LaVone Fox
Troy
Summary
In addition to 12 years of Leadership, I am a dedicated Benefits professional with a history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Benefit Engagement Specialist-Wayne Farms
BCInsourcing, LLC
08.2020 - Current
- Represent BCI in support of the Human Resource Team of Wayne Farms, with New Hire orientations, discussing primary/secondary benefits to all of their employees. Independently provided innovative ideas to enhance orientations, yearly open enrollments, benefit discussions, and onboarding
- Exercised self-driven time management to efficiently respond to face-to-face requests from onsite employees, and traveled to offsite employees, in an effort to promptly answer benefit questions, medical/supplemental claim handling, and any other support for the HR department.
- Participated with the Human Resource team, on all 3 shifts, in developing communication strategies to achieve the client's goals, by attending HR meetings, being present during interviews, providing input in group meetings regarding employees, and maintaining common knowledge of the client's guidelines, safety material, and planning for employee appreciations.
- Responsible for creating an environment that develops a professional work environment, including prompt coordination with the Management team, when recognizing an accelerated issue or unusual matter to ensure it s is resolved.
Licensed Claim Specialist/Case Manager
State Farm Insurance Company
10.2013 - 06.2020
- Managed high-volume homeowners claims that included, theft, fire, wind damage, and vandalism. Gathered information from State Farm policyholders, reviewing policies in an effort to make final determinations, while staying with the State/Federal guidelines of the policies
- Maintain a handling time of claims within 94% guidelines of StateFarm by responding to policyholders within 24hrs of claim filing. Improved claim resolutions by 5% above the average of 14 calls per hour, and upheld case management target of up to 20 per week.
- Decreased company expenses by 15%, leveraging subrogation to request restitution from liable parties. Reduced costs by 30% after implementing routine recycling for copy paper and envelopes
- Boost team morale and accountability by introducing performance barometers to track metrics for multiple teams
- Won "On the Spot Award" for maintaining performance outcomes 15% higher than standard and responding to the most customer service calls
Case Management, Disability/FMLA Claims Specialist
Cigna Health Insurance
08.2010 - 07.2013
- Oversaw day-to-day administration of leaves of absence from various clients' employees. Determining eligibility while guaranteeing compliance with FMLA, ADA, HIPPA, and any federal/state laws.
- Consulted with physicians and interdisciplinary care teams to collect and assess the approval/denial status of individuals with serious medical conditions or disabilities.
- Designed as a trainer to improve employee understanding of patient care and treatment and health laws
- Developed and administered budgets, authorized expenditures, and monitored financial indicators to improve profitability.
Education
Bachelor of Science - Business
University of Phoenix
Dallas, TX Campus09.2012
High School Diploma -
Hayes High School
Birmingham, AL06.1987
Skills
- WorkDay
- CRM
- YouTube
- Adobe Systems Adobe Dreamweaver
Certification
- Licensed Life, Accident, and Medical in the state of Alabama -2+ years
- Certification in Human Resource- In Progress
Timeline
Benefit Engagement Specialist-Wayne Farms
BCInsourcing, LLC
08.2020 - Current
Licensed Claim Specialist/Case Manager
State Farm Insurance Company
10.2013 - 06.2020
Case Management, Disability/FMLA Claims Specialist
Cigna Health Insurance
08.2010 - 07.2013
Bachelor of Science - Business
University of Phoenix
High School Diploma -
Hayes High School
Similar Profiles
JOSHUA KROPPJOSHUA KROPP
Benefit Engagement Specialist at BCInsourcing, LLCBenefit Engagement Specialist at BCInsourcing, LLC
Maria G Castillo-QuartaraMaria G Castillo-Quartara
Bilingual Benefit Communication Specialist at BCInsourcing, LLCBilingual Benefit Communication Specialist at BCInsourcing, LLC
Megha ChaudhariMegha Chaudhari
Benefits Coordinator Lead at BCInsourcing, LLCBenefits Coordinator Lead at BCInsourcing, LLC
Amber GrossAmber Gross
Medical Front Office Receptionist at Charles Henderson Child Health CenterMedical Front Office Receptionist at Charles Henderson Child Health Center
Delores PapenbergDelores Papenberg
Store Manager at Murphy USAStore Manager at Murphy USA