Janaiel Wiggins
Stoughton,MA
Summary
Results-driven individual with a solid track record in delivering quality work. Known for excellent communication and teamwork abilities, with a commitment to achieving company goals and delivering exceptional service. Passionate about continuous learning and professional development.
Overview
15
15
years of professional experience
Work History
Talent Acquisition Operations Senior Specialist
Commonwealth Care Alliance
09.2022 - Current
- Manage new hire onboarding, including initiating electronic onboarding processes, conducting background checks, and completing the Form I-9.
- Communicate pre-hire steps and timeline to new employees, and respond to questions.
- Review the completion of all pre-hire clearances, review background checks, and work to resolve any discrepancies.
- Managed I-9 recertification for audit compliance, assisting my team in reviewing and updating records for over 2,000 employees from 2018 to the present.
- Coordinated with internal teams to complete daily assignments and meet deadlines.
Talent Acquisition Partner
Commonwealth Care Alliance
11.2021 - 09.2022
- Managed the end-to-end recruitment process, including candidate assessment, interview coordination, and onboarding, ensuring a positive candidate experience.
- Trained all new hires joining the HR Operations team, improving onboarding efficiency, and reducing ramp-up time.
- Informed job applicants of duties and responsibilities, compensation, and benefits.
- Analyzed employment-related data and prepared reports.
Subrogation Case Worker
Health Management Systems
01.2021 - 11.2021
- Effectively worked, maintained, and managed a variety of cases with current and accurate notes from creation to recovery
- Confirmed documentation of eligibility for beneficiaries
- Processed claims disputes and review claims with attorneys and other stakeholders
Eligibility Operations Advisor / Caseworker
Health Management Systems
08.2019 - 12.2020
- Verified, documented, and coordinated information needed to process applications
- Provided enrollment assistance and program information to Medicaid eligible recipients
Human Resources Generalist
Boston Medical Center
04.2017 - 06.2019
- Organized new employee orientations, ensuring candidates paperwork and medical clearance was complete; set up the equipment and prepared materials for orientations
- Responded to inquiries from all levels of employees related to HR polices and systems
- Completed employment verifications as well as student loan forgiveness forms
- Assisted HR Business Partners with meeting set ups, termination documents
- Scheduled all meeting in conference rooms
- Set up meetings for Labor and Relations for union
- Assisted with open enrollment for benefits, FMLA
Insurance Coordinator
Nizhoni Health Systems, LLC
Somerville, MA
07.2013 - 04.2016
- Acted as an educator and resource to staff to the criterion required by each payor that must be met in order to secure reimbursement
- Liaison between external case managers and clinicians to initiate patient care
- Entered and maintained Base in Nightingale system for change status in patients Etc. resumptions, hospitalizations, discharges from agency
- Managed all major health insurance plans in Lynn, Revere, Somerville, and Hyde Park districts.
- Managed Tufts and Blue Cross Blue Shield products for initial and ongoing medical services, and verified benefits and eligibility for each patient.
Human Resource Representative
Nizhoni Health Systems
11.2012 - 06.2013
- Set up and managed paper and electronic filing systems, managed database, updated paperwork and created and maintained documents; prepared and mailed checks
- Scheduled and confirmed appointments for clients, patients, and supervisors
Scheduling Coordinator
Nizhoni Health Systems
08.2010 - 11.2012
- Scheduled home visits for field nurses and assisted with the coordination of patient care
- Documented admission and intake information, answered multiple phone lines, and verified insurance information
Education
Associate of Science - Criminal Justice
Bunker Hill Community College
Boston, MA05.2021
Paralegal Certificate -
Salter School
Malden, MA05-2009
Skills
- Onboarding coordination
- Background check review
- I-9 compliance
- Candidate assessment
- Data analysis
- Problem-solving abilities
- Effective communication
- Regulatory compliance
- Operational efficiency
Skills
- Human Resources Compliance
Timeline
Talent Acquisition Operations Senior Specialist
Commonwealth Care Alliance
09.2022 - Current
Talent Acquisition Partner
Commonwealth Care Alliance
11.2021 - 09.2022
Subrogation Case Worker
Health Management Systems
01.2021 - 11.2021
Eligibility Operations Advisor / Caseworker
Health Management Systems
08.2019 - 12.2020
Human Resources Generalist
Boston Medical Center
04.2017 - 06.2019
Insurance Coordinator
Nizhoni Health Systems, LLC
07.2013 - 04.2016
Human Resource Representative
Nizhoni Health Systems
11.2012 - 06.2013
Scheduling Coordinator
Nizhoni Health Systems
08.2010 - 11.2012
Associate of Science - Criminal Justice
Bunker Hill Community College
Paralegal Certificate -
Salter School
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