Summary
Overview
Work History
Education
Skills
Timeline
Hiking and Cycling
Hiking and Cycling
Generic

Starmarie Simmons

Montgomery,TX

Summary

Experienced professional focused on meeting or exceeding objectives seeking Human Resources Generalist position. Offers advanced training and knowledge of industry best practices. Recognized for leadership, planning abilities and clear, direct communication style.

Overview

15
15
years of professional experience

Work History

Rating Veteran Service Representative

Veteran Administration
Remote, TX
12.2020 - Current
  • Provides technical advice to teams on automation requirements and systems capabilities to facilitate decisions based on policy, government law and regulations
  • Plan work to be accomplished by subordinates, sets goals and priorities, and prepares schedules for completion of work
  • Evaluate work performance of subordinates
  • Provide technical advice and assistance to resolve problems referred by staff
  • Identify ways to improve production and increase quality of organization
  • Review and analyze cases and determines adequacy and accuracy of financial documents submitted
  • Perform exams, audits, and determines adequacy, accuracy, and compliance with accounting principles and practices
  • Organize, review, reconcile and process accounts for both corporate and medical billing in VA headquarters
  • Manages and reviews accounts receivables, payables and confidential personnel information data
  • Audits billing, financial verification and data entry
  • Answers heavy phones while performing good customer service
  • Maintains Quality Assurance/ Quality Control
  • Checks documentation for accuracy and validity on updated systems.
  • Carries out administrative tasks by communicating with clients, distributing mail and scanning documents.
  • Verifies client information by analyzing existing evidence on file.
  • Generates posted and attached information to claim files.
  • Maintains strong knowledge of basic medical terminology to better understand services and procedures.
  • Creates contact with insurance carriers to discuss policies and individual patient benefits.
  • Assures timely verification of insurance benefits prior to patient procedures or appointments.
  • Presents insurance options to customers in order to close sales on new policies.
  • Collects premiums and issued accurate receipts.
  • Notifies insurance agents and accounting departments of policy cancellations and changes.
  • Determines appropriateness of payers to protect organization and minimize risk.
  • Coordinates with contracting department to resolve payer issues.
  • Reviews outstanding requests and redirected workloads to complete projects on time.
  • Calculates adjustments, premiums, and refunds.
  • Communicated effectively with staff members of operations, finance and clinical departments.
  • Modifies updated and processed existing policies.
  • Resubmits claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Maintains confidentiality of patient finances, records and health statuses.
  • Prepares insurance claim forms or related documents and reviewed for completeness.
  • Processes and recorded new policies and claims.
  • Post payments to accounts and maintained records.
  • Assures timely verification of insurance benefits prior to patient procedures or appointments
  • Reviews at least 75 veteran patient disability claim cases per week
  • Verifies veteran information by analyzing existing evidence on file
  • Carries out administrative tasks by communicating with clients, distributing mail and scanning documents
  • Maintains strong knowledge of basic medical terminology to better understand services and procedures
  • Communicates verification and authorization status updates with [claims department to facilitate decision-making for veteran disability ratings

