Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Isiah Smalls

Charlotte,NC

Summary

Motivated candidate with proven ability to exceed customer expectations and resolve customer issues in a timely and effective manner. Skilled in using a variety of customer service platforms and software to ensure customer satisfaction.

Overview

12
12
years of professional experience

Work History

Enrollment Specialist

Avera Health
03.2024 - Current


  • Streamlined the enrollment process for increased efficiency and enhanced user experience.
  • Update and maintain claims system data, according to defined enrollment system guidelines, policies, and procedure.
  • Implement HIPPA and COBRA requirements to ensure legal compliance and coordination of special projects relating to membership maintenance.
  • Complete the download and logging of electronic enrollment files for various lines of business from their respective FTP or Websites.
  • Utilize reconciliation files, knowledge of plan policies, State and Federal regulations, and external resources to verify and correct enrollment data.

Client Service Specialist/Ease Enrollment

Amwins Connect Insurance Services, LLC.
03.2021 - 09.2023
  • Assisted Brokers with the creation of their online enrollment benefits portals for clients and employees
  • Aided Brokers and Account Managers with various questions pertaining the Ease Platform
  • Maintained compliance with federal regulations related to employee benefits programs such as COBRA and HIPAA laws
  • Implemented online tools which allowed employees to easily access information about their benefits packages
  • Analyzed employee benefit trends and recommended changes to enhance benefit offerings
  • Served as administrator for CRM system (i.e
  • Salesforce), tasked with troubleshooting and answering employee inquires.

Transfer Center Specialist

Atrium Health/Telehealth/Mobile Medicine
11.2019 - 03.2021
  • Navigated complex algorithms based upon requested specialty in combination with knowledge of bed availability, proximity of the referring facility to the receiving facility, patient diagnosis and specialties and services needed to determine the most-appropriate receiving provider and facility
  • Obtained accepting / consulting provider, accurately documents PHI, and coordinates patient transport and bed assignment
  • Utilized a Computer Technology Integrated telephone answering system for processing inbound and outgoing calls
  • Prioritized the urgency of requests presenting through the phone queue and electronic transfer request queue as well as the urgency of all outstanding requests and the steps needed for completion.

Gym Manager

Olympus 365:24/7 Fitness Center
08.2018 - 03.2019
  • Managed customer memberships / cancellations/managing gym operations and maintenance
  • Marketing and running promotions through social media platforms
  • Managed the Personal Trainers / following up on new leads and managing monthly payroll.

Addictions Counselor

Beaufort County Alcohol & Drug Abuse
01.2015 - 03.2018
  • Case-Managed 35 clients, in which scheduling and individual counseling of the clients are met as needed and documentations of their treatment history and services are made
  • Co-Facilitated nine hours weekly for Intensive Outpatient Groups where group setting is open with clients 14-18 clients sharing their experiences with addiction
  • Discussing various topics such as spirituality, brain and biological make-up, the disease models and concepts of addiction, and education are the central theme of the groups
  • Worked with Probate Court, Federal and State Probation, Department of Social Services, and Department of Juvenile Justice on monitoring and establishing treatment plans and goals for chemical dependent clients.

Human Resources and Payroll Administrator

The Greenery Inc.
02.2012 - 09.2014
  • Reviewed and evaluated cost or price proposals and accounting systems data
  • Terminated Contracts by examining, negotiating, and settling claims and proposals
  • Conducted Research and analysis to correctly apply regulations and policies
  • Processed payroll for up to 100 employees, including calculating paychecks, withholding taxes and other deductions
  • Performed audits on payroll data to ensure compliance with applicable laws/regulations
  • Experience with Paycor Payroll System.

Education

Master of Public Administration -

Clark Atlanta University
Atlanta, GA

Bachelor of Arts -

South Carolina State University
Orangeburg, SC

No Degree - Cybersecurity And Networking

North Carolina State University
Raleigh, NC
10.2024

Skills

  • Website, Portfolio and Profiles
  • Issue Resolution
  • Data Processing
  • Troubleshooting and Diagnosis
  • Application Support
  • Customer Service
  • Firewall Management
  • Incident Response
  • Security analytics
  • Application security
  • Information assurance
  • Patch management
  • DDoS prevention
  • Wireshark software
  • Data Security
  • Employee Relations
  • Benefits Interpretation
  • Open Enrollment
  • Benefits Administration
  • New Employee Orientations
  • Special Projects
  • Project Management

References

References available upon request

Timeline

Enrollment Specialist

Avera Health
03.2024 - Current

Client Service Specialist/Ease Enrollment

Amwins Connect Insurance Services, LLC.
03.2021 - 09.2023

Transfer Center Specialist

Atrium Health/Telehealth/Mobile Medicine
11.2019 - 03.2021

Gym Manager

Olympus 365:24/7 Fitness Center
08.2018 - 03.2019

Addictions Counselor

Beaufort County Alcohol & Drug Abuse
01.2015 - 03.2018

Human Resources and Payroll Administrator

The Greenery Inc.
02.2012 - 09.2014

Master of Public Administration -

Clark Atlanta University

Bachelor of Arts -

South Carolina State University

No Degree - Cybersecurity And Networking

North Carolina State University

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Isiah Smalls