Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level position. Ready to help team achieve company goals.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude.
Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
15
15
years of professional experience
Work History
FMLA Claims Case Manager II
Guardian Insurance Company
07.2020 - Current
Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
Enhanced communication between clients and providers through consistent follow-ups and progress updates.
Exceeded performance metrics by efficiently managing a high volume of claims cases simultaneously.
Played an active role in the continuous improvement of claims case management processes by providing feedback and suggestions during team meetings, contributing to overall departmental growth and success.
Improved claim resolution times by implementing efficient case management strategies.
Served as a mentor to new hires, guiding them through the intricacies of claims case management processes and systems usage.
Increased customer satisfaction ratings by providing empathetic support and routinely updating clients on case progress.
Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
Intake Specialist
Guardian Insurance Company
03.2016 - Current
Directed calls to appropriate individuals and departments.
Developed reputation as an efficient service provider with high levels of accuracy.
Responded to all customer inquiries thoroughly and professionally.
Resolved all customer complaints in a professional manner while prioritizing customer satisfaction.
Answered customer telephone calls promptly and in an appropriate manner.
Managed a high volume of incoming calls from policyholders, demonstrating excellent communication skills and empathy during stressful situations.
Handled sensitive client information with discretion, adhering to strict privacy policies and confidentiality standards at all times.
Improved customer satisfaction levels by promptly addressing concerns and providing clear explanations of claim decisions.
Provided support to case managers as needed, assisting with research or documentation requests for ongoing claims investigations.
Cafeteria Aide
Plano Independent School District
10.2014 - 05.2015
Provided exemplary service to students, staff, and visitors.
Received and stored incoming supplies according to procedures.
Served food according to temperature, safety, and presentation guidelines.
Cleaned and sanitized surfaces, tools, and equipment.
Restocked condiments, beverages, and utensils per expected use levels.
Prepared ingredients and recipe components ahead of time.
Cooked food per recipe requirements in large batches for routine school breakfasts, lunches, and special events.
Stocked and maintained cleanliness of stations.
Cleaned meat aisles, storage areas and work areas, following all health and safety guidelines.
Washed and disinfected kitchen area, floors, tables, tools, knives and equipment.
Sorted, soaked and washed flatware.
Immediately reported accidents, injuries or unsafe work conditions to manager.
Packaged and labeled products.
Provided friendly and attentive service.
Assistant Property Manager
AIMCO
06.2012 - 07.2013
Escalated any major issues to the property manager for immediate remediation.
Validated rental eligibility by using Steeplechase Apartment's verification process.
Resolved conflicts between tenants in the most effective manner.
Showed apartments to potential tenants and answered questions regarding the community.
Ensured policies and rules were followed by all tenants.
Processed security deposit refunds.
Kept accurate records of all resident and tenant correspondence.
Developed policies and procedures for effective property management.
Negotiated and finalized contracts with new and existing customers.
Worked with support teams to resolve issues with product, service or accounting areas.
Followed up on delinquent tenants and coordinated collection procedures.
Coordinated move-ins and move-outs, ensuring smooth transitions for both tenants and property management team.
Assistant Director
Small Miracles Academy West Plano Campus
08.2009 - 06.2012
Tracked key business metrics and made recommendations for proactive adjustments to policies and procedures.
Trained and mentored new employees on industry practices and business operations.
Oversaw purchasing and organization inventory.
Established budgets and documented expenses.
Lead teams of professionals in special projects and daily operations.
Monitored each student’s educational progress with individualized charts and files.
Instructed children in health and personal habits, such as eating, resting and using the toilet.
Maintained accurate accounting of tuition and operating reports.
Interviewed parents and children for enrollment.
Communicated openly with children's parents about daily activities and behaviors.
Maintained a child-friendly environment with access to outdoor activities.
Hired and trained staff.
Implemented curriculum.
Established a safe play environment for the children.
Developed and rolled out new policies.
Maintained a safe play environment by emphasizing and maintaining cleanliness and organization.
Built constructive and open relationships with families with forthright yet friendly communication.
Designed monthly activity schedules.
Education
Willowridge High School
Houston, TX
Some College (No Degree) - Early Childhood Education
Prairie View A & M University
Prairie View, TX
Skills
Quick learner
Multi-line phone talent
Exceptional communication skills
Trusted key holder
Goal-oriented
Positive and friendly
Excellent work ethic
Active listening skills
Natural leader
Exceptional time management skills
Training development aptitude
MS Windows proficient
Creative problem solver
Skilled problem solver
Strong interpersonal skills
Employee relations
People-oriented
Computer literate
Detail-oriented
Strong conflict resolution skills
Motivated team player
Claims Investigation
Claims Processing
Policy Interpretation
Quality Assurance
Relationship building and management
Timeline
FMLA Claims Case Manager II
Guardian Insurance Company
07.2020 - Current
Intake Specialist
Guardian Insurance Company
03.2016 - Current
Cafeteria Aide
Plano Independent School District
10.2014 - 05.2015
Assistant Property Manager
AIMCO
06.2012 - 07.2013
Assistant Director
Small Miracles Academy West Plano Campus
08.2009 - 06.2012
Willowridge High School
Some College (No Degree) - Early Childhood Education
Lead Engineer at Guardian Life Insurance Company of America (A Fortune 250 Company)Lead Engineer at Guardian Life Insurance Company of America (A Fortune 250 Company)
Director/Head of Payroll Services at Guardian Life Insurance Company of AmericaDirector/Head of Payroll Services at Guardian Life Insurance Company of America