Analyzed policy details along with supporting documents provided by healthcare providers to make informed decisions on claims approvals or denials.
Resolved complex claims issues for expedited processing and resolution.
Assisted in the creation of departmental procedures and guidelines to maintain consistency across all team members'' work quality standards.
Evaluated new software tools that improved productivity levels while maintaining accuracy standards.
Managed high volume caseloads, prioritizing urgent and sensitive cases for immediate attention.
Collaborated with healthcare providers to obtain necessary documentation for claim support.
Conducted thorough investigations of medical claims to ensure proper payment or denial.
Improved customer satisfaction with timely and accurate claim settlements.
Enhanced team efficiency by training junior adjusters in industry best practices.
Provided exceptional customer service to both internal and external stakeholders during the entire claim lifecycle process.
Streamlined communication channels between departments, expediting information flow and improving overall productivity.
Maintained strict compliance with HIPAA regulations, safeguarding patient privacy throughout the claim evaluation process.
Reviewed provider coding information to report services and verify correctness.
Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Paid or denied medical claims based upon established claims processing criteria.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Talent Acquisition Partner/Recruiter
Webster Bank/Ampcus
09.2022 - 05.2023
Recruitment of Banking Professionals
Develop pipeline of talent for various positions, sourcing via LinkedIn, Dice etc
Develop a working knowledge of departments to identify hiring needs; team building at the department level, as well as how that fits into the broader organizational culture
Work creatively with departments to help create recruitment plans, identify resources for outreach and staffing needs
Recommend and develop recruitment strategies
Post vacancies on hiring sites & social media to attract well qualified candidates; review, screen & select candidates for interviews
Utilize LinkedIn as well as other sourcing databases
Interview or submit shortlists to hiring managers for interviews, conduct reference checks, notify applicants of results and further instructions to facilitate finalizing hiring/onboarding
Prepare salary analysis for positions & provide salary offers to candidates
Monitor HR metrics
Provide reporting on recruitment status, time to fill, and recruiting efforts
In-house; high volume recruiting
Organization is a high growth; environment.
ATS Administrator/Recruiter
HealthMap Solutions/Hiregy
04.2022 - 09.2022
Recruitment of IT Professionals: Sr. IT Project Manager, Business Integrations Analyst, Desktop Support Specialists; Healthcare providers (RN) & Human Resources professionals.
Develop a working knowledge of departments to identify hiring needs; team building at the department level, as well as how that fits into the broader organizational culture
Prepare salary analysis for positions & provide salary offers to candidate.
Evaluated resumes, interviewed, and presented qualified candidates to hiring managers and solicited feedback to refine recruiting strategy.
Collaborated with hiring managers to determine job requirements and understand departmental needs.
Developed and maintained applicant tracking system, tracking all job openings, applicants and interviewing activity.
Conducted telephone and in-person interviews to assess candidate experience and qualifications.
Provided regular updates on talent acquisition performance metrics to senior leadership, supporting data-driven decision-making and continuous improvement efforts.
Managed full-cycle recruiting process for multiple roles simultaneously while maintaining high-quality standards in candidate assessment and selection.
Developed strong talent pipelines by utilizing various sourcing techniques, including social media, job boards, and networking events.
Provided regular updates to hiring managers and HR staff on recruitment activities and progress.
Reduced time-to-fill for open positions by implementing efficient recruitment strategies and effective collaboration with hiring managers.
Created and distributed job postings on job boards, corporate career sites and social media networks to increase reach.
Sourced and screened candidates for Type roles and worked with hiring managers to coordinate interviews, offers, and onboarding.
Utilized social media platforms to source potential candidates and build pipeline of qualified talent.
Developed and maintained strong working relationships with executives, HR team, and hiring managers to foster partnerships that produced consistent results.
Acted as brand ambassador to educate candidates on culture, career growth, benefits, and advantages of working for company.
Implemented innovative recruitment strategies to increase number of high-quality job applicants.
Actively contributed to establishing a diverse and inclusive workplace by implementing targeted recruitment initiatives aimed at underrepresented groups.
Implemented data-driven approach to talent acquisition strategies by leveraging metrics to evaluate recruitment performance continuously.
Monitor HR metrics; provide reporting on recruitment status, time to fill, and recruiting efforts.
