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Skills

  • Business operations
  • Team building
  • Financial budgeting for benefits plans
  • Customer satisfaction management
  • Liaison with external stakeholders
  • Relationship development
  • Organization
  • Corporate benefits presentations
  • Benefit inquiry process management
  • Process improvement

Work Experiences

  • Contributed to a reduction in healthcare costs by $17.
  • Achieved zero compliance infractions during 2021.
  • Corrected the system to prevent future discrepancies.
  • Addressed issues related to health benefits.
  • Achieved cost savings.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Achieved a 70% drop in errors.
  • Achieved recognition with the Top Performer for outstanding customer service.
  • Achieved resolution within 6 months for 95% of cases.

Summaries

  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the framework business.
  • Adept at client relationship management.
  • Achieved resolution within three years.
  • Capable of serving as a key liaison between corporate clients and insurance carriers, facilitating seamless administration across diverse verticals with a 48% reduction in errors.
  • Achieved consistent improvement in claims processing efficiency, resolving inquiries promptly and improving follow-up satisfaction by 51% using state-of-the-art CRM systems.
  • Communicated updates to corporate clients.
  • Achieved cost savings of $3 annually.
  • Achieved a 58% decrease in post-enrollment changes.
  • 16 years in healthcare benefits consultation.
  • Analyzed health plan utilization.

Accomplishments

  • Collaborated with team of 18 in the development of category.
  • Advocated for employees experiencing difficulties with their health coverage, resolving 8 complex cases that would have otherwise escalated to legal action.
  • Conducted comparative analysis of industry health plans, helping reduce overall healthcare costs for the company by $18 annually.
  • Reduced health benefits administration errors by 56% through the implementation of a new compliance tracking system.
  • Coordinated communication between HR and benefits providers, improving claim resolution timelines by 42%.
  • Implemented an automated benefits tracking system, decreasing administrative errors by 19% and saving 2 work hours monthly.
  • Resolved product issue through consumer testing.
  • Managed benefits compliance records in accordance with ACA and HIPAA mandates, reducing audit risks by 68% and ensuring full regulatory adherence.
  • Led the configuration and implementation of a new benefits management software, which decreased processing time by 48%.
  • Drafted and distributed comprehensive employee benefit guides that resulted in 21% fewer phone inquiries during enrollment season.

Affiliations

  • Fellow, Life Management Institute (FLMI)
  • Employee Benefit Research Institute (EBRI)
  • Society for Human Resource Management (SHRM)
  • American Society of Safety Professionals
  • Certified Employee Benefits Specialist (CEBS) designation
  • American Benefits Council
  • Lions Club
  • Health and Benefit Committee Member, Seattle
  • Project Management Institute
  • Society of Women Engineers

Certifications

  • Professional, Academy for Healthcare Management (PAHM)
  • Human Resource Information Professional (HRIP)
  • Life, Accident, and Health Insurance License
  • Certified Business Analysis Professional (CBAP)
  • Certified Employee Assistance Professional (CEAP)
  • Certified Customer Service Representative (CSR)
  • Fellow, Life Management Institute (FLMI)
  • Health Savings Account (HSA) Certification
  • Insurance and Employee Benefits Training (IEBT)
  • Certified Healthcare Reform Specialist (CHRS)

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