Samra Aziz
Spring
Summary
Dynamic Benefits Advisor Specialist at Aon Hewett with a proven track record in needs assessment and customer service excellence. Expert in insurance products, achieving over 600 enrollments in a single year. Strong problem-solving abilities and adept at team supervision, driving efficiency and client satisfaction in high-pressure environments.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Disability Benefits Examiner
The Standard
Portland
05.2023 - Current
- Performed quality assurance reviews on completed claims ensuring accuracy of documentation.
- Researched complex issues related to specific cases involving multiple parties or unusual circumstances.
- Reviewed and analyzed claims to ensure accuracy of information, completeness of medical records, and compliance with policy terms.
- Conducted interviews with claimants, employers, physicians and other healthcare providers to obtain additional information relevant to the claim.
- Adhered strictly to company standards when evaluating cases for payment authorization.
- Provided technical guidance and advice to management concerning claim adjudication processes and procedures.
- Participated in training sessions designed to keep abreast of industry developments.
- Identified potential fraud by analyzing data for any irregularities or discrepancies.
- Maintained accurate files containing all relevant documents pertaining to each claim.
- Monitored progress throughout the life cycle of each claim ensuring timely resolution.
- Interacted professionally with customers providing clear explanations for decisions made regarding their claims.
- Compiled evidence from various sources such as medical records, employment histories, and legal documents.
- Gathered and analyzed information to determine the extent of liability.
- Resolved customer inquiries regarding claims status in a timely manner.
- Verified application data and account information against legal documentation to determine accuracy and integrity.
Short Term Disability Case Manager
Blue Cross and Blue Shield
Atlanta
01.2022 - 05.2023
- Coordinated services between claimants and other agencies such as Social Security Administration, state vocational rehabilitation offices.
- Maintained detailed records of all activities related to each case file including phone calls, correspondence.
- Conducted telephone interviews with claimants to gather information regarding their medical conditions.
- Advised claimants on their rights and responsibilities under the applicable laws governing short-term disability claims.
- Analyzed data from various sources to make decisions regarding eligibility for benefits.
- Ensured that all required forms are completed accurately before submitting them for review by supervisors.
- Monitored progress of open cases on a weekly basis, providing follow up support as needed.
- Developed strategies for improving efficiency in the processing of short-term disability claims.
- Reviewed claim denials for accuracy prior to sending out notification letters to claimants.
- Provided customer service support via telephone or email inquiries related to short-term disability claims status updates.
- Evaluated requests for reasonable accommodations from disabled workers in accordance with company policies.
Long Term Disability Case Manager
Reed Group Ltd
The Woodlands
06.2018 - 01.2022
- Organized and maintained case files, ensuring accuracy and completeness of data.
- Reviewed and evaluated disability claims to determine eligibility for long-term benefits.
- Coordinated with insurance companies to obtain authorization for extended disability benefits.
- Facilitated communication between all parties involved in the claim process.
- Provided counseling services to assist claimants in understanding their rights under the policy.
- Maintained contact with claimants throughout their period of disability to ensure compliance with treatment plans and benefit requirements.
- Analyzed claimant's current situation and determined whether they would be able to return to work in some capacity following recovery from illness or injury.
- Resolved conflicts between insurance providers and claimants concerning coverage issues.
- Prepared correspondence informing clients about decisions made regarding their claim status.
- Conducted in-depth interviews with claimants to assess their medical history and job responsibilities.
- Spoke to community groups to explain and interpret purposes, programs, and policies.
- Determined organizational policies regarding program eligibility, requirements and benefits.
- Analyzed proposed legislation, regulations or rule changes to determine impact of services.
Benefits Advisor Specialist
Aon Hewett
The Woodlands
05.2015 - 05.2018
- Conducted needs assessments for corporate clients, evaluating future insurance requirements for employees.
- Provided comprehensive insurance options tailored to employee needs.
- Demonstrated expertise in multi-tasking within fast-paced environments.
- Educated employees transitioning from group to individual health coverage, utilizing extensive plan knowledge.
- Achieved top sales producer status with over 600 customer enrollments during 2015 AEP.
- Maintained highest efficiency rating and consistently received top scores in customer satisfaction.
- Possessed in-depth knowledge of insurance terminology and various product offerings, including disability programs.
- Held licenses across five states, enhancing service capability.
Sales and Security Representative
ALL CLEAR LLC
12.2013 - 04.2014
- Conduct passenger security, background checks, biometrics-iris scans and verifications at Bush International Airport. Promote Clear services to travelers in the form of new enrollments into the program.
- Top producer in sales for All Clear IAH (Bush International Airport)
- Surpassed quarterly sales quota by 150%
- Selling all Clear products and services to travelers
- Conducting security procedures for new enrollments
- Verification through biometrics and Iris scans
- Consistently exceeding customer service and client relations standards
Executive in Charge/Administrative Assistant
MACY’S INC
10.2012 - 12.2013
- Coordinated all administrative functions and sales floor management such as problem solving, trouble shooting, organizational and time management, and providing support to over 60 store associates and assisting customers and providing customer service over the span of 14 departments.
