senior eligibility specialist resume example with 5+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:

Results-focused political advocate professional with strength in problem-solving, policy and education. Proactive leader with strengths in communication and collaboration. Fights for underserved and unnoticed populations.

  • Supervision
  • Communications
  • Project organization
  • Problem resolution
  • Team building & management
  • Process improvement
  • Organization
  • Relationship development
  • MS Office- Xcel, Word, PowerPoint
  • Personnel engagement
  • Policies implementation
  • Cost reductions
  • Personnel recruitment
  • Budget forecasting
  • Statistical analysis
Education and Training
Master of Arts: Public Administration, Expected in 05/2020
University of Colorado - Colorado Springs, CO,
Bachelor of Arts: Communication, Expected in 05/2015
University of Colorado At Colorado Springs - Colorado Springs, CO
  • Major in Communication
  • Minor in Health and Wellness
Enrollment & Eligibility Representative, 09/2020 to Current
InnovageSacramento, CA,
  • Collaborated with interdisciplinary team of professionals as well as patients and families.
  • Gathered community resources and coordinated referrals to obtain services.
  • Assist in enrolling underserved elders on Medicaid and PACE
  • Build relationships, conduct outreach and support third party initiatives to address underserved individuals.
  • Partner with industry leaders, trade associations, civil society organizations, think tanks, and other external constituents to build support for our policy positions
  • Identifying client needs and working with others to pursue regulatory support follow-on work or new business opportunities
  • Advise internal colleagues and teams on public policy matters to help guide development of products, services and policies
  • Demonstrated leadership by making improvements to work processes and helping to train others.
Senior Eligibility Specialist, 11/2017 to 09/2020
Samet CorporationRaleigh, NC,
  • Evaluating client eligibility concerning local, state, & federal assistance programs.
  • Complete budget analysis related to federal & state guidelines.
  • Empower clients knowledge concerning their rights & responsibilities.
  • Treating vulnerable individuals and families with dignity & respect.

Independent Projects

  • Business performance improvement- using root cause analysis to identify & remove case errors.
  • Recommended effective processes for client case determination.
  • Team Lead: train & support new hires regarding policy, procedures, & County, Federal, & State mandates.
  • Conducted fraud investigations, preparation of legal documents for appeal hearings.
  • Highly adept at troubleshooting systems & case issues as needed; strong attention to detail & ability to use complex computer systems with high accuracy.
Talent Recruiter, 10/2016 to 11/2017
Bgc PartnersSanta Ana, CA,
  • Challenged and refined current recruitment and sourcing processes by suggesting actionable improvements and innovations.
  • Developed processes and metrics that supported achievement of organization's business goals.
  • Developed process improvements and streamlined procedures to effectively resolve employee discrepancies.
  • Fostered productivity by coordinating itinerary and scheduling appointments.
  • Sourced and developed sourcing leads to increase recruiting base.
  • Reviewed compensation program and developed short- and long-term plans to increase efficiency and employee satisfaction.
  • Liaised between employees and senior leadership to address inquiries, complete contract processing and foster problem resolution.
  • Boosted employee morale by establishing fair job descriptions, grades, salaries and benefit programs in accordance with market standards.
Human Resources Coordinator, 08/2017 to 10/2017
Ameristar CasinoCity, STATE,
  • Worked with HR management to devise and update policies based on changing industry and social trends.
  • Ran queries and reports through ADP system.
  • Helped training and development staff with all aspects of training coordination.
  • Offered consistent payroll disbursement with accurate record keeping of employee PTO and vacation accruals.
  • Managed communication regarding employee orientation and open enrollment for benefits.
  • Maintained compliance with all local, state and federal laws, as well as established organizational standards.
  • Partnered with IT department to create streamlined onboarding process for new hires.
  • Assisted customer service with inbound and outbound calls regarding all HR inquiries.
  • Worked with department managers to assess needs.
  • Explained human resources policies and procedures to all employees.
  • Completed all work with 98%(+) rate of accuracy.
Enrollment Services Advisor, 05/2015 to 02/2016
Ashford UniversityCity, STATE,
  • Maintained institutional solvency with current, accurate and fully compliant financial records.
  • Improved student educational plans by advising on course selection, progress plans and career decisions.
  • Provided excellent service and attention to customers through phone conversations.
  • Improved customer satisfaction by finding creative solutions to problems.
  • Improved operations by working with team members and customers to find workable solutions.
  • Created agendas and communication materials for team meetings.
  • Strategized and implemented methods for streamlining processes, controlling costs and modernizing operations.
  • Six Sigma Green Belt
  • CBMS (Colorado Benefits Management System)

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Resume Overview

School Attended

  • University of Colorado
  • University of Colorado At Colorado Springs

Job Titles Held:

  • Enrollment & Eligibility Representative
  • Senior Eligibility Specialist
  • Talent Recruiter
  • Human Resources Coordinator
  • Enrollment Services Advisor


  • Master of Arts
  • Bachelor of Arts

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