Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
17
17
years of professional experience
Work History
OPD/ BI Case Manager
Claims Management
12.2016 - Current
Manages over 180(at once) moderately complex cases involving alleged bodily injury, personal injury, and property damage by interviewing key witnesses; securing evidence; analyzing evidence; reviewing applicable laws; interpreting medical reports; deducing causes and responsibilities; documenting case details; determining whether payment is warranted
Leads claim investigations by conducting ongoing medical and legal reviews; commissioning field investigators and cause and origin specialists to determine claim origination.
Manages interpretation of medical reports and case information; reviewing records for preexisting conditions; referencing applicable case law/statutes; and presenting claim reviews and decisions to senior management for approval or guidance
Minimizes legal exposure by securing services of outside legal counsel; attending and participating in arbitrations; auditing and paying outside counsel invoices; assessing impact claim may have on case law and precedent prior to making claim payment; and structuring complex settlements
Manages negotiations with customer, customer's attorney, or third party to resolve claims by sharing investigative results and rationale; listening to claimant perspective and arguments; influencing claimant's perspective; and coming to consensus on appropriate and final resolution.
Army National Guard Sergeant 92A Automated Logistical Specialist
US Army National Guard
02.2007 - 02.2019
Manage and supervise warehouse functions including records retention, parts, and cyclical inventory counts in accordance with established procedures
Increase cost effectiveness though direct corrective actions to minimize spoilage, flavor contamination, and improper warehouse practices
Managed inventory control during Operation Iraqi Freedom and Operation Enduring Freedom.
Specialist IV, GSS-NA Inventory Control Team
Global Shared Services
10.2015 - 12.2016
Completed work assignments and priorities in inventory control by using policies, data, and resources; determined and recommended ways to address improvement opportunities
Provided customer service, support, and education to store, club associates and third-party vendors by validating manual adjustments and schedule corrections
Performed inventory reconciliations to determine annual shrink for stores and clubs by establishing warehouse receiving cutoffs
Ensured received merchandise was credited and undelivered merchandise was charged to purchases; verified accuracy of beginning inventory balances; validated facility and home office journal corrections
Analyzed current month activity for purchases, sales, and markdowns; identified and made facility-level adjustments
Obtained automated reports to determine and establish proper cutoff of purchases, sales, and markdowns for the inventory period; entered, reviewed, and verified special circumstance inventory corrections.
Specialist II, GSS
Global Shared Services
08.2014 - 10.2015
Completed work assignments and priorities in the Call Center
Complied with company policies, procedures, and standards of ethics and integrity
Provided customer service to internal and external call center customers regarding SAP, Accounts Payable, Accounts Receivable, General Ledger, Enterprise Asset Management, Master Data Management and Operational questions
Knowledge of Remedy software and Wal-Mart specific financial systems.
Connection Center Sales Associate
Sam’s Club #8209
08.2010 - 08.2014
Completed transactions for members, informed members of phone contract details, ran credit checks, activated phones, conducted morning and evening inventory and sales
Assisted other departments as needed.
Membership Sales Associate
08.2010 - 08.2014
Dealt with all facets of customer relations including but not limited to credit checks, membership applications, returns, outside sales, inventory, customer and product issues and complaints.
Education
Associates of Applied Science in Business Management -
Northwest AR Community College
Fort Chaffee, AR -
Structured Self Development 1
04.2015
Fort Lee, VA -
Basic And Advanced Individual Training
Fort Lee, VA
10.2007
Skills
Community Outreach
Performance Tracking
Client Advocacy
Regulatory Compliance
Records Management
Case Management
Working Knowledge And Skills
Over 8 years of experience in data entry, sales and customer service
Proficient in Microsoft Office Suite
Familiar with working in a busy, fast-paced environment and multi-tasking
Very detail oriented and logical thinker, with excellent scientific, reasoning, analytical and problem solving skills
Flexible and adaptable – possess the ability to learn new software and other tasks very quickly and easily
Served as a Non-Commissioned Officer in the military with a proven track record of achieving results
Timeline
OPD/ BI Case Manager
Claims Management
12.2016 - Current
Specialist IV, GSS-NA Inventory Control Team
Global Shared Services
10.2015 - 12.2016
Specialist II, GSS
Global Shared Services
08.2014 - 10.2015
Connection Center Sales Associate
Sam’s Club #8209
08.2010 - 08.2014
Membership Sales Associate
08.2010 - 08.2014
Army National Guard Sergeant 92A Automated Logistical Specialist
US Army National Guard
02.2007 - 02.2019
Associates of Applied Science in Business Management -
Account Service Representative/Administrative Assistant at Arvest Bank Group Inc.Account Service Representative/Administrative Assistant at Arvest Bank Group Inc.