Ashley Momon
Detroit,MI
Summary
Dynamic and results-driven professional with a diverse background spanning retail management, HR coordination, claims examination, and provider relations. Known for delivering operational excellence, optimizing processes, and fostering positive relationships with stakeholders. Skilled in team leadership, problem-solving, and driving performance improvement. Adept at navigating complex environments and delivering exceptional service. Eager to leverage expertise and drive success in a challenging role.
Overview
7
7
years of professional experience
Work History
Assistant Store Manager
Dollar General
01.2024 - Current
- Manage daily operations of a high-volume retail store, achieving sales targets and minimizing shrinkage by 15%
- Lead a team of employees, providing coaching and development to drive performance improvement
- Implement inventory management strategies, reducing stockouts and improving product availability by 20%
- Conducted regular performance evaluations and recognized top performers for their contributions
- Utilize data analytics to identify trends and opportunities for process optimization, resulting in a 10% increase in sales
- Ensure compliance with company policies and procedures, maintaining a high standard of operational excellence
Leave of Absence Coordinator
Sedgwick
10.2021 - 12.2023
- Managed a caseload of leave of absence claims, ensuring compliance with FMLA and ADA regulations
- Processed leave requests accurately and efficiently, maintaining a 95% accuracy rate
- Provided guidance to employees and managers on leave policies and procedures, reducing inquiries by 20%
- Collaborated with HR partners and external vendors to coordinate return-to-work accommodations
- Conducted regular audits of leave files to ensure accuracy and completeness, achieving a 98% compliance rate
- Developed and delivered training sessions on leave administration best practices for HR teams
Claims Examiner
Meridian
08.2019 - 10.2021
- Reviewed and processed medical claims accurately and efficiently, meeting productivity targets with a 98% accuracy rate
- Investigated claim discrepancies and resolved issues, resulting in a 20% decrease in claims denials
- Collaborated with healthcare providers and payers to obtain necessary documentation and information
- Utilized claims processing software to track claim status and ensure timely resolution
- Conducted regular audits of claims data to identify trends and opportunities for process improvement
- Provided support to team members and participated in cross-functional projects to enhance operational efficiency
Provider Relations Representative
United Healthcare
10.2017 - 08.2019
- Managed relationships with healthcare providers, ensuring high levels of satisfaction and retention
- Conducted provider outreach and education sessions, resulting in a 15% increase in provider engagement
- Resolved provider inquiries and concerns in a timely and professional manner, maintaining a 95% satisfaction rate
- Facilitated contract negotiations and updates, ensuring alignment with organizational goals and regulatory requirements
- Collaborated with internal teams to address provider-related issues and improve service delivery
- Utilized provider relationship management software to track interactions and monitor provider performance
Education
Diploma -
Mumford High School
Skills
- Claims Processing
- Benefit Administration
- Customer Service
- Data Analysis
- Team Leadership
- Problem-Solving
- Process Improvement
- Compliance Management
Timeline
Assistant Store Manager
Dollar General
01.2024 - Current
Leave of Absence Coordinator
Sedgwick
10.2021 - 12.2023
Claims Examiner
Meridian
08.2019 - 10.2021
Provider Relations Representative
United Healthcare
10.2017 - 08.2019
Diploma -
Mumford High School