Jasmine Godinez
Las Vegas,NV
Summary
Highly skilled leave management and short-term disability specialist with comprehensive experience in handling FMLA, state leaves, ADA, and short-term disability claims. Expertise in assessing medical documentation, coordinating with healthcare providers, and ensuring compliance with policies. Strong focus on team collaboration and achieving results, consistently delivering reliable support and adapting to changing needs. Known for effective communication, critical thinking, and empathy.
Overview
12
12
years of professional experience
Work History
Leave of Absence Specialist
Melita Group
04.2023 - Current
- Manage 130-150 cases concurrently, including FMLA, state leaves and ADA, ensuring accurate compliance transitions In a high volume environment. Increased case resolution efficiency by 20% through workflow automation and clear documentation process.
- Optimized workflow efficiency by integrating automated systems for tracking employee absences and calculating eligibility for various types of leave benefits. Implement automated systems reducing case processing times by 15%.
- Provided compassionate support to employees during their leaves of absence, addressing concerns and to promote policy understanding, easing the stress of navigating leave processes.
- Maintained accurate records of employee leaves, ensuring proper payment adjustments were made according to company policy.
- Ensured compliance with federal, state, and company leave policies through meticulous monitoring and documentation of all leaves of absence. Maintained 100% complaint rate during audits.
- Created detailed reports on leave cases, identifying trends and areas for improvement within the organization's leave management processes.
- Coordinated closely with benefits providers during extended leaves to maintain accurate coverage status for employees on leave.
- Ensured timely and accurate completion of all required documentation for leaves of absence, minimizing potential legal exposure for the organization.
- Improved communication between departments by serving as the primary point of contact for all leave-related inquiries.
Short Term Disability and Leave Case Manager
Amazon
03.2020 - 04.2023
- Successfully handles 200+ cases per month while maintaining a 98% on time resolution, improving compliance and reducing errors in case management, through proper documentation review.
- Demonstrated exceptional customer service skills when communicating with employees, clients and medical professionals, and multiple departments, cultivating strong professional relationships that facilitated effective case management.
- Created and distributed decision letters for leave and disability cases
- Utilized HRIS systems like Workday and Salesforce for case tracking and updates
- Maintained up-to-date knowledge of relevant laws and regulations to ensure compliance in all case management activities.
- Achieved high levels of accuracy in benefit calculations through meticulous attention to detail and thorough review processes.
- Conducted comprehensive evaluations of medical records to determine eligibility for benefits accurately and efficiently.
- Increased customer satisfaction with timely communication updates regarding their short-term disability cases. Improved satisfaction results by 25% though timely updates and leave queries.
- Saved the company $50,000 annually by identifying and preventing fraudulent claims or abuse instances through careful analysis of claims data.
- Expedited decision-making processes by proactively addressing potential concerns or obstacles early on within each case assessment.
ERC Disability and Leave Team Lead
Amazon
12.2019 - 03.2020
- Oversaw team of 20 agents focused on leave and disability calls.
- Conducted audits and performance reviews, by monitoring calls, providing feedback, and coaching team members on areas for improvement, achieving enhanced team efficiency and adherence to quality standards
- Utilized data-driven insights to make informed decisions regarding staffing levels, shift schedules, and performance management strategies
- Handled advanced issues with calm, knowledgeable and professional approach.
- Participated in the recruitment process to identify top talent for call center positions, ensuring a strong foundation for continued success..
Patient Service Representative
HealthCare Partners of Nevada
12.2018 - 12.2019
- Filed and maintained patient records in accordance with HIPAA regulations and verified insurance eligibility and coverage for patients.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Handled complex insurance pre-authorization processes accurately, enabling timely delivery of necessary medical services.
- Coordinated referrals efficiently between primary care providers and specialists, ensuring a seamless patient experience.
Transition of Care Coordinator
Electronic Health Plans Inc. DBA Preferred IPA of CA
01.2013 - 10.2018
- Managed caseloads effectively, prioritizing high-risk cases for more intensive support during the transition period following discharge from the hospital setting.
- Coordinated post-hospital care to reduce readmissions and manage services for home health and DME
- Conducted patient interviews to assess eligibility for care management programs
- Provided follow-up support to ensure patient satisfaction and service delivery
Education
Pursuing Bachelor's Degree - Business Administration, Human Resource Management
College of Southern Nevada
Las Vegas, NVSkills
- Proficient in HRIS Platforms (Salesforce, Workday, Peoplesoft)
- Operational Process Optimization
- Workforce Support
- Benefits administration
- Proficient in FMLA, ADA and State Leave Compliance
- Effective Team Collaboration
- Analytical Decision-Making and critical thinking
- Case management expertise
- Documentation proficiency
- Customer service
Timeline
Leave of Absence Specialist
Melita Group
04.2023 - Current
Short Term Disability and Leave Case Manager
Amazon
03.2020 - 04.2023
ERC Disability and Leave Team Lead
Amazon
12.2019 - 03.2020
Patient Service Representative
HealthCare Partners of Nevada
12.2018 - 12.2019
Transition of Care Coordinator
Electronic Health Plans Inc. DBA Preferred IPA of CA
01.2013 - 10.2018
Pursuing Bachelor's Degree - Business Administration, Human Resource Management
College of Southern Nevada
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