Tamara Adams
Chicago,IL
Summary
AREAS OF STRENGTH / EDUCATION 15+ Years Management experience 8 Years Benefit Authorizer / Legal Rates Specialist
Overview
19
19
years of professional experience
1
1
Certification
Work History
SSA - GLPSC HWWSCBenefits Authorizer
09.2014 - Current
- Respond to beneficiary inquiries and issues concerning Medicare and benefit payments
- Perform research and obtain additional information from CMS, field office agents and representatives for beneficiaries
- Consult with claims specialist and attorney to resolve benefit, attorney fees discrepancies
- Conduct daily case analysis of beneficiary records, payment history, resolve inaccuracies and maintain integrity of records
- Conduct interviews through #800 to obtain, clarify and verify information about individual applicants’ initial and post-adjudicated actions on their Master Beneficiary Record (MBR) and resolve payment and documentation issues
- Provide technical guidance through daily us of Policy Net to assist with resolution of claim discrepancies that may hinder accuracy and efficient processing of claims and post-adjudicated actions
- Assist other agents with processing of complex cases such as Appeals, rate adjustments and overpayments ensuring the integrity of the MBR
- Provided administrative review of applicant claims and adjusted benefit rates and records as needed
- Address congressional cases, communicated determinations of reconsiderations and claims and interpreted policy to ensure legal and fiscal accuracy of funding trust averaging case completion of 89% over past year
- Participate in developing and implementing special projects in coordination with councils and training modules by providing input to improve or correct policy
- Develop, investigate and resolve discrepancies on claims and other complex case to ensure updates to MBRs meet accuracy standards.
General Manager
BOOKS-A-MILLION, CHICAGO
12.2012 - 06.2014
- Responsible for $1.5 million 8,000 sq
- Ft
- Retail bookstore and cafe in busy downtown Chicago
- Maximize sales and profits for all departments to insure store goals are achieved
- Ensure high levels of Customer Service
- Maintain a high level of visibility on the sales floor to customers and Associates while monitoring all areas of the store
- Develop each Co-Manager’s understanding of the objectives to be accomplished and the authority to complete said goals
- Identify and implement the standards of performance for each job in the store and work with the Associates to achieve maximum performance
- Created training database to track employee skill assessments and areas of training opportunities creating data for productive performance appraisals.Performed administrative and clerical processes using a computer to reconcile discrepancies in confidential personnel files and sales reports to corporate office
- Created correspondence in response to complex inquiries for technical information to set up computer and register software and resolve sales systems issues
- Prepared a variety of other types of written work products including daily and weekly sales, loss prevention and performance reviews
Customer Service Assistant
10.2010 - 10.2011
- Directed staff engaged in ensuring the integrity of the Reserve collection and inter-library loan items and in providing direct public service to students, faculty and patrons
- Maintained and updated patron accounts integrated with HORIZON library database collection, Reserves and Inter-library loan departments ensuring accuracy
- Supervise staff of library technicians providing administrative and technical supervision necessary for accomplishing the work of maintaining accurate inventory of Reserve collection and inter-library loan items
- Lead project design to develop efficient work flow and improve shelving accuracies using LEAN methodology and project management standards improving accuracy by 7% over previous fiscal year
- Responsible for administrative and clerical processes using a computer to reconcile discrepancies pertaining to patron accounts which included students, university employees and international patrons in regards to documents and library policy and procedures.
REGENSTEIN LIBRARY, UNIVERSITY OF CHICAGO
01.2008 - 01.2011
Collections Maintenance Assistant
06.2008 - 10.2010
- Maintained A & B Level of Regenstein collection including Harvard –Yen Ching collection
- Assisted with overseeing the check-in of 700,000 library items yearly
- Assisted in the routine training of student staff including shelf reading, shelving and special projects
- Prioritized daily work flow and ensured accuracy of check-in and shelving
- Researched and analyzed data of three databases in the performance of library operations and duties
- Designed algorithm used for special shelving projects to improve spatial utilization of Closed Stacks, Harvard-Yen Ching and standard collection (one-third of 4.5 million item Regenstein collection)Overhauled circulation returns workflow improving efficiency and accuracy of shelving by 11% over previous fiscal year
- Facilitated new training methods to increase opportunities to train through use of computerized, written and hands-on testing.
Assistant Bookstore Manager
Borders Express
01.2005 - 06.2008
BORDERS GROUP INC
01.2004 - 01.2008
Training Store Senior Bookseller
Walden BooksAlpharetta
01.2004 - 11.2005
- Responsible for planning, coordinating and supervising daily work processes and assigning bookstore operations
- Provided exceptional customer service to diverse customer demographic of internal and external customers
- Knowledge of principles of training and development, organization and use of records, common business practices associated with ordering and processing sales
- Investigated patron issues to resolution and prepared professional records and correspondence.Planned and prepared inventory of $1.5 million bookstore and additional seasonal kiosks.Developed customer engagement strategy to improve customer satisfaction, streamline work processes and improve sales by 20% over previous year with creation of G.A.P.S
- Sales technique.Supervised set-up, operation and take-down of seasonal business as manager for $250K holiday satellite store
- Selected as Store Trainer for Managers-In-Training, and Mall Liaison for marketing events in coordination with mall management.
Education
African American Studies
Roosevelt University
Chicago, ILNonprofit Management
North Park University
Chicago, ILCertification - Nonprofit Management
Roosevelt University
Chicago, ILAfrican American Studies
Bradley University
Peoria, ILCertification - Project Management
University of Chicago
Chicago, IL04.2009
Skills
- SPECIAL SKILLS
- Microsoft Office Suite including: Access, Excel and Outlook
- Social Security Administration automation tools : MacPASTE, RATES,
- ICF WIZ, ENB, MEDICARE CALCULATORS et al
- MACADE & MCS
- POLICYNET
Certification
AWS CLOUD PRACTITIONER CERTIFICATION
Languages
Spanish
Elementary
English
Native or Bilingual
Kiswahili
Elementary
Italian
Elementary
Greek
Elementary
Hebrew
Elementary
Timeline
SSA - GLPSC HWWSCBenefits Authorizer
09.2014 - Current
General Manager
BOOKS-A-MILLION, CHICAGO
12.2012 - 06.2014
Customer Service Assistant
10.2010 - 10.2011
Collections Maintenance Assistant
06.2008 - 10.2010
REGENSTEIN LIBRARY, UNIVERSITY OF CHICAGO
01.2008 - 01.2011
Assistant Bookstore Manager
Borders Express
01.2005 - 06.2008
BORDERS GROUP INC
01.2004 - 01.2008
Training Store Senior Bookseller
Walden BooksAlpharetta
01.2004 - 11.2005
African American Studies
Roosevelt University
Nonprofit Management
North Park University
Certification - Nonprofit Management
Roosevelt University
African American Studies
Bradley University
Certification - Project Management
University of Chicago
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