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
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