Increased retention rates through thorough pre-screening of candidates and regular follow-up on new hires'' satisfaction levels.
Technical Recruiter
Employbridge/ProLogistix
09.2021 - 04.2022
Recruit for temporary, temporary to hire and direct hire positions for warehouse opportunities.
Posting, advertising, and maintaining new and open positions/requisitions
Actively identify and screen candidates for current and pipeline needs (via telephone and video interviewing technology)
Document activity and update the ATS to keep accurate and detailed candidate and activity records
Experience with MS Office including Outlook, Excel and Word, Experience with MS Teams
Experience using recruiting partners and online sources (LinkedIn Recruiter, Dice, ZipRecruiter, Indeed, CareerBuilder)
Have a sense of urgency and comfortable working in a fast-paced, continuously changing environment; high volume recruiting/sourcing/talent acquisition.
Managed full-cycle recruiting processes, ensuring timely placement of top-tier candidates.
Used Boolean searches to develop applicant portfolios for expected openings.
Interviewed candidates using different interview methods and approaches.
Onboarded new hires and set up training.
Senior Talent Acquisition Manager
State of Florida; Department of Transportation
12.2015 - 08.2021
Recruited: Engineers, IT professionals, administrative professionals, Laboratory technicians, and financial professionals
Office Manager/Human Resources: Developed admin team, including: interviewing, hiring, training, developing, directing work and processes, managing performance, recognizing, and rewarding employees
Managed a high-performing talent acquisition team, fostering professional development opportunities, setting performance goals, and providing continuous support for success.
Led training sessions for hiring managers on topics such as interviewing techniques, unconscious bias awareness, and legal considerations in the hiring process.
Oversaw the management of recruitment budgets and vendor relationships, ensuring cost-effective solutions for sourcing top talent.
Reduced time-to-fill metrics by optimizing interview scheduling processes and refining assessment criteria.
Identified skill gaps within the organization, recommending workforce planning initiatives to address future talent needs.
Streamlined the hiring process, introducing efficient candidate tracking systems and communication tools for improved collaboration among team members.
Managed a team of recruiters to deliver timely results while maintaining a high level of customer service for both candidates and hiring managers.
Led innovative program to develop and improve practices, processes, tools, and technology to identify and build a solid pool of top talent with the end goal being to attract, train and retain top talent for the department
Active collaboration and partnership with hiring managers, senior leadership and external vendors to build strategies that will ensure recruitment practices meet the organization's needs
Drafted policy, process, and procedure to improve on the compliance stance of the department
Managed talent acquisition systems in partnership with HRIS team, to driving implementation, testing, system maintenance, and ensure adoption within talent acquisition team
Managed dashboards and reporting to monitor talent acquisition success metrics (time to fill, open requisitions, aged requisitions, KPI’s recruiter activity, etc.)
Ensured position openings were filled in a timely and cost-effective manner
Ensured integration of diversity programs, early career/university relations and other DEI initiatives to the overall talent acquisition practice
Managing and monitoring payroll, benefits, and vacation days
Recruiting/Talent Acquisition: High volume in-house full cycle technical recruiting & talent acquisition; sourcing through Google & LinkedIn; as well as other sourcing databases
Post vacancies in People First and other hiring sites to attract well qualified candidates; review, screen & select candidates for interviews
Interview or submit candidates to area managers for interviews, conduct reference checks and notify applicants of results of further instructions to facilitate finalizing hiring
Prepare salary analysis for positions and provide salary offers to candidates Interprets administrative and operating policies and procedures
Fiscal/Budget: Support, manage and track the project financials for multiple active projects of moderate complexity while working closely with the Project Manager(s)
Manage project financials by monitoring project expenditures to ensure that the projects are completed within budgetary constraints
Manage budget of over $3,000,000.00 including salary dollars & operating expenses.
