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Qualifications for Human Resources Specialist
Highly-qualified human resources specialist with over 15
years of experience in the medical, construction, and retail industries.
Well-versed in organizational development, employee retention, succession
planning, benefits coordination, outsourcing, conflict resolution/arbitration,
employee tracking and human resource technology tools. Combines a strong
background in office management, project scheduling and workforce
management. Delivers expertise in
organizational development by providing structure, processes, and services that
create effective and efficient operations in alignment with forward-looking
business strategies.
·
Over
20 years of experience in professional, high-volume, and demanding environments
requiring bilingual fluency in English and Spanish.
·
Consistently
ranked the number one analyst at Surety Company of the Pacific based on highest
volume of claims resolved and salary.
·
Personally
responsible for the translation, validation, and dissemination of benefits
information to Spanish-speaking staff of the United Rentals Corporation’s over 15,000
employees that ensured the integrity of Spanish translations of corporate human
resources documents.
·
Successfully
negotiated vendor claims and settlements for major medical-services providers.
·
Managed
medical-services suppliers and other vendor expectations and relationships.
Benefits Administrator United
Rentals Inc. (
Served
as the primary human resources liaison to internal employees for
corporate-wide benefits processing and awareness programs, and sole provider of
bilingual benefits presentations and teleconferences for over 15,000 employees
throughout the
·
Conducted
benefits orientation presentations for new hires in person, by phone, or Webex
Power Point to the over 750 branches of United Rentals covering all 50 states
nationally.
·
Coordinated
benefits, which included health, dental, vision, life insurance, and flexible spending
accounts.
·
Administered
COBRA benefits in a timely manner, which included both payment application and
coordination with insurance carriers.
·
Efficiently
processed employee enrollments, terminations and other relevant alterations.
·
Designed
and supervised the creation of material and information to promote and raise
awareness of corporate benefits programs available to employees.
·
Monitored
human resources policies and alerted Regional Managers to problems, issues, and
conflicts and potential resolutions.
·
Organized and scheduled open enrollment for
corporate-wide benefits
orientations.
·
Utilized
FIGN software to address backlog of corporate accounts payable.
·
Performed employee tracking, and data
processing/data analysis of employee debits and credits.
Senior Claims Analyst Surety
Company of the Pacific (
Senior claims
analyst distinguished by handling the highest volume of claims each and every
month, utilizing
verbal and written communications to arbitrate client/customer conflicts and
amicable resolutions.
·
Reported
directly to the Vice-President of Claims in the investigation/analysis of
claims for possible violations of the Contractors License Law and Business and
Professions Code, and rendering of determinations of contractor’s license bond
liability.
·
Achieved strong
knowledge and understanding of the Department of Insurance rules, regulations,
and their compliant application.
·
Contacted and coordinated with all witnesses and
third-parties involved in matters giving rise to claims.
·
Arbitrated
disputes and mediated resolutions between claimants and contractors.
·
Negotiated
with attorneys representing both claimants and contractors.
·
Coordinated
bonding payments with the Contractors State License Board.
·
Examined and
evaluated damages and payment issuances on validated claims.
Patient Coordinator Shearer
Cardiology Medical Group (
Served as facilitator and office manager of a
multi-office medical services provider, which required evaluating
medical claims, accounting functions for payroll, recruitment, negotiation of
claims and settlements for medical services providers, management of medical
suppliers, staff scheduling, contract management between physicians and
insurance providers, year-end fiscal analyses of medical services and
organizational staff, optimization and management of costs in order to maximize
the cost-effectiveness of services.
·
Processed and
administrated the claims for all hospital and office charges of patient
accounts dealing with private insurance, Medicare, Medi-Cal, and HMOs including
incorrect reimbursements, and past due
accounts.
·
Generated billing and financial reimbursement reports for multiple IPA’s,
including the administration of monthly, member reimbursements and fees for services.
·
Posted cash disbursements and insurance payments to
patient accounts accordingly and generate monthly account receivable reports
·
Responsible for maintaining personnel files, reviews and recruitment of
new employees
·
Assisted
payroll by providing documents needed for employee profit sharing plans and other
financial documents for accounting/tax purposes.
·
Responsible
for negotiating the purchase of all office supplies and medical equipment with
vendors and managing all vendor contracts.
Applications: All Windows-based Operating Systems, CITRIX, HRIS, Word, Outlook, Excel,
Power Point, Quickbooks, Dragon Speaking, and FIGN.
Degrees:
B.A.
History,
Certifications:
·
Certificate
of Completion in Fair Claims Settlement Practice Regulations, 2000
·
Fire
and Casualty Broker-Agent