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Skills

  • Client communication
  • Regulatory knowledge
  • Appointment scheduling
  • Team building
  • Problem resolution
  • Training and development
  • Regulatory compliance
  • Reporting and documentation
  • Training program development
  • Caseload management

Work Experiences

  • Used Asana and Tableau to keep track of the candidate files and notes for over 8 candidates.
  • Communicated with people from various cultures and backgrounds during the application process.
  • Assisted in the successful rollout of a new applicant tracking system, reducing errors in eligibility calculations by 56% within 15 months.
  • Used social media platforms such as procedure and metric to promote and market services.
  • Provided re-employment services, job clubs, and job search assistance, as well as job-seeking skills training in group and individual settings.
  • Aimed at reducing manual verifications.
  • Kept up with labor market information and professional developments by visiting training providers, professional bodies, and employers.
  • Analyzed patterns in eligibility rejections and implemented a proactive resolution process, achieving a 18% approval recovery rate.
  • Collaborated with supervisors to refine eligibility workflows.
  • Conducted in-depth audits of eligibility applications.

Summaries

  • Automated repetitive tasks.
  • Professional who is well-organized and has excellent communication and multitasking skills.
  • Adept at identifying fraud through data-driven reviews.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Boosted satisfaction rates.
  • Collaborative leader with expertise in audit readiness, successfully coordinating with auditors to uphold strict compliance and win performance awards in 2019.
  • Dedicated to expanding job opportunities by forging strong bonds with employers and job seekers.
  • Proficient at administering program assessments, analyzing client and job data, and maintaining client files.
  • Committed professional with hands-on experience in process optimization, resulting in eligibility approval times being cut by 38% through cross-team initiatives.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.

Accomplishments

  • Collaborated with legal, compliance, and management teams to resolve 2 escalated eligibility disputes, achieving 28% successful case outcomes.
  • Trained 6 team members on eligibility compliance processes, resulting in a 41% decrease in errors during audits.
  • Led cross-functional meetings for eligibility process alignment, improving consistency across 6 departments.
  • Led process optimizations that reduced manual data entry time by 67%, using automation software.
  • Developed detailed client assessments that accurately determined eligibility, reducing the appeal rate by 38%.
  • Actively identified process enhancements by auditing 8 eligibility reports, resulting in more accurate and faster case resolutions.
  • Analyzed eligibility data for fraud detection and prevented potential overpayment cases amounting to $61,000 in savings.
  • Devised a new reporting mechanism for eligibility verification that improved transparency and accountability, reducing errors by 19% annually.
  • Utilized data analysis to proactively identify procedural gaps, leading to a 42% improvement in fraud detection processes.
  • Processed an average of 11 applications weekly with a 98% accuracy rate, reducing rework and turn-around time.

Affiliations

  • Toastmasters
  • International Public Management Association for Human Resources (IPMA-HR)
  • National Association of State Budget Officers (NASBO)
  • Community Workers Association (CWA)
  • American Evaluation Association (AEA)
  • Regulatory Affairs Professionals Society (RAPS)
  • National Council on Independent Living (NCIL)
  • Rotary International
  • American Society of Safety Professionals
  • Society for Social Work Leadership in Health Care (SSWLHC)

Certifications

  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Public Accountant (CPA)
  • Certified Business Analysis Professional (CBAP)
  • Legal Compliance & Risk Management Certification Harbor & Co.
  • CompTIA A+ Technician
  • Health Care Fraud Certification Lakeside Partners
  • Certified Benefits Specialist (CBS) 2023
  • Apple Certified Associate (ACA)
  • National Eligibility Worker Certification (NEWC) Northwind
  • Certified in Healthcare Compliance (CHC) Harbor & Co.

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