Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
14
14
years of professional experience
Work History
Personnel Specialist
Department Of Transportation
01.2023 - Current
Create and implement employee benefit education plan and answered benefit-related questions to help employees select options.
Process Health benefits
Resolve payroll discrepancies quickly and successfully.
Provide customer service to employees regarding payroll inquiries and issues.
Verify and submit timekeeping information for accurate and efficient payroll processing.
Upload time records into computer system and made adjustments to create accurate database for payroll processing functions.
Perform calculations in overtime, vacation, and sick hours to provide accurate data to payroll processing database.
Manage payroll data entry and processing for 300 employees to comply with predetermined company guidelines.
Generate reports to track employee time and attendance.
Manage and updated employee benefits information.
Coordinate resolution of payroll discrepancies.
Process retirements and calculated payouts.
Concierge Customer Service Representative
Blue Shield of California
11.2018 - 02.2019
Demonstrate excellent customer service by providing resolution to inquiries concerning member eligibility, billing, benefits, provider information and pharmacy needs
Assist members in consultation and referral to programs available to members
Compose correspondence to answer routine and non-routine benefits/provider inquires
Resolve discrepancies regarding co-pays, formulary coverage, vacation overrides, research billing discrepancies and UM requirements before escalating to appropriate department
Provide translation of benefit coverage, co-pays, and deductible and Out of pocket information for
Analyze program availability, determine program eligibility and connect members to the appropriate liaison
Handled customer inquiries and suggestions courteously and professionally.
Triage cases for assignments to the Shield Concierge Case Management, Behavioral Health, Health
Management Programs and Member outreach programs, including making documentation in systems
Handle a variety of disputes prior to escalating to Appeals and Grievances
Call Center Representative
Covered California
11.2015 - 02.2017
Demonstrated excellent customer service by providing resolution to inquiries concerning member eligibility, benefits, provider information and pharmacy needs
Assist members in consultation and referral to programs available to the member
Compose correspondence to answer routine and non-routine benefits/provider inquiries
Provide translation of prescription related benefit coverage, co-pays, and deductible and max out of pocket information
Analyze program availability, determine program eligibility and connected members to the appropriate Health advocates, Social Workers, Pharmacy Techs and Pharmacists
Met customer call guidelines for service levels, handle time and productivity.
Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
Handle a variety of disputes prior to escalating to Appeals and Grievance.
Office HR Analyst
Lynn's Childcare
10.2009 - 03.2016
Generate monthly invoices to be sent out to clients and perform payment reminder calls as needed
Reviewed existing policies and procedures to make recommendations for enhancing work productivity, recruitment, hiring processes, and talent management.
Answered all incoming calls efficiently by setting appointments for tours/registration, answering any questions potential clients may have
Accept and process all incoming payments and handle billing reconciliation
Made regulatory changes to client files and/or per client requests using programs from Microsoft Office Suite
Filed paperwork, sorted, and delivered mail and maintained office organization.
Conducted new hire orientation to verify completion of appropriate paperwork, recording information on human resources database.
Education
High School Diploma -
George Washington Carver School Of Arts And Science
Sacramento, CA
06.2007
Skills
Analytical and Critical Thinking
Strong Verbal and Written Communication
Problem-solving abilities
Time management
Empathy
Resourceful
Organized
Problem solver
Microsoft Office
Timeline
Personnel Specialist
Department Of Transportation
01.2023 - Current
Concierge Customer Service Representative
Blue Shield of California
11.2018 - 02.2019
Call Center Representative
Covered California
11.2015 - 02.2017
Office HR Analyst
Lynn's Childcare
10.2009 - 03.2016
High School Diploma -
George Washington Carver School Of Arts And Science