Human Resources Specialist

Department of Defense
US Army
09.1997 - 05.2011
  • Have worked as Lead for 4 years in MWR (Moral Welfare Recreational) department OCONUS in recreational and fitness program for US Military and Overseas Contractors
  • Oversaw HR department of 15 employees, including hiring, training and conducting annual evaluations
  • Managed labor relations
  • Worked with employees and managers to develop and maintain strong relationships
  • Conducted interviews with prospects for different departments, verify work history and review background checks
  • Reviewed attrition reports, work with executives to develop and implement hiring campaigns
  • Created, distributed and analyzed employee surveys to improve working environment
  • Used PeopleSoft to manage employee records including start dates, raises, promotions and terminations
  • Provided reference checks to potential employers for former employees
  • Conducted background checks, requested drug screenings, checked references and filed new hire paperwork
  • Created monthly email for company and regulatory updates, increasing employee awareness
  • Answered employee questions regarding employment laws, company guidelines, payroll and benefits
  • Maintained records of health insurance, life insurance and 401(k)
  • Maximized team knowledge and productivity by training, monitoring and directing employees in application of best practices and regulatory protocols.
  • Maintained work structure by updating job requirements and job descriptions for positions.
  • Advocated for staff members and counsel supervisors to identify and resolve conflicts.
  • Completed projects on time and under budget while resolving complex issues for senior leaders.
  • Contributed to annual performance appraisals by working with supervisors to achieve consistency and compliance with established procedures.
  • Analyzed issues and employed improvement processes.
  • Launched company-wide HR strategies, practices and benefits and compensation policies to drive departmental and business objectives.
  • Implemented quality control initiatives to reduce downtime and increase revenue.
  • Reviewed existing policies and procedures to make recommendations for enhancing work productivity, recruitment, hiring processes and talent management
  • Conducted workplace compliance training to reduce liability risks and operate effectively
  • Contributed to annual performance appraisals by working with supervisors to achieve consistency and compliance with established procedures
  • Liaised between management and employees to deliver conflict resolution, alleviate problems and interpret compensation and benefits policies
  • Partnered with senior leadership to establish and develop corporate and HR policies and procedures
  • Performed budget analysis to control expenditures and predict future budget needs
  • Conserved time and improved workflows by handling special projects and emergency solutions
  • Oversaw and managed hiring process and assisted human resources
  • Planned and managed recruitment activities for new hires using strategic personnel, staffing and position management practices
  • Maintained work structure by updating job requirements and job descriptions for positions
  • Completed projects on time and under budget while resolving complex issues for senior leaders
  • Performed timely project management within budget constraints for issues regarding executive leadership
  • Implemented quality control initiatives to reduce downtime and increase revenue
  • Reviewed and screened applicant resumes to identify qualified candidates
  • Improved customer service rankings by quickly resolving issues to improve overall satisfaction
  • Delivered consultative services and recruited qualified and diversified candidates for employment
  • Fielded employee inquiries related to insurance, pension plan, vacation, sick leave and employee assistance
  • Advocated for staff members and counsel supervisors to identify and resolve conflicts

Education

Masters - Human Resources Management

Keller Graduated School
12.2021

Bachelor of Science - Human Resources Management

DeVry University
12.2020

Personnel Benefits Specialist US Army MOS Training -

Adjudant General Army Academy
Fort Jackson SC
02.1998

Skills

  • Excellent communication and interpersonal skills
  • Excellent sound judgement
  • Excellent Management Skills
  • Conflict resolution between coworkers and managers
  • Microsoft Word and Excel, advanced knowledge in PowerPoint and Access
  • Analytical thinking and creative problem-solving
  • Efficient in hiring and onboarding processes, including managing paper and electronic filing systems
  • Planning, Scheduling, Quality Control
  • Advanced knowledge of labor laws, insurance policies, payroll and retirement benefits
  • Creating Spreadsheets
  • Creating and conducting presentations
  • Data entry
  • Excellent Organizational Skills
  • Compensation and Benefits Administration
  • Health and Safety Programs
  • Exit Interviews and Processes
  • Compliance
  • Accounts Payable and Accounts Receivable
  • Employment Record Verification
  • Company Leadership
  • Job Matching
  • Accurate Records and Reports
  • Biweekly Payroll Processing
  • Onboarding, Training and Development
  • Confidential Document Control
  • Payroll Preparation
  • Employee Engagement Strategies
  • Employee Relations Oversight
  • Training Needs Analysis
  • Labor Relations Coordination
  • Personnel Information Systems
  • Company Organization
  • Compensation and Benefits
  • New Employee Orientation
  • Human Resources Department Processes
  • Employee Performance Reviews
  • Equal Opportunities Facilitation
  • Payroll Coordination
  • Operational Requirements
  • Advising and Coaching

Timeline

Rating Veteran Service Representative

Veteran Administration
12.2020 - Current

Human Resources Specialist

Department of Defense
09.1997 - 05.2011

Masters - Human Resources Management

Keller Graduated School

Bachelor of Science - Human Resources Management

DeVry University

Personnel Benefits Specialist US Army MOS Training -

Adjudant General Army Academy

Hiking and Cycling

I enjoy Hiking and Cycling as apart of my weekly fitness regiment

Hiking and Cycling

I enjoy Hiking and Cycling as apart of my weekly fitness regiment

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Starmarie Simmons