Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
Overview
15
15
years of professional experience
Work History
Social-security-claims-representative
Social Security Adminstration
Chesterfield, MI
12.2021 - Current
Updated claims system to track claim status and provide relevant information to other department.
Prepared and presented detailed reports to management on claims issues to aid in decision making.
Demonstrated expertise in interpreting policy language accurately, leading to better-informed decisions on coverage application during claims evaluation.
Checked documentation for accuracy and validity on updated systems.
Manage over claims in any given month.
Assist general public with service needs on a daily basis.
Conduct phone and in-office interviews related to customer and/or client needs.
Virtual Operator
Detroit Police Department
01.2018 - 12.2021
Create reports related to monitoring criminal activities within assigned jurisdictions.
Assess and document activities to enter into department's criminal data base.
Notify supervision of important and/or critical incidences at assigned locations or other camera assets.
Observe, detect and report elements of crime through video streams.
Notify dispatch of location or crimes in progress.
Prepare and present written reports of activities and conditions observed.
Army Supervisor
U.S. Army Reserve Command
05.2009 - 09.2017
Establish and maintain training and personnel files of assigned subordinate service members.
Training subordinates according to military standards.
Ensuring those under my charge receive proper training and maintain a professional appearance.
Overseeing daily activities of subordinates.
Insuring subordinates are adhering to Army standards through physical and web-based training.
Education
Master of Arts - Public Administration
Columbia Southern University
Orange Beach, AL
08.2018
Skills
Reviewing and evaluating applications for benefits
Documenting medical evidence and evaluate income and resources to determine eligibility
Interviewing claimants and obtaining additional information as needed
Make decisions on initial claims and reconsiderations based on facts of each case
Able to multi-task within highly complex work environment
Using technology to access and update claim information
Candidate Profile
PDF
Candidate Name
Kevin Hughes
Job I D
547028
Interview Address
6 PARK LANE BLVD., STE. 560, DEARBORN, MICHIGAN, 48126
Current Application
At Allied Universal, employees are expected to present a professional, businesslike image to clients, visitors, customers and the public. Acceptable personal appearance is an ongoing requirement of employment with Allied Universal. Would you be willing to meet the grooming standards for the client that you are assigned to?
<ul><li>Advised 20+ leaders on complex employee relations issues like performance management and workplace investigations, ensuring full compliance with Panamanian labor law and minimizing legal risks.</li><li>Keeping an Open-Door policy for the employees. Investigations regarding employee issues and complaints. Collaboration with the Security and Employee Relations departments in investigations.</li><li>Review and approval of disciplinary actions. Completed more than 500 terminations according to Panamanian labor law.</li><li>Requesting, reviewing and approving of HRIS updates, transfers, benefits payments, intercompany and schedules changes.</li><li>Led the foreigner workers contract terminations according to the established Labor Law and company policies.</li><li>Participated in the Health and Safety Committee and inspections of the Social Insurance Institution, obtaining a passing score on every inspection. Developed the accidents events guidelines and form.</li><li>Participated in projects and tasks together with other areas such as HRIS and HR Corporate, for instance, the creation of the employee knowledge database to feed the chatbot for employees questions/answers.</li><li>Reporting and KPIs examination, including attrition and exit interviews results.</li><li>Review of policies, guidelines and procedures. Creation and updates of processes and control spreadsheets such as job abandonment process and form and the Oracle Manager Self Service control.</li><li>Implemented the onboarding program for new hires.</li><li>Developed HR Topics training plan for Operations staff.</li><li>Provided on the job training to the local HR members, developing skills and empowering the team.</li><li>Managed the HR providers purchase orders and payment requests.</li><li>Maintained close collaboration with the payroll department on claims and other employees inquiries, as well as support with compliance documents.</li></ul> at ALORICA<ul><li>Advised 20+ leaders on complex employee relations issues like performance management and workplace investigations, ensuring full compliance with Panamanian labor law and minimizing legal risks.</li><li>Keeping an Open-Door policy for the employees. Investigations regarding employee issues and complaints. Collaboration with the Security and Employee Relations departments in investigations.</li><li>Review and approval of disciplinary actions. Completed more than 500 terminations according to Panamanian labor law.</li><li>Requesting, reviewing and approving of HRIS updates, transfers, benefits payments, intercompany and schedules changes.</li><li>Led the foreigner workers contract terminations according to the established Labor Law and company policies.</li><li>Participated in the Health and Safety Committee and inspections of the Social Insurance Institution, obtaining a passing score on every inspection. Developed the accidents events guidelines and form.</li><li>Participated in projects and tasks together with other areas such as HRIS and HR Corporate, for instance, the creation of the employee knowledge database to feed the chatbot for employees questions/answers.</li><li>Reporting and KPIs examination, including attrition and exit interviews results.</li><li>Review of policies, guidelines and procedures. Creation and updates of processes and control spreadsheets such as job abandonment process and form and the Oracle Manager Self Service control.</li><li>Implemented the onboarding program for new hires.</li><li>Developed HR Topics training plan for Operations staff.</li><li>Provided on the job training to the local HR members, developing skills and empowering the team.</li><li>Managed the HR providers purchase orders and payment requests.</li><li>Maintained close collaboration with the payroll department on claims and other employees inquiries, as well as support with compliance documents.</li></ul> at ALORICA