Human Resources Assistant/Talent Acquisition Manager
State of Florida; Department of Juvenile Justice
06.2014 - 12.2015
Recruit for Law Enforcement, Probation Officers, Clerical, & IT positions
(High Volume- Inhouse – full cycle recruiting)
Interview candidates within the framework of the position specification
Screen, interview and prepare an ideal candidate slate within an appropriate and consistent timeline
Partner with hiring teams to build effective sourcing, assessment, and closing approaches with an ability to manage customer/partner expectations through a deep understanding of return on investment
Participate in special projects/recruiting initiatives including assessment of best practices in interviewing techniques, leveraging of internal sources of talent and identification of top performers for senior-level openings
Fiscal/Budget: Coordinates and directs office services such as: records management, budget preparation, contract management, personnel, general services, fiscal matters and all other related duties to aid the Chief Probation Officer
Coordinate with the Regional Director to allocate funding for building relocations
Plans meetings and/or conferences and coordinates/ prepares related travel
Management: Supervise Team of 9 Secretary Specialists.; Conduct departmental in-service training and/or presentations to internal/external parties, as required
Prepares and maintains records and reports, such as recommendations for solutions of administrative problems, reports, financial reports, applications, and administrative orders.
Recruiting and onboarding new team members as part of our agency growth strategy
Responsibilities include identifying potential candidates, developing job descriptions, screening initial interest, scheduling interviews, conducting workstyle assessments, extending offers and communicating with candidates
Assist employees with inquiries regarding PTO, benefits, timesheet submission/corrections
Managing and monitoring payroll, benefits, and vacation days
Managing and updating team guidebook / employee manual, curriculum, and other HR documents
Maintain Personnel files for employees; Ensure compliance with federal, state & local requirements
Payroll Administrator for over 150 employees
Financial Services/Budgeting/Procurement: Performs administrative actions for the Fort Lauderdale field office relating to fiscal monitoring, personnel document preparation and other major office functions which includes preparing documentation by hard copy and/or electronically in compliance with existing procedures and practices
Process contractor invoices for payment.
Office Administrator/Administrative Assistant to Executive Director
Bridges of America
07.2008 - 07.2009
Interacted with customers by phone, email, or in-person to provide information.
Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
Maintained electronic and paper filing systems for easy retrieval of information.
Coordinated communications, financial processing, registration, recordkeeping, and other administrative functions.
Tracked office supplies and restocked low items to keep team members on-task and productive.
Contributed to a positive work environment by fostering strong working relationships among colleagues.
Increased customer satisfaction through professional handling of inquiries and prompt resolution of issues.
Reconciled account files and produced monthly reports.
Reduced administrative errors by diligently proofreading office documents and maintaining accurate records.
Assisted in preparation and processing of payroll to facilitate prompt staff payments.
Expedited invoice processing by accurately reviewing vendor submissions, reconciling accounts payable discrepancies, and conducting timely payments.
Safeguarded company information by maintaining strict confidentiality protocols and ensuring secure document storage practices.
Assisted in event planning efforts for company gatherings, conferences, or workshops to enhance employee engagement and networking opportunities.
Improved workplace efficiency with the regular maintenance of office equipment and proactive troubleshooting of technical issues.
Customer Care Professional/Corporate Purchasing Card Agent
PRC/American Express
06.2007 - 07.2008
Achieved higher sales conversion rates by upselling products and services based on individual customer needs.
Collaborated with team members to improve overall performance, sharing best practices and pooling resources for optimal results.
Utilized CRM software proficiently to track customer interactions accurately, ensuring seamless handover of cases between team members when necessary.
Provided excellent support to customers, troubleshooting technical issues and guiding them through resolution steps.
Participated in ongoing professional development opportunities to continuously enhance customer care skills and knowledge.
Education
Bachelor of Science in Business Administration -
Alcorn State University
Lorman, MS
High School diploma -
Forest High School
Forest, MS
Business and Computer Technology -
Forest Vocational Technical Center
Forest, MS
Skills
Project planning and development
Client management
Recruitment strategy
Data-driven decision-making
Performance metrics analysis
Applicant Tracking Systems
Contract negotiation skills
Training and mentoring
Staff Management
Timeline
Medical Claims Adjuster
Progressive Insurance
10.2022 - Current
Talent Acquisition Partner/Recruiter
Webster Bank/Ampcus
09.2022 - 05.2023
ATS Administrator/Recruiter
HealthMap Solutions/Hiregy
04.2022 - 09.2022
Technical Recruiter
Employbridge/ProLogistix
09.2021 - 04.2022
Senior Talent Acquisition Manager
State of Florida; Department of Transportation
12.2015 - 08.2021
Human Resources Assistant/Talent Acquisition Manager