Taylor Marie Jones

My primary responsibility of being an Onboarding Ambassador is to work directly with our Healthcare Professionals (HCP) by managing them through the onboarding process to ensure accurate and timely receipt of all required facility documentation as well as facilitating resolution to any credentialing issues.

Responsibilities:

• Oversight of the credentials for HCPs confirmed for an assignment. This includes preparing the contract and the needed document list and remaining in contact with the HCP to ensure all requirements are met for their expected start date. I often interact with other internal departments on status of documentation requirements.
• Oversight of the credentials for HCPs currently on assignment. Alert and work with existing healthcare professionals and internal departments on expiring documents to ensure 100% compliance.
• Follow up for results of criminal background searches, metabolic drug screenings and infectious disease titers and other clinical testing with appropriate vendors.
• Ensure accurate background searches are started and complete in a timely and efficient manner to meet the mandated document due date.
• Inspect HCP documents prior to sending to imaging storage system.
• Work with licensure team to facilitate the issuance of licensure in order to meet the start date requirement.
• Promote, foster and maintain optimal relationships across departmental and company lines to influence positive results
• I also perform duties that are assigned to me when coverage is needed for the team .

Job Description:
Administrative

• Handles sensitive workers Compensation/Auto Liability claims information in a confidential manner.
• Inputting claims following the guidelines of Monro Inc. claim programs.
• typed on average 60 words per minute.
• Proficient with Microsoft Office Suite.
• Comfortable with communicating on the phone, instant messenger, and prompt responses to e-mail’s.
• often pay close attention to detail and ability to multitask.
• Developed and maintain filing systems, contact lists, creating and generating reports, copying, binding, and scanning.
• Enforcement and execution of the risk management policies/procedures (insurance, claims).
• Positively represent the Risk Management Department by contributing to the team effort by accomplishing related results as needed.
• I handle retail operations and recommends appropriate preventive safety policies, procedures and training to the Risk Management Leadership Team.
• Oversees floor when management team is unavailable.
• Knowledge of Workers' Compensation law, policies and procedures.

Investigates, evaluates & settles the most complex claims with minimal supervision.
I am also able to recognize Third Party claims, assign subrogation and interact with Legal Hearing Staff.
Identifies and advises management of trends, problems, and issues as well as recommended course of action.
Identifies and makes recommendations for continuous process improvement.
Supports Legal Hearing Staff with litigation process to ensure timely and cost effective claims resolution.
Prepares for and attends Client meetings.
Manages all High Dollar claims to monitor for any adjustments the company can do to adjust our settlement options .
I coach/mentor new onboard Adjusters.
I successfully negotiate the settlement and disposition of claims.
as well as maintain communications with client, vendors and excess carriers.
Maintenance, Development, and TrainingPartner with the Risk Management Leadership Team in the oversight of Monro Risk Management policies and procedures such as:

• Being a part of a strong staff of risk and safety Team Members within the field organization.
• Attends when requested conferences and other trainings to stay current on risk, claims, and safety developments.
• Provides regular communication to the Risk Management Leadership Team on key areas of opportunity.
• Look for ways to utilize IT Systems to automate the reporting and tracking of risk metrics.
• Physical Requirements:
• Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA, and other federal, state, and local standards including meeting qualitative and productivity standards.
• Ability to maintain regular, punctual attendance consistent with the ADA, FMLA, and other federal, state, and local standards.
• lifted and carried up to 25 lbs.

OSHA SAFETY POLICY AND PROCEDURES:
I also perform annual review of all health safety programs to ensure compliance with local, state and federal regulations and reflects current company policies and practices, and incorporates and applicable changes that have occurred.
i also Conform to all OSHA regulations.
As well as develops health safety training modules.

I assisted customers with help taking out loans financing furniture as well as assisted them with taking payments on previous purchases paying off previous debts.

RESPONSIBILITIES

• Administers various benefit programs including, but not limited to: self-funded medical, prescription, dental, vision, flexible spending accounts, health savings accounts, COBRA disability, life insurance, AD&D;, voluntary benefits, tuition benefits, retirement plans while maintaining an in-depth understating of all benefit programs and eligibility requirements.

• Serves as a benefits subject matter expert and communicates effectively with employees, all Human Resources functional areas, and leadership across RRH.

• Provides excellent customer service to all customers (employees, management, vendors) in answering benefit/policy questions and assisting with problem resolution. Follows through on all questions/problems until satisfactory completion is assured .

