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Benefits Administrative Coordinator Resume

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SUMMARY

  • Well - organized professional that’s used to working in a fast paced, high energy department; with a proven record of success in effectively managing and prioritizing multiple responsibilities. Self-motivator with exceptional interpersonal skills, all-embracing values of integrity, honesty, teamwork, growth, and results-orientation with a zest for continuous improvement.

AREAS OF EXPERTISE

  • Human Resources
  • Office Administration
  • Customer Service
  • Relationship Building
  • Project Management
  • Event Planning

TECHNICAL SKILLS

  • Microsoft Word, Excel, Outlook, PowerPoint
  • HRIS
  • CRM
  • Sharepoint
  • Expense Reports- Concur
  • MS SQL
  • OnTime-Axosoft
  • PGP/Ultra Edit
  • Crystal Reports 8.5 & 2008
  • Access
  • Certificates
  • Human Resources of Management
  • COBRA and RAS Regulatory
  • HIPAA
  • SQL

PROFESSIONAL EXPERIENCE

Confidential

Benefits Administrative Coordinator

Responsibilities:

  • Administer Medical, Dental, Vision, FSA, & Supplemental Life Insurance benefits.
  • Pharmacy Benefit Management- third party administrator who handles Rx’s eligibility issues.
  • Provides customer support through member education on formulary and plan benefits, prior authorization process
  • With a proactive approach and acting as a client advocate for best practice, manages all aspects of the client relationship and works to ensure client satisfaction
  • Participates as an active member of the team that creates new client solutions, taking direct ownership for decisions that affect WageWorks clients.
  • This includes entering the client relationship prior to closing the deal during Implementation, and participating fully in employee enrollment opportunities to better understand the nature and requirements of the client
  • Identifies opportunities for increased participation with WageWorks clients and works cooperatively with the internal organizations to ensure employee participation targets are met
  • Provides follow-up training and education to Employer contacts beyond initial Implementation
  • Handle inbound calls, instant messages, and emails from Clients regarding COBRA/Direct Bill and FSA accounts, as necessary. Also, including open enrollment projects, processing payments, eligibility, claims, appeals, retaining clients, and benefit coverage
  • Coordinating and facilitating appointment calendars
  • Develop monthly reports for clients and interface with third party vendors
  • Liaison between Sales Representative and the Client. Enter and track sales. Coordinate Sales
Confidential

Supervisor- Reporting Analyst

Responsibilities:

  • Served as Lead for projects servicing 2000 clients improving and accelerating reporting capabilities while increasing service level agreements by 20%; overseeing 8 Reporting Analyst
  • Successfully designed, developed, and implemented new reports and Crystal Reports 2008 & 8.5;
  • Strategically developed ad hoc queries as needed to meet business requirements, and provided support for legacy reporting applications
  • Interfaced with developers and business stakeholders to review and optimize reporting query logic and design
  • Acted as a liaison between internal departments, using advanced communication skills to elicit, document, analyze and validate business requirements
  • Provided written details to the Business, identifying the root cause and solution of notice errors
  • Skilled in synthesizing complex information to provide concise, streamlined responses

Team Lead- EDI Eligibility Analyst

Confidential

Responsibilities:

  • Assisted the EDI Manager in developing and promoting ongoing process improvements. Created an Error Reports Assistant position who solely focused on participants with lapsed coverage and the result was a 33% increase in COBRA premium payments
  • Error Report Resolutions- Responsible for providing day to day outbound support for eligibility operations at Confidential . Root cause analysis/problem solving: Identify patterns, and construct solutions to address issues related to eligibility communications. Written Detailed Documentation is required and provided to the VP
  • On an ongoing basis run and monitored daily job processing including loading inbound data files, as well as processes and delivers outbound data files
  • Quality Audits outbound data files before moving to production jobs to ensure accuracy
  • Successfully assisted Account Managers and Senior Client Service Representatives with internal and external cases
  • Assisted with open enrollment projects
  • Provided client website training and feedback
  • Developed monthly reports for clients
  • Interfaced with third party vendors
  • Briefed carriers with eligibility issues on process and procedures

Confidential - Dallas, Tx

Sales Coordinator

Responsibilities:

  • As a Technical Sales Coordinator, I reviewed, and scrubbed all orders before entering into the order entry systems;
  • Ensured accurate product information, pricing, ICB requirements and other requirements as determined by the revenue recognition guidelines;
  • Initiated corrective action process when the order package is not complete;
  • Initiated the credit application process for customers and tracked credit approvals, and performed credit look-up as needed;
  • Responsible for tracking orders through the entire sales process to ensure the orders are delivered on time to exceed customer expectations;
  • Acted as local market Subject Matter Expert for all order entry systems;
  • Interfaced with customers and vendors as required to obtain accurate and complete technical requirements;
  • Contacted customer during order processing and provisioning, kept the customer informed of the status and any issues related to the order;
  • Performed other sales support duties as required, included tracking revenue and commissions.

Confidential - Irving, Tx

Benefits Relationship Manager

Responsibilities:

  • PBM (Pharmacy benefit management) - third party administrator who handled RX orders for participants. We assisted Medicare members who had Medicare Part D plans. Members would call in to order prescriptions from single RX’s to 90 day supplies
  • Handled inbound/outbound calls to and from insurance companies to make sure the members insurance was active
  • Provided customer support through member education on formulary and plan benefits, prior authorization process

Confidential - Richardson, TX

Human Resources Receptionist/Benefits Coordinator

Responsibilities:

  • Assisted HR Generalist with tracking time into ADP; payroll information, updated Employee Handbook and other benefit programs. Tracked and monitored employee attendance, handled benefits questions
  • Work with highly confidential information with highest degree of integrity and discretion
  • Participated in and coordinated annual benefits program design meetings advising on policies and procedures, open enrollment, and communicating plan provisions
  • Served as escalation point for new and newly eligible team members regarding benefits enrollment deadlines
  • Established, maintained and revised record keeping and filing systems as needed; also including mailings, letters, faxing, and maintaining supplies and forms
  • Scheduled interviews and appointments for departments. Strategically assisted job applicants with job inquires
  • Coordinated and facilitated appointment calendars
  • Answered Multi- Line phone system

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