Dynamic leader with proven expertise in advocacy and customer service, honed at Elder Services of Berkshire County, Inc. Working to recruit, train, and supervise volunteers and enhancing program efficiency. Skilled in relationship building and computer savvy, adept at navigating complex regulatory environments to ensure compliance and champion resident rights.
Overview
17
17
years of professional experience
Work History
OMBUDSMAN PROGRAM MANAGER
Elder Services of Berkshire County, Inc.
Pittsfield, MA
07.2024 - Current
Trained and Certified by State Ombudsman Program to oversee Ombudsman for 12 Long-Term Care Nursing Homes throughout Berkshire County
Recruit, train, and supervise a team of ESBCI Ombudsman volunteers
Provide Ombudsman staff and volunteers with ongoing mentorship and support through training and monthly volunteer meetings
Regularly meet with ESBCI leadership about program challenges and act as a liaison between the agency and the State LTC Ombudsman office
Provide ESBCI leadership with accurate and timely monthly reports regarding program numbers and related data
Regularly monitor the area's long-term care and rest home facilities to ensure compliance with regulations and best practices
Collaborate with Department of Public Health officials to highlight areas needing improvement during facility certifications and inspections
Conduct thorough investigations of complaints referred by the State Long Term Care Ombudsman Office and report findings
Provide enhanced oversight and advocacy at facilities under enforcement actions or other critical circumstances impacting resident care
Participate in regular and ad hoc State meetings to align on strategies, share insights, and collaborate on program initiatives
Lead informational sessions in facilities to educate staff and residents about the program and resident rights to promote understanding and compliance
Raise general awareness about the program through community presentations, seminars, and distribution of informational materials
Regularly update and refine program procedures to ensure consistency and efficiency for staff and volunteers
Transition - Relocation and Career
Self
Goshen, MA
10.2023 - 05.2024
ANCILLARY SALES SUPPORT/PROPOSAL SPECIALIST
Aetna/CVS Health
Atlanta, GA
06.2018 - 10.2023
Managed customer inquiries, ensuring timely and accurate responses to support sales efforts
Collaborated with various departments to ensure seamless delivery of ancillary services to clients
Cultivated relationships both within and outside company
Implemented New Sales for a smooth turnover to the Account Manager
National Account for 1 year
Southern Region Accounts for 3 years, (including DBO and Premium Waiver)
Priority Accounts 2 years, (including DBO and Premium Waiver)
Transition - Family and Self Growth
Self
Cumming, GA
09.2016 - 05.2018
LONG-TERM DISABILITY SENIOR ABILITY ANALYST
The Hartford
Alpharetta, GA
03.2010 - 08.2016
Conducted thorough review of medical records to determine eligibility for disability benefits
Collaborated with medical professionals to assess functional limitations and vocational capabilities
Utilized knowledge of disability laws to make fair and accurate benefit determinations
Provided exceptional customer service by addressing inquiries and concerns regarding disability claims
Mentored new and developing analysts
Active participation within Diversity & Inclusion and VISION (employee engagement committee)
SHORT-TERM DISABILITY INTAKE ANALYST II
The Hartford
Alpharetta, GA
10.2007 - 02.2010
Conducted thorough intake assessments to determine eligibility for short-term disability benefits
Reviewed complex medical documentation to make accurate benefit determinations within strict timelines
Collaborated with internal teams and external stakeholders to ensure timely claims processing
Utilized strong communication skills to provide outstanding customer service and support to claimants
Handled high call volumes, help line and tax unit questions