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Skills

  • Vendor onboarding
  • Budget management for benefits programs
  • Eligibility determinations
  • HR understanding
  • HR team leadership and development
  • Claims resolution and management
  • Experience with metric
  • Financial analysis of benefits expenditures
  • Explaining benefits
  • ServiceNow expertise

Work Experiences

  • Analyzed feedback from health plan surveys.
  • Automated certain manual processes.
  • Answered 13 calls per several months to help customers with their questions and concerns.
  • Solved metric issues, improved operations, and provided excellent customer service.
  • Transported Microsoft Excel to 18 months customer locations.
  • Provided answers to questions about eligibility and plan options.
  • Worked with auditors to ensure that procedure, program, and system plans were compliant.
  • Established a successful referral network of company reps, third-party administrators, and benefits providers.
  • Looked for industry trends on social media and through online sources.
  • Assisted in building communication strategies about new benefit offerings, contributing to a 40% increase in employee participation.

Summaries

  • 16+ years of experience administering benefits programs across multiple locations, ensuring continuous compliance and efficient claims management processes.
  • Beneficiary requests are promptly handled by the Health Benefits Coordinator.
  • Respectful and resilient thinker with a big-picture mindset.
  • Health Benefits Coordinator with 6 years of successful budget management and team leadership experience.
  • Accomplished in leading company-wide benefits platform rollouts, resulting in 74% faster adoption rates with minimal service interruptions.
  • Achieved 49% faster adoption rates.
  • Dedicated to learning, growing, and succeeding in Human Resources.
  • Within Human Resources, senior Health Benefits Coordinator and outstanding performer in performance reporting and quality assurance.
  • Achieved a 68% reduction in employee inquiries.
  • Demonstrated ability to form long-term relationships with employers.

Accomplishments

  • Collaborated with team of 18 in the development of standard.
  • Documented and resolved standard which led to procedure.
  • Improved claims inquiry response time by 60% by implementing a centralized communication platform for health benefits questions.
  • Redesigned the open enrollment communications strategy which resulted in 16% increase in employee engagement with benefits options.
  • Reviewed and updated benefits plan documents and summary plan descriptions (SPD) for compliance, ensuring adherence to ERISA and DOL regulations for the 2019 plan year.
  • Developed and rolled out a health benefits training program for new hires, increasing understanding of plan options and reducing enrollment errors by 56%.
  • Achieved 69% reduction in health coverage disputes by implementing a transparent claims communication system.
  • Integrated health benefits data with the organization's HRIS system, enhancing real-time reporting and decision-making capabilities.
  • Created a tiered benefits package that allowed employees to choose more personalized coverage options, increasing overall satisfaction and retention by 81%.
  • Efficiently managed family and medical leave (FMLA) claims, ensuring accurate documentation and timely resolutions for over 4 employees.

Affiliations

  • Certified Benefits Professional (CBP) Certification
  • National Business Group on Health (NBGH)
  • Toastmasters
  • Association for Computing Machinery
  • Patient Advocate Certification Board (PACB)
  • International Council of Nurses
  • Certified Employee Benefit Specialist (CEBS) Program
  • American College of Healthcare Executives (ACHE)
  • Society of Human Resource Management
  • American Association of Healthcare Administrative Management (AAHAM)

Certifications

  • First Aid/CPR Certified
  • Certified Benefits Consultant (CBC)
  • SHRM Certified Professional (SHRM-CP)
  • Understanding ERISA: The Employee Retirement Income Security Act 2023
  • Certified Healthcare Access Manager (CHAM)
  • Patient Protection and Affordable Care Act (ACA) Compliance Certification
  • CompTIA Network+
  • Health Insurance Associate (HIA)
  • Advanced Medical Claims Certification (AMCC)
  • Certified Corporate Wellness Specialist (CCWS)

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