Responds to and resolves written, telephone and personal inquiries from clients and/or subscribers concerning policies and procedures in a professional and efficient manner. Coordinates and monitors daily activities for COBRA, Third Party Billing Administration and Medicare Part D to ensure regulatory requirements & established standards and deadlines are met.

Essential Responsibilities/Accountabilities :

• Maintains COBRA, Association, Retiree and Premium Billing, Blue Care and Medicare Part D databases. Researches and resolves eligibility determinations on behalf of the client.

• Maintains current with changes in COBRA, Premium Billing and Medicare Part D rules and legislation or other relevant changes. Maintains current knowledge of LBS policies and procedures, IRS & DOL regulations governing Cobra rules and regulations and policies and benefits.

• Works with Carriers to assure all billing activities meet the needs of the client and the carrier.

• Assists with new client implementation to establish working relationships and service requirement agreements.

• Performs additional tasks, as necessary, to meet client needs.

• Consistently demonstrates high standards of integrity by supporting the Lifetime Benefit Solution’s mission and values and adhering to the Corporate Code of Conduct, and Leading to the Lifetime Way values & Beliefs.

• Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.

• Performs other functions as assigned by management.

Essential Duties & Responsibilities

Primary Duties – Research/Analyze:

• Observe, receive, and otherwise obtain information from all relevant sources * Gather all required documentation to file claims * Use computers and computer systems to enter data and process information * Enter and maintain information in written or electronic form * Update client systems * Identify missing documentation and request from clients, attorneys, and/or property preservation companies * Prepare claims and or related documents and review for completeness * Use relevant information and individual judgment to review and file claims based upon all federal, state, client and company policies, procedures and regulations. * Accurately calculate amounts of claims * Balance claims to client systems * Comply with federal, state, and company policies, procedures, and regulations * View reports daily to ensure processing is being conducted on a timely basis * Develop constructive and cooperative working relationships with clients and other employees, and maintaining them over time * Reconcile or note and report discrepancies found in documentation and claims * Manage and review quality control corrections * Make phone calls to clients and vendors for claim status.

Secondary Duties – Included

• Perform day to day administrative tasks such as maintaining information files and processing paperwork * Various projects as assigned by management * Provide information to supervisors, co-workers, and subordinates by telephone, written communication, and/or in person.

Duties / Responsibilities:

Answer incoming calls from consumers including the general public, prospective enrollees and people assisting enrollees or acting on their behalf in accordance with all performance standards, policy and procedures, and protocols.

Process new applications for health care coverage via the telephone including building tax household, household income, eligibility determinations, interpreting determinations made by the Marketplace, and enrollment into health plans.

Process life event changes, demographic updates, disenrollment requests, and special enrollment periods as requested.

Transfer/refer consumers to appropriate entities according to the established guidelines.

Perform co-browse interactions with consumers seeking assistance with the application process via the NYSOH, as necessary

Facilitate the fulfillment of caller requests for materials via mail, email, or download.

Respond to all inquiries consistent with confidentiality and privacy policies and refers callers to alternate sources when appropriate.

Escalate calls or issues to the appropriate designated staff for resolution as needed.

Track and document all inquiries using the applicable systems.

Facilitate translation services for non-English speaking callers according to procedures.

Attends meetings and trainings as requested and maintains up-to-date knowledge of all programs and systems.

Meet Quality Assurance (QA) and other key performance metrics.

Responsible for adhering to established safety standards.

Must be able to remain in a stationary position for an extended period of time

Occasionally lifts, carries, or otherwise moves items weighing up to 25 pounds

Work is constantly performed in an office environment

Perform other duties as assigned by management.

Responsibility's Included :

supporting in a number of areas or zones including; customer service, stocking merchandise, helping return "go backs" from the fitting room to the sales floor, getting shoe requests for customers and assisting with the line in the cashier area or bagging merchandise.

Physical Demands :

stand; walk; use hands for firm and strong grasping; reach with hands and arms; talk and hear

occasionally sat down , climbed , bend, stoop, kneel, crouch, or crawl. I also frequently lifted or moved up to 25 pounds.

My Daily Responsibilities included Greeting customers with a smile

Taking accurate food orders

Preparing food

Partnering with other Crew and Managers to meet target goals during your shift

Restaurant Cleanliness

Ensuring items were well stocked.

As a Credentialing Specialist (I-9), my daily activities include :

• Conduct outreach via email, text, telephone, and/or in-person meetings to obtain citizenship information from employees.
• Review employee documents and confirm their validity.
• Once information has been compiled, key information into company database.
• Update database as needed to reflect new information regarding employee credentials, relevant job experience, etc.