- Scheduled all associates shifts and breaks to maintain executive staffing strategies
- Candidate selection, interviews and onboarding
- Developed, assisted and maintained efficiency in day-to-day operations of all departments
- Provided superior customer service levels
- Enhanced customer shopping experience
- Strategically managed associate relations and communication
- Case management on individual associate basis.
Store Manager
EL TORO MEAT MARKET
03.2010 - 07.2012
- Coordinated all store functions
- Developed efficiency-enhancing workflow/process improvements that made it possible to accommodate increasing responsibilities, such as employee benefits, leave, disability leave, problem solving, trouble shooting, multi-tasking, and record keeping in relation to workers compensation.
- Decreased store expenditures 10% by implementing needed controls on stock/supplies and standardizing ordering procedures
- Performed all human resource functions, administrative and strategic.
- Coordinated and partially conducted employee trainings
- Customer service/relations
- Responsible for sales and marketing campaigns
Managing Director
Hyatt International Travel & Tours (Pvt Ltd)
08.2004 - 10.2007
- Owned and operated the entire business, functioned as primary liaison to customers and ensured a consistently positive customer experience.
- Quickly became a trusted entity in the travel industry and earned a reputation for maintaining a positive attitude and producing high-quality tours and travel packages to niche market travelers
- Supervised a staff of six employees
- Developed all strategic and administrative human resource functions such as shifts, schedules, trainings, workers compensation, labor laws provisions effecting employees and insurance
- Helped drive a gradual increase in sales and profits from the ground up
- Strategically increased market awareness of my business and increased customer base while evaluating customer satisfaction through surveys and promotions to access current market trends
- Created automated daily stats report that reduced inaccuracies
Assistant Sales Manager
COUNTRY EXPRESS (General Sales Agent for United Airline)
07.2001 - 08.2004
- Worked in the capacity of Assistant Sales Manager overlooking all office managerial duties including staffing, payroll, and operations reporting directly to the Managing and Executive Director.
- In addition, I was responsible for sales and marketing strategies and was the liaison person between the organization and the American Embassy.
- Hired staff with job specific skills and experience
- Responsible for developing a customer base and market awareness
- Responsible for the generation of weekly/ monthly revenue sales reports, business growth reports and feedback reports from customers and corporate clients
- Created innovative marketing campaigns to drive a gradual increase in sales and profits from the ground up
Sales and Marketing Representative
AVIONA (PVT) LTD (General Sales Agents for British Airways)
10.1999 - 06.2000
- Worked in the capacity of Sales and Marketing representative. Responsibilities included sales promotion, market analysis reports, customer relations and corporate affairs
- Responsibilities included sales and marketing, by initiating sales and marketing campaigns
- Responsible for corporate affairs
- Customer Relations involving looking after corporate clients, trouble shooting, complaints and feedback
Education
Bachelor of Science - Applied Psychology
University of Houston Downtown
Houston TX 07-2020
Associates of Science - Geology
Lone Star College
Houston, TX07-2020
Associates of Arts Degree, Cum Laude -
Lone Star College
Houston, TX01.2013
General Education Diploma - G.E.D
University of The State of NY
New York, NY01.1988
Skills
- Case Management
- Customer service
- Needs assessment
- Records Management
- Problem Solving skills
- Trouble shooting skills
- Report & Document Preparation
- Sales Report Generation
- Market Surveys/Analysis
- MS Office Suite
- Teambuilding & Supervision
- Staff Development & Training
- Office Management
- Time Management
Certification
- State certification in insurance, 03/31/27
- Human Resource Development certificate, Rice University
- Human Resource Certification, Lone Star College, Houston, TX, 2011
- Leadership Certificate, Lone Star College, Houston, TX, 2008
- COR/AED/First Aid Certified, Red Cross, Houston, TX
References
Available on request
Languages
- English
- Urdu
- Hindi
Affiliations
- Volunteering
- Active community memeber
Languages
Hindi
Professional
Urdu
Native/ Bilingual
References
References available upon request.
Timeline
Disability Benefits Examiner
The Standard
05.2023 - Current
Short Term Disability Case Manager
Blue Cross and Blue Shield
01.2022 - 05.2023
Long Term Disability Case Manager
Reed Group Ltd
06.2018 - 01.2022
Benefits Advisor Specialist
Aon Hewett
05.2015 - 05.2018
Sales and Security Representative
ALL CLEAR LLC
12.2013 - 04.2014
Executive in Charge/Administrative Assistant
MACY’S INC
10.2012 - 12.2013
Store Manager
EL TORO MEAT MARKET
03.2010 - 07.2012
Managing Director
Hyatt International Travel & Tours (Pvt Ltd)
08.2004 - 10.2007
Assistant Sales Manager
COUNTRY EXPRESS (General Sales Agent for United Airline)
07.2001 - 08.2004
Sales and Marketing Representative
AVIONA (PVT) LTD (General Sales Agents for British Airways)
10.1999 - 06.2000
Bachelor of Science - Applied Psychology
University of Houston Downtown
Associates of Science - Geology
Lone Star College
Associates of Arts Degree, Cum Laude -
Lone Star College
General Education Diploma - G.E.D
University of The State of NY
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