This document contains the resume of Arielle L. Burse. It outlines her education, including a Bachelor of Science degree in Health and Human Performance from Austin Peay State University and completion of 30 hours towards a Master of Science degree in Health Administration from Austin Peay State University. Her resume also lists her skills and experience, including her current role as a FMLA Leave Management Specialist at Unum since 2014 and previous role as an In-Home Personal Care Program Manager at Sharon Senior Services from 2012 to 2015.

1. Arielle L. Burse
8574 SnowRidge Drive, Ooltewah, TN 37363 | (423) 802-7062 or (423) 238-4604 | arielleburse13@gmail.com
EDUCATION
BACHELOROF SCIENCE |MAY2012 |AUSTINPEAYSTATE UNIVERSITY
Major: Health and Human Performance Minor: Psychology
MASTOROF SCIENCE |AUSTINPEAYSTATE UNIVERSITY|21OF 30 HOURS COMPLETED
Major: Health Administration
SKILLS
 Effective written and verbal communications
 Results driven achiever
 Flexible/Adaptable team member
 Innovative problem-solver
 Conscientious and energetic go-getter
 Exceptional in Microsoft Software Suite
 Proven leader
 Skilled in Sandata, Quickbooks, and Navilink
Software
 CPR/First-Aid Certification
 Project Management
 Critical Thinking
 Knowledgeable of NCQA and HEDIS programs
EXPERIENCE
FAMILY& MEDICALLEAVE ACT (FMLA)LEAVEMANAGEMENTSPECIALIST | UNUM |
NOVEMBER10,2014 - PRESENT
 Determines eligibility and availability of leave time for assigned employee requesting leave per FMLA.
 Determines communication needed and generates appropriate communications to comply with FMLA regulations and
customer procedures. Answers client questions.
 Analyzes medical certifications and other documentation submitted.
 Determines the appropriate status of leave under FMLA and state leave regulations.
 Process insurance claims for new leave and all daily follow-ups assigned.
 Communicates medical or absence information.
 Manages leave through duration of claim, reporting status to human resources, employees and other internal units.
 Planned, organized and coordinated multiple projects related to the department’s operational workflow.
IN-HOME PERSONAL CARE PROGRAM MANAGER | SHARON SENIOR SERVICES | JUNE 2012 – JANUARY 2015
 Provided supervisory management for all programmatic aspects of the in-home personal care program.
 Executed personnel management functions including staff training, payroll, supervision, and other essential on-
boarding and human resources functions, including recruiting new employees.
 Developed and implemented education and outreach programs to clients and their families.
 Representative for the company before private and government entities such as the U.S. Department of Veterans
Affairs, the State of Tennessee, and Blue Cross Blue Shield, Inc., and United Healthcare.
 Interacted with state officials, advocating for resources and educational opportunities
 Managed marketing, reporting, and accounts payable responsibilities for the company.
 Billed/invoiced the appropriate organizations, insurance companies for services rendered.
 Conducted initial review of all potential clients. Accepted or denied clients based on established guidelines.
 Reviewed member’s needs to establish their quality of care during appeals
 Evaluated client needs and scheduled client in-home care appropriately.
 Regularly participated in training and meetings with provider organizations.
 Represented company during audits and reviews by outside organizations, such as the State of Tennessee, Veterans
Administration, etc.
 Utilized Sandata Electronic Verification Visit System for current authorizations, scheduling and billing purposes.