Mariam Oge

Administered workers' compensation claims as primary contact for injured employees, ensuring support and guidance throughout the claims process. Coordinated with employees, managers, insurance carriers, and medical providers to support claim resolution. Ensured compliance with company policies and state workers' compensation regulations.

Human Resources Specialist - Cove Communities - Contract

(2026-06)

• Administered workers' compensation claims as primary contact for injured employees, ensuring support and guidance throughout the claims process.
• Coordinated with employees, managers, insurance carriers, and medical providers to support claim resolution.
• Ensured compliance with company policies and state workers' compensation regulations.
• Reviewed injury reports, ensuring accuracy of workers' compensation records.
• Tracked claim activity and updated leadership and stakeholders on developments, fostering informed decision-making.
• Assisted employees with return-to-work programs and workplace accommodations.
• Coordinated return-to-work efforts, facilitating safe transitions for employees and promoting a supportive workplace environment.
• Partnered with HR and safety teams to promote a safe work environment and reduce workplace injuries.
• Supported compliance with workers' compensation, leave, and disability management processes.Managed escalated cases and supported continuous process improvement initiatives.

Senior Leave of Absence Specialist - Prestige PEO

(2024-03 - 2026-10)

• Managed complex leave cases, including FMLA, ADA, and multi-state leave programs.
• Led administration of complex leave programs, ensuring compliance, accuracy, and a positive employee experience.
• Acted as a subject matter expert for leave-related policies and regulatory compliance.
• Reviewed and resolved escalated leave cases while ensuring timely and accurate administration.
• Guided employees, managers, and HR partners through leave process, providing clarity and support for successful navigation.
• Partnered with payroll, benefits, and HR teams to coordinate employee leave and return-to-work plans.
• Maintained compliance with federal, state, and company leave requirements.
• Trained and mentored team members on leave policies, procedures, and best practices.
• Identified and implemented process improvements to enhance employee experience during leave, resulting in streamlined operations.
• Acted as trusted resource for employees, managers, and HR on leave and accommodation issues, enabling informed decision-making.
• Managed escalated cases and supported continuous process improvement initiatives.

Leave & Disability Specialist - Alight Solutions

(2023-04 - 2026-02)

• Administered complex leave of absence programs including FMLA, ADA, state-specific leaves, and employer-sponsored policies, ensuring accurate eligibility determinations and regulatory compliance.
• Served as a subject matter expert on leave regulations and plan interpretation, independently resolving escalated and high risk cases.
• Evaluated medical certifications, recertification, and accommodation documentation while managing concurrent leave and disability claims.
• Provided consultative guidance to employees, managers, and HR partners regarding leave rights, responsibilities, and return-to-work coordination
• Maintained audit-ready documentation and detailed case notes within leave management systems while meeting strict SLAs and quality standards
• Mentored junior specialists and contributed to process improvements that increased efficiency, accuracy, and overall client satisfaction

Paid Leaves & Accommodation Specialist - Prudential Financial

(2021-08 - 2024-03)

• Demonstrated expertise in managing disability insurance accounts and effectively communicating with clients to provide exceptional customer service and support.
• Proficient in analyzing and interpreting complex insurance policies, FMLA,PFL,ADA, CFRA,STD & LTD claims, and underwriting guidelines to identify and resolve issues and improve overall program performance.
• Skilled in developing and maintaining positive relationships with key stakeholders, including insurance carriers, brokers, and internal team members, to achieve business objectives and exceed client expectations.
• Proven ability to manage multiple accounts simultaneously, prioritize competing demands, and meet strict deadlines while maintaining accuracy and attention to detail.
• Manage leave of absence and ADA accommodations claims in addition to adhering to federal and state guidelines.
• Work from Home experience as well as working with HRIS systems

Leaves and Accommodation Specialist - Prudential Financial

(2018-09 - 2021-08)

• Proficient in managing disability leaves for employees, including FMLA,,ADA, CFRA, short-term and long-term disability, and workers' compensation, while ensuring compliance with company policies and federal and state regulations.
• Experienced in working with employees, healthcare providers, and HR professionals to coordinate leaves of absence and facilitate return-to-work processes.
• Skilled in evaluating medical documentation, assessing employee eligibility for disability benefits, and determining appropriate accommodations and restrictions to support their recovery and return to work.
• Work from Home experience as well as working with HRIS systems

Service Representative - Spectrum

(2016-12 - 2018-09)

• Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
• Worked closely with team members to deliver project requirements, develop solutions, and meet deadlines.
• Provided excellent service and attention to customers when face-to-face or through phone conversations.
• Improved operations by working with team members and customers to find workable solutions.

Customer Service Representative - Silverstar Brands

(2016-11 - 2017-12)

• Placed orders and answered customer questions in-person, through email and over phone to maximize customer service.
• Contacted new and existing customers to outline benefits of products.
• Monitored customer order process and addressed customer issues.
• Fostered relationships with customers to expand customer base and retain business.
• Identified customers need to deliver relevant product solutions and promotions and meet target budgets.

Customer Service Representative - Eastbay

(2015-06 - 2016-08)

• Supported customer service goals and enhanced relations through friendly, knowledgeable, and positive communication.
• Delivered fast, friendly, and knowledgeable service for routine questions and service complaints.
• Educated customers on special pricing opportunities and company offerings.

Bachelor of Arts - Film and Media Production, Insurance and Risk Management - Arizona State University