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Workforce Absence Management Representative Resume Example

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WORKFORCE ABSENCE MANAGEMENT REPRESENTATIVE
Professional Summary

Enthusiastic HR/Benefits Administrator eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of claims reviewing and benefits administration and training in federal laws. Motivated to learn, grow and excel in the HR/Corporate Communications industry.

Skills
  • Federal laws knowledge
  • Interview techniques
  • Verbal and written communication
  • Training & Development
  • Detail-oriented
  • Leadership
  • Adaptability
  • Clerical
  • Critical thinking
  • Good listening skills
  • Reading comprehension
  • Planning and Coordination
  • Claims review
Work History
11/2018 to Current
Workforce Absence Management RepresentativeCompany Name – City, State
  • Primary responsibilities include verifying and processing Short-Term Disability (STD), maternity, paternity, FMLA and State leave requests for associates on behalf of the client, Capital One Financial Corporation. Duties involved ensuring associate eligibility for each designated leave policy, evaluating associate entitlements/eligibility for FMLA and any coverage in each respective State.
  • Processing 20-50 claims and follow-ups per day, responsibilities include requesting and processing medical documentation for verification of each claim. Processing duties include initial screening of each associate, complying with HR requirements, communicating legal rights and compliance standards to each associate, and payroll processing.
  • Accounting and attendance responsibilities require us to calculate salary payments, and send approvals or denials to the Leave & Payroll Management department for payroll processing and disbursement. Certified to handle disability claims in the State of New York under the New York Disability Benefits Law. ERSI compliance reporting on a regular interval.
  • Major portion of the claims process involves building and requesting ADA accommodations on behalf of the associate, if necessary; ensuring all compliance regulations are met and acting as a liaison between the associate and client.
04/2016 to 11/2018
Workforce Absence Intake AnalystCompany Name – City, State
  • Primary duties involved data and intake processing for claimants entering Long-Term Disability (LTD) segments of their employer sponsored disability insurance policies. Referrals were sent via service level agreements with major insurance carriers such as Cigna, MetLife, Guardian, Lincoln Financial, Liberty Mutual, The Hartford, etc. Intake entry responsibilities included conducting in-depth interviews with each respective claimant, gathering personal information, work history, job description, injury notes and medical diagnoses per ICD10 coding.
  • Processing duties required us to file for Social Security Disability Insurance (SSDI)and Supplemental Security Income (SSI) on behalf of each claimant entering and/or currently on LTD benefits. Position required familiarity with federal disability and leave laws.
06/2012 to 04/2016
Sr. Legal Intake CoordinatorCompany Name – City, State
  • Multi-litigations intake processing responsibilities included conducting interviews with potential clients (PC) regarding their legal issue. Upon successful documentation, our empowerment allowed us to act on behalf of the law firm in determining if the issue meets prerequisites for inclusion, or requiring it a secondary review by management or intake attorney team. Proper processing protocols involved successfully transmitting legal retainer agreements and collecting signatures for capture.
  • Other duties included adherence and audit checks to ensure AHT, ACW and case flow are attained and handled accurately.
  • Senior Coordinator responsibilities included proper shift coverage for the Case Control Center (nationwide call center), facilitating training sessions, and conducting interviewing for potential case consultant positions. Cross-trained to identify and handle all litigation types of the firm including: Personal Injury, Business Law,Financial Loss, Employment & Labor Law, Medical Malpractice, Veteran's Disability, FCC/DMCA/Copyright/Intellectual, Consumer Protection and Mass/Drug Tort Law.
06/2011 to 06/2012
Human Resources InternCompany Name – City, State
  • Professional intern tasked with employee record keeping, including unemployment and I-9 forms to support compliance procedures. Performed various administrative functions, including filing paperwork, delivering mail, sorting mail, office cleaning and bookkeeping.
Education
Expected in 12/2023
Bachelor of Arts: Communications
Southern New Hampshire University - City, State

Concentration in New Media Communications.

05/2011
Bachelor of Science: Psychology
University of Central Florida - City
Certifications
  • Licensed NY Claims Examiner - 2021
  • Federal Benefits/Leave Law Training - 2020
  • FMLA/ERIS area of expertise
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Resume Overview

School Attended

  • Southern New Hampshire University
  • University of Central Florida

Job Titles Held:

  • Workforce Absence Management Representative
  • Workforce Absence Intake Analyst
  • Sr. Legal Intake Coordinator
  • Human Resources Intern

Degrees

  • Bachelor of Arts : Communications
    Bachelor of Science : Psychology

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