weekly payroll for all employees and work directly with the company’s president to complete company projects and planning events.
  • Developed and enforced company policies and procedures relating to all phases of human resources activity.
  • Updated key human resource metrics, including turnover and terminations.

Shift Manager

McDonald's of Aurora
01.2009 - 01.2016
  • Carefully interviewed, selected, trained, and supervised staff.
  • Conducted daily pre-shift and weekly departmental meetings to ensure organizational efficiency.
  • Scheduled and directed staff in daily work assignments to maximize productivity.
  • Efficiently resolved problems or concerns to the satisfaction of all customers.
  • Continually monitored restaurant and took appropriate action to ensure food quality and service standards were consistently met.
  • Strategically developed effective marketing plans to increase sales and profits while managing costs.
  • Led and directed team members on effective methods, operations and procedures.
  • Built sales forecasts and schedules to reflect desired productivity targets.

Education

Masters - Crime and Intelligence Analysis

Tiffin University
01.2018

Sociology and Criminology, Psychology

Cleveland State University
01.2016

General Studies

Aurora High School
01.2012

Skills

  • Problem-solving
  • Decision-making
  • Data entry
  • Internal communications
  • Community relationship building
  • Customer service

Timeline

Engagement Specialists

Somatus
12.2024 - Current

Engagement Specialist

Carenet Health
08.2024 - 12.2024

Gig Brand Ambassador/Contractor (Benefits Specialist- CVS Caremark Campaign)

OMNI Interactions
01.2023 - 01.2024

Member Care Representative

Tranzact Insurance (Humana Campaign)
01.2023 - 01.2023

Human Resources Administrator

Legacy Supply Chain Services (Sam’s Club Distribution Center)
01.2021 - 01.2023

Benefits Analyst

Cuyahoga County
01.2020 - 01.2021

Senior Human Resources Associate

Cuyahoga County
01.2018 - 01.2020

Human Resources Generalist/ Staffing Specialist

Triad Staffing
01.2016 - 01.2018

Shift Manager

McDonald's of Aurora
01.2009 - 01.2016

Sociology and Criminology, Psychology

Cleveland State University

General Studies

Aurora High School

Masters - Crime and Intelligence Analysis

Tiffin University

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