By Royale Monnier. Resume. Published at Saturday, August 10th, 2019 - 06:15:13