Genessis Romero

Experience

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  Affinity Health Plan

  Aug 2016 - Feb 2019

  Health Insurance Recertification Specialist

  Assist present and new enrollees in obtaining and/or updating health insurance coverage via telephone and in-person renewals for Medicaid and Low Cost health insurance programs. Provide customer service information regarding billing, claims, and authorization for HMO/PPO services. Increased my versatility in the role by becoming a Manager Trainee in which I learned how to review peer schedules, monitor workflow, and assist in time-sensitive projects. Built my Business to Business (B2B) Network with health providers to keep my book of business growing and have referrals sent to me for health insurance needs. Show less

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  Guardian Life

  Jul 2019 - Sept 2020

  Customer Solutions Specialist

  Maintain professionalism while assisting plan holders, insurance brokers and employers over the phone with insurance billing and administration inquiries. Adapt to and use multiple applications to retrieve information. Abide by HIPAA to release information on a need-to-know basis accurately and timely. Assist aligned teams during peak season with time-sensitive projects. Cross-trained to handle inquiries regarding Disability and Supplemental health claims.

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  ReedGroup, a Guardian® Company

  Sept 2020 - Aug 2021

  Leave Of Absence Case Manager

  Manage a rotating caseload of Leave of Absence claims totaling 40-60 per day for my assigned line of business. Review and Process medical information that was utilized to screen for Disability and State leave benefits.Maintained communication with the Human Resources administrator at each business to facilitate the process for the employee for the life of the claim. Utilizing the business's policies, I would notify the employees of their LOA options and assist in the efforts of the employee's Return to Work.Collaborate with the ADA team to have claims seamlessly transitioned when required. I would handle escalations and see the process through to completion. Show less

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  Paychex

  Aug 2021 - Jul 2024

  Develop a Safety program to suit a changing work environment that will be effective in cost and quality. Analyze and manage risks within company sites to minimize reportable injuries as well as workers' compensation claims.Initiate and manage projects to improve Human Resource Absence policies. Seeing the project through from beginning to end and making sure that it is working as intended post-implementation.Collaborate closely with leadership, Safety Representatives, and employees regarding ergonomics, safety, and workers' compensation to identify stay-at-work/return-to-work initiatives and maximize productivity. Ensure corporate Human Resources procedures regarding employee absences, including wage continuation and tracking of time off, are accurate with all federal/state laws to ensure compliance.Cross-collaboration with different functions in HR such as Enterprise IT, Payroll, Compliance, Employee Relations, and facilities Real Estate to obtain solutions to inquiries and ensure a great employee experience. Show less

  • Implementation Project Manager

    Jun 2024 - Jul 2024

  • Corporate Leave Of Absence/ Certified Ergonomics Specialist - Human Resources

    Aug 2021 - Jun 2024
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  Guardian Life

  Aug 2024 - now

  New Business Coordinator