DERNARDINO RECEIVED
City of
San • Bernardino DEC 3 0 2024
BOARDS, COMMISSIONS, & CITIZEN ADVISORITY COUNSIL OFFICE FOINDED IN RID COMMITTEES City of San Bessardind
BOARD(S), COMMISSION(S), AND/OR CITIZEN ADVISORY COMMITTEE(S) APPLYING FOR:
General Plan Advisory Committe Measure "S" Citizens Oversight
2. Park & Rec and Community Service
LAST NAME FIRST NAME M.I.
Evans Nefertera
HOME ADDRESS ZIP PHONE
(HOME)
(MOBILE)
EMPLOYER JOB TITLE EMAIL ADDRESS
BUSINESS ADDRESS ZIP BUSINESS PHONE
DATE OF BIRTH
Length of residence in the City of | Are you a registered voter of the City Which ward do you reside in? San Bemardino of San Bernardino?
40 • Yes
Years 507
Months ONO 7 4 6
Why you want to serve on a city board or commission:
us in the fiture olour community. alieve we must al be pat of the dhange for chaife fo appetitizen and Board(s), Commission(s), & Citizen Advisory Committee(s) App. Page 1 of 3 Updated: August 29, 2018 What do you consider to be three (3) major assets that would qualify you for selection to this board, commission, or citizen advisory committee:
I have lived in San Bernardino for over 40 years and I have lived in the 7th ward and 5th wards. I own a hon San Bernardino as well as rental property. I know the challenges our citizen have faced and I have seen tl good and bad of the city and believe I can bring a citizen prospective.
2. I currenity work for the largest health care organization in their legal department, thus I do have a lega ackground and understand the legality of matters
3. I am passoniate about our commuintiy and want to make it better for EVERYONE! Experience or special knowledge pertaining to areas of interest:
Shave avian and lead teams within my group. I am passoniate advocate for my tenants right to live in a safe and Educational background:
Resume Attched...
Occupational experience:
Resume Attached...
Professional or tochnical organization memberships:
m/a
Board(s), Commission(s), & Citizen Advisory Committee(s) App. Page 2 of 3 Updated: August 29, 2018 Civic or community experience, memberships, or previous public service appointments:
Volunteer: Girl Scouts
Loma Linda Ronald Mc Donald House
OPTIONAL
How would you classify yourself? (Optional)
American Indian/Alaskan Native African American/Black •Asian • Hispanic/Latino •Native Hawaiian/Pacific Islander O White • Two or more of the above categories
What is your gender? (Optional)
Female other/Prefer to self-describe
Male
Are you a person with a disability? (Optional)
Yes ONO
Applications are screened on the basis of information submitted and may be subject to a Livescan as part of the application process.
The information provided is factual to the best of my knowledge. I understand that I may be required to complete a Statement of Economic Interests Form as required by law, and that I will abide by all the codes, ordinances, and regulations of the City of San Bernardino and the State of Nefertera Evans - Electronic 12/28/24
(12/28/2024)
SIGNATURE DATE
Return to: The City of San Bernardino Council Office
Electronically: [email protected]
By Mail: 290 North D Street, San Bernardino, CA 92401
In Person: 290 North D Street, 1s* Floor - City Information Center, San Bernardino, CA 92401
*Attach a resume and/or additional information which you feel will assist the Mayor and City Council in their selection.
Board(s), Commission(s), & Citizen Advisory Committed(s) App. Page 3 of 3 Updated: August 29, 2018 Nefertera Evans
Senior Claims Examiner
CONTACT
OBJECTIVE
Dependable and self-motivated professional with over 19 years of legal and claims experience. 10 years with Kaiser Permanente Member Services and Legal Departments. Proven ability to handle several ongoing matters simultaneously and see a task through to completion. Strong leadership skills with the ability to direct and offer quick and efficient solutions to San Bernardino, CA various challenges and work to ensure that all issues are fully documented and have an adequate resolution.
KEY SKILL STRENGTHS
KAISER FOUNDATION HEALTH PLAN, INC.
• Leadership
• Verbal and written
SENIOR CLAIMS EXAMINER communication
Legal Department, Pasadena • Analytical Skills
January 2017 - Present • Conflict resolution
• Investigation skills
• Investigate internal claims by collecting and analyzing data, determine the next steps for resolution, and provide
EDUCATION
input on lessons learned.
