BUSINESS OPERATIONS SPECIALIST AND BUSINESS SEGMENT LIAISON
Human Resources Specialist
Certified in Human Resources Management (HRM) with over 8 years of progressive experience overseeing HR Operations.
Extensive background in HR generalist roles, including experience in employee recruitment and on-boarding, employee relations, mediation, conflict resolution, benefits and compensation. Also, HR records management, HR policies development and compliance.
Expert in verbal and written communications. Skilled in counseling, investigating, and problem solving employee issues to ensure a reliable and productive workforce environment.
Core Competencies and Skills
Full Cycle Recruitment
Research and Analytics
Business Operations Specialist and Business Segment Liaison01/2013 to 07/2016United Healthcare Medicare & RetirementMiami, FL
Responsible for providing process and operational support to the functions within Business
Assist department in the collection of medical records for HEDIS chases.
Able to decipher and interpret medical records.
Create employee engagement e-blast from content to design.
Train staff on CMS Stars.
Business Segment Liaison tasks and responsibilities: On-boarding new employees.
Human Resources Coordinator/Benefit Analyst01/2008 to 01/2013Medica Healthcare PlansCoral Gables, FL
Plan acquired by United Healthcare - August 2012
Act as first point of contact for all Human Resources inquiries.
Administer and analyze benefit programs using HRIS.
Coordinate, direct, and train in the areas of Benefits such as Health, Dental, Vision, 401(k), and all Supplemental benefits.
Coordinate on-boarding for new hires and support all phases of new hire Orientations.
Communicate with staff the available benefit plans including but not limited to: medical, dental, vision, and 401(k).
Initiate COBRA notices; administer the benefits and follow-up with proper documentation.
Serve as the liaison between the associates and the 401k carrier.
Reconcile monthly benefits including 401(k), Medical, Dental, Vision, and AFLAC.
Process on a monthly basis the Employer contributions and submit data to the 401K vendor for proper accreditation / account.
Process request and approve FMLA documents and make sure all forms are completed as DOL mandates.
Notify payroll of changes and amounts owe to the employer once FMLA ends and Employee returns.
Program Assistant07/2006 to 04/2007CCDH, INCMiami, FLAnswered employee questions during the entrance and exit interview processes.
Coordinate and track referrals for the In-home Support and Therapy grant, including authorization of payments and maintenance of programmatic records for a non-profit organization.
Provide monthly summaries of the numbers of units of services provided for the In-Home and Therapy grants.
Maintained appropriate documentation relative to the provision of grant services including recording case notes for each contact made with or on an individual receiving assistance from the organization.
Employee Service Center Representative08/2005 to 06/2006ADP TotalSourceMiami, FL
Resolved benefits, payroll and 401(k) issues at the first point of contact.
Adhered to departmental policies and procedures, work schedules and overtime procedures.
Acted as liaison with other departments, carriers or providers.
Keeps abreast of new products/technology and remains knowledgeable on all insurance plans offered nation-wide.
Member Service Representative03/2004 to 02/2005Neighborhood Health PartnershipMiami, FL
Administrative Assistant08/2002 to 02/2004Nephrology Associates of South MiamiMiami, FL
Member Service Associate04/2000 to 08/2002Comp Benefits CorporationMiami, FL