Jose Luevano
Amazon
Henderson,NV
29
years of professional experience
Dedicated professional prepared to bring extensive expertise and results-oriented approach to a Claims Examining role. Known for effectively managing tasks and supporting organizational goals through collaborative efforts and adaptive strategies. Recognized for excellent communication, analytical and customer service skills as well as regulatory compliance and decision making.
Work History
Disability Leave Services - Senior Accommodations
7 Years 7 Months- Increased employee retention by 30%, minimizing turnover costs for 200 staff members.
- Served as Senior Accommodation Consultant, supporting HR Business Partners and employees with medical accommodation needs and managing escalations.
- Built trust through collaboration with leadership, reducing resolution time and improving stakeholder satisfaction.
- Trained team during onboarding and maintained high customer satisfaction.
- Handled return-to-work processes, collaborating with managers and supporting employees with medical needs.
- Managed sensitive cases with confidential communication and advocacy for accommodations.
- Evaluated documentation and implemented effective solutions.
Leave of Absence Representative
5 Years 5 Months- Served as Leave of Absence Representative for a client with over 55k employees nationwide. Processed medical emergency leaves, personal leaves of absence, and Family Medical Leave Act benefits (FMLA).
- Assisted employees with the absent reporting system.
- Process claims and assessments based on medical evidence/facts provided by a medical provider utilizing knowledge of medical terminology.
- Coordinated all cases/claims, ensuring comprehensive case management and compliance with the Family and Medical Leave Act and related employment laws.
- Assist employees with absent reporting system as well as educate them on Federal benefits, State benefits and client specific benefits.
- Utilized experience to manage FML information across multiple accounts while mentoring staff to enhance proficiency in LOA management and aligning with customer expectations.
- Compose and send communications to employers and employees within Federally mandated time frames.
- Tracked standalone leaves and those concurrent with Workers Compensation and Short-Term Disability to ensure accurate record-keeping and compliance.
- Provided exemplary customer service and assistance to associates, executives, and HR business partners.
Retirement Services Representative
11 Years 8 Months- Processed claims and related work in quality control department, collaborating with account manager to enhance client experience.
- Processing new retirements which may include early/disability retirements, recalculations, back to works, survivor spouse & child benefits, qualified domestic relations order, substitute payee orders, future service recalculations benefits, due & unpaid claims.
- Verification of tax forms, court order forms, IRS levy forms, Power of Attorney forms, notarized forms, social security forms, non-resident alien forms (NRA), bank electronic funds transmission (EFT), overpayment processing, estate & alternate payee forms, which all require compliance according to administration specifications and/or United States Law.
- Audited claims for program compliance, verifying adherence to regulations and enhancing operational integrity.
- Supported processing of death notifications, ensuring accurate and timely communication with beneficiaries.
- Stay in compliance of State inheritance requirements and Notice of State waivers.
Senior Customer Service Associate/Claims Examiner
3 Years 10 Months- Investigated formal complaints from customers, documenting and categorizing complaint types to ensure effective resolution.
- Conducted extensive research for each claim and processed within 95% accuracy.
- Led daily briefings to discuss training and procedural issues as well as information sharing.
- Processed remedies, input data, and sent correspondence to clients.
- Met and exceeded set daily standards of claim processing.
- Reviewed letters, claims, and remedies based on my performance in quality and accuracy.
- Joined the Retirement Services Division after demonstrating excellent job performance in 2001.
Education
- Business Administration
- Continuing education in Business.
- Business Administration
- Continuing education in Business.
- Business Administration
- Continuing education in Business.
Skills
Claims management
Regulatory compliance
Decision making
Conflict management
Data analysis
Team leadership
Customer relations
Verbal communication
Languages
Bilingual in English and Spanish both written and verbal.
Timeline
Disability Leave Services - Senior Accommodations
Amazon
06.2018 - 01.2026Read More
Leave of Absence Representative
Sedgwick CMS
01.2013 - 06.2018Read More
Retirement Services Representative
Prudential Financial
01.2001 - 09.2012Read More
Senior Customer Service Associate/Claims Examiner
Prudential Financial
02.1997 - 12.2000Read More
University of Phoenix
from Business Administration
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Ventura College
from Business Administration
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Cuesta College
from Business Administration
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