• Interview internal staff, including physicians, senior managers, and contracted employees. Graduate Certificate • Evaluated, analyzed, and interpreted medical Health Care Compliance documentation for claim settlement.
The University of Pittsburgh
• Negotiated injury settlements with individuals and School of Law attorneys.
• Attend Small Claims Hearings, Mediation, and Arbitration January 2022 - December 2022 on behalf of the organization. Pittsburgh, PA
• Manage outside counsel with ongoing claims.
• Handle escalated leadership matters. Master of Arts
• Collaborate with the internal department to resolve Management claims. University of Redlands
• Researches and interprets contracts and the law. 2007-2008 • Build and maintain a strong relationship with internal and Redlands, CA external stakeholders.
• Coach, mentor, and train other staff members.
Bachelor of Science
Business Administration
SENIOR CASE MANAGER California State University,
Member Services Case Resolution Center, Rancho Cucamonga San Bernardino March 2015 - January 2017 1996-2001
San Bernardino, CA
• Participate in managing the organization's complaint and grievance process.
• Accountable for investigating all issues, including
collecting and documenting appropriate information.
• Research, resolve, and communicate complaints and
grievances filed by members.
• Communicate the Health Plan's decisions appropriately to COMPUTER SKILLS a member or authorized representatives.
Microsoft Office
• Ensure complaints and grievances are processed per
regulations, compliance standards, policies, and • Word • Excel
procedures.
• Meet timeframes for performance while balancing the • PowerPoint need to produce high-quality work related to complex
and sensitive member issues. Kaiser Systems
• Medicare & Medi-Cal subject Matter expert. • Health Connect • Team Connect
• MERS (Member Services)
CUSTOMER SERVICE REPRESENTATIVE
• Customer Services
Member Services Contact Center, Corona
February 2013 - March 2015 Information Repository
(CSIR)
• Answer questions and document all incoming calls. • CHATS • Responds with empathy to complaints and concerns from • ABC Foundations members concerning Health Plan benefits, account
status, payment history, and medical services.
• Evaluate data to determine the best action to assist the members.
• Analyze Health Plan benefits to determine what coverage will apply.
• Medicare specialty trained
• Affordable Care Act specialty trained.
• Kaiser Permanente Workplace Safety Committee
November 2013 to March 2015.
• Complete workplace Safety conversations with staff to promote safety standards.
• Reporting any workplace safety risk.
• Help develop ways to reduce workplace injuries.
• Assists with implementing solutions and changes to help improve the safety of employees.
GMAC INSURANCE, ONTARIO
SENIOR INJURY CLAIMS REPRESENTATIVE
February 2004 - February 2013
• Prioritized daily to handle important issues, customer inquiries, new claims, pending claims, and claim
settlements.
• Conducted telephone interviews with the customer to
obtain information regarding insurance coverage, liability, and medical claims.
• Evaluated, analyzed, and interpreted medical
documentation for claim settlement.
• Negotiated injury settlements with individuals and
attorneys.
• Provided written and oral communication regarding the status of a claim.
BIG 5 SPORTING GOODS, REDLANDS
ASSISTANT MANAGER II
August 2002 - January 2004
• Hired, trained, and evaluated personnel in sales and
marketing.
• Hiring, promoting, disciplining, and termination of
employees when appropriate.
• Directed and supervised employees, engaged in sales,
inventory-taking, reconciling cash receipts, and
performing services for customers.
• Provided customer service by greeting, assisting, and responding to customer inquiries and complaints.
• Monitored sales activities to ensure customers received satistactory service and quality goods.
• Instructed staff on how to handle complex and
complicated sales.
Sheena Felix
From: Nef Evans
Sent: Saturday, December 28, 2024 2:48 PM
To: Council
Subject: CITIZEN ADVISORY COMMITTEE - Application - Evans Attachments: Nefertera. Evans - Boards-Commissions--Citizen-Advisory-Committees-Application- PDF.pdf; Nefertera.Evans.Resume.2023.docx
Follow Up Flag: Follow up
Flag Status: Flagged
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Hello,
I have attached my application and resume for consideration of a position on a Citizen Advisory Committee.
Thank you!
Nefertera Evans RECEIVED
DEC 3 0 2024
CITY COUNCIL OFFICE
City of San Bernardino