Roshni Toolsie

Experience

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  Auto Guide South Florida

  Dec 2006 - Nov 2009

  Market Manager

  Market Manager- Managed and Coordinated the Weekly Publishing process of the Auto Guide SFL Magazine- Audited all Accounting and Production paperwork before being dispersed to appropriate departments. - Management of All Account Receivables and Payables including applying of Money to Accounts, Completing Deposits and Monthly Organization and Recording of Invoices. - Responsible for Weekly Sales and Analysis Reports including Market, Account and Deposit Trackers, 60 & 90 Day Aging Reports and Score Cards. - Organized and Maintained Data for over 100 Customers, Inventory and Account Info. - Conducted Weekly Inventory of Supplies and makes necessary orders.Office Manager - Direct charge of Accounting, Typesetting, and Admin Sales Departments. - Processed Payroll for West Palm Beach Office - Accounts Payables including Contractor, Photo Express Center, Refund checks, and payment of all bills associated with West Palm Office- Ordered and approved all supplies for West Palm Office.- Human Resource Representative for West Palm Office employees including management of all confidential employee records.- Completed interviews, coordination of new-hire orientations, drug tests, and Background checks.- Responsible for dozens of reports including Daily Deposit Report, Statistical Analysis Report, Credit Analysis Report, and Internal Auditing Reports.- Coordinated with other managers to ensure problems were solved correctly.- Promoted to Market Manager Show less

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  Aetna Life Insurance Company

  Nov 2009 - Nov 2015

  - Conducts a comprehensive evaluation of the claimant, including information pertaining to employee's last day of work, nature of illness/injury, reason for short term disability request, expected duration of absence, and employee's work state. - Performs reviews of medical information to verify initial and continued existence of a disabling condition.- Interpret and explain applicable policies, processes, laws and regulations surrounding disability and state & federal leave time. - Ensures the accuracy of claim information and compliance with policy provisions, state and federal regulations, and claim policies and procedures- Documents and communicates claim decisions as well as address any integration opportunities.- Manage caseload/claims within established performance standards. Show less -Bank of America’s Unpaid Medical Team managing Employee’ s own Illness and Intermittent Team managing care of a family member Segmentation.-Managing a case load of up to 225 - 425 cases insuring timeliness and accuracy goals are always reached.-Following FMLA State guidelines in administering these benefits to Associates as well as appropriate tracking of benefit usage.-Review Medical documentation and systems in making Objective Determinations on Leave of Absence Cases and addressing any integration opportunities.-Collaborate with Short Term and Long Term Disability Managers in ensuring a smooth transition from these benefits to Unpaid Medical benefits.-Actively complete numerous outreaches to Bank of America associates and managers via emails, letters and phone contacts in an effort to address all concerns, answer all questions and advise of leave of absence status through life of the Leave.-Coordinated return to work and absent without leave process in a timely and efficient manner.-Assist team members with duties for PTO coverage or if any need arises. Show less

  • Disability Benefit Manager

    May 2011 - Nov 2015

  • Leave Coordinator

    Nov 2009 - May 2011
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  Aetna

  Nov 2015 - now

  - Successfully manages relationships between clients, claim operations and technical support teams to ensure business objectives are achieved on a consistent basis.- Primary resource for the Client’s Life Events Services Team which includes 25 Leave and Disability Specialists. Provides support, speaks on process gaps, deficiencies and develops resolutions to satisfy the Client’s expectations.- Conducts in-depth research on escalations, inquiries and complaints from the Client to detail “what happened?”, “why it happened?” and “how to resolve?” utilizing problem solving strategies. - Provides timely and accurate findings to the Client by exhaustive timelines, call reviews and mapped processes. - Identify trends, track/monitor issues, escalations and formulate quick, concise resolutions with strategic plan of action.- Oversee multiple priorities, issues to assist in implementation and de-implementation of projects and processes.- Subject Matter Experts (SME) in Leave/Disability process to provide adequate support, mentorship and leadership to the Aetna team. Show less

  • Manager, Group Insurance

    Aug 2017 - now

  • Plan Sponsor Liaison

    Nov 2015 - Aug 2017