Well-qualified with proven success in improving operations and solving problems. Highly proficient in building lasting relationships with key decision makers, customers and team members to further company goals. Ready to leverage training and experience to take on new professional challenges.
Overview
23
23
years of professional experience
Work History
Human Resources Specialist III
Amazon LLC
12.2020 - 01.2023
Partnered with senior leadership to establish and develop corporate and HR policies and procedures.
Initiated and responded to inquiries about leave and disability events, benefits, and options available to employees (100 to 200 employees)
Liaised between management and employees to deliver conflict resolution, alleviate problems, and interpret compensation and benefits policies.
Reviewed existing policies and procedures to make recommendations for enhancing work productivity, recruitment, hiring processes, and talent management.
Conserved time and improved workflows by handling special projects and emergency solutions.
Provided troubleshooting and technical assistance in the use of PeopleAdmin system.
Responded to telephone and written inquiries from clients, insurance carriers, claimants, attorneys, repair shops, and physicians within statutory requirements.
Identified and forwarded claims to specialized internal and external resources in areas such as medical review, investigations, and other resources.
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Audit of employee cases and return to work processes
Maintain system records to ensure accurate and timely information/documentation
Consult, coordinate, and partner with our third-party administrator, HR, Safety, Legal, Payroll, Benefits, team members, and other departments as appropriate.
Review policies related to FMLA, Medical Leave of Absence, and Federal and State plans to determine appropriate leave types.
Ensure compliance with standard work, federal/state regulations, and company policy.
Educate managers and business partners on employee concerns and needs concerning leave types for all Employees.
Disability Claims Adjudicator
Social Security Administration
Stone Mountain, GA
07.1998 - 11.2019
Developed and adjudicated disability claims for Social Security and/or Supplemental Security Income Disability Benefits using proper application of policies procedures and guidelines.
Developed and processed all claim types- Initials, Reconsiderations, Disabled Child, Continuing Disability Review Claims, and Pre-Hearing Claims.
Applied knowledge of medical terminology using ICD-9 and CPT-4 codes for diagnosis and processing of claims.
Analyzed claimant's progress on an ongoing basis in their pursuit of filing for benefits.
Managed caseload varying in all case types, including knowledge of Worker’s Compensation/Veteran Administration claims.
Assessed immediate needs of each claimant by contacting hospitals and/or doctors to request medical records or acquire appointments.
Analyzed and coordinated factors necessary to adjudicate claims.
Provided customer service to claimants by maintaining records and files using computer software designed by Social Security.
Communicated with claimants/customers regarding all aspects of claims process by either phone or written correspondence.
Supervised clerical staff for operations.
Reviewed medical records, provided medical referrals, wrote medical assessments, and assessed claims.
Consulted with all medical staff to write both medical and psychological assessments to determine areas for disability.