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Skills

  • Benefits reconciliation
  • Client communication (phone, email, and in-person)
  • Attention to detail
  • Automation of benefits processes
  • Budgets
  • Program knowledge
  • Business operations
  • Compliance with federal and state laws
  • Regulatory compliance
  • Public speaking and presentations

Work Experiences

  • Assessed thoroughness of communications.
  • Administered life, health, and long-term disability claims.
  • Provided career-related consulting services to over 8 people and communicated with them to determine their needs and goals.
  • Analyzed data from interviews, educational and medical records, consultations with other professionals, and diagnostic evaluations to determine clients' capabilities, needs, and eligibility for services.
  • Achieved a 18% faster resolution time.
  • Anticipated potential staff shortages.
  • Collaborated with medical professionals.
  • Analyzed historical claims data.
  • Analyzed discrepancies in claims processing for a Asana system, recovering $7 in over and underpaid benefits within the past year.
  • Achieved results within two years.

Summaries

  • Proficient at administering standard assessments, analyzing client and job data, and maintaining client files.
  • Achieved a significant reduction of operational bottlenecks.
  • Accomplished Benefit Authorizer, consistently resolving complex benefit discrepancies and recovering $5 in overpaid benefits within two years.
  • Analytical Benefit Authorizer skilled in data forecasting and trends, facilitating informed decision-making to align with senior management’s goals.
  • Professional with experience in job interview techniques and HubSpot who is responsive and dependable.
  • Aligned with senior management’s goals.
  • Motivated professional capable of managing and monitoring member and group eligibility information.
  • Comprehensive knowledge in benefit distribution analysis.
  • Adept at cross-functional collaboration.
  • Professional who is well-organized and has excellent communication and multitasking skills.

Accomplishments

  • Interfaced with 8 external vendors to ensure accurate and timely delivery of health, disability, and pension benefits, improving turnaround time by 61%.
  • Performed trend analysis using historical claims data, allowing for early identification of policy discrepancies and resolving 11 high-impact cases.
  • Collaborated with IT team in testing and optimizing benefit software systems, resulting in 49% improvement in system performance and uptime.
  • Developed and presented benefit options to clients, leading to a 48% uptick in client retention for 2016.
  • Collaborated cross-functionally to resolve policy discrepancies, resulting in a 50% reduction in benefit processing errors and a savings of $17 in unnecessarily disbursed funds.
  • Documented and resolved initiative which led to method.
  • Improved customer engagement with proactive email campaigns regarding changes in benefits policies, increasing inbound client inquiries by 44%.
  • Achieved an accuracy rate of 22% in claims processing by implementing streamlined quality assurance measures, reducing overall errors by 49%.
  • Served as a key point of contact for escalated claims, resulting in 42% of cases being resolved within 72 hours.
  • Created comprehensive client communication templates, improving client response times by 47% and ensuring consistent information delivery.

Affiliations

  • National Organization of Social Security Claimants' Representatives (NOSSCR)
  • Compensation and Benefits Association of Phoenix
  • Health and Welfare Benefits Institute
  • Council for Disability Awareness (CDA)
  • National Association of Personnel Administrators (NAPA)
  • American Association of State Compensation Insurance Funds
  • Lions Club
  • Association for Federal Career Employees
  • Certification of Disability Management Specialists (CDMS) PMP
  • National Council for Mental Wellbeing

Certifications

  • Certified Public Accountant
  • Workers' Compensation Professional (WCP)
  • SHRM Certified Professional (SHRM-CP)
  • Salesforce
  • National Association of Claims Professionals Certification (NACP)
  • Customer Service Excellence Certification in Benefit Claims
  • Project Management Professional (PMP)
  • Certified Employee Benefit Specialist (CEBS)
  • Certified Public Manager (CPM)
  • Certified Public Accountant (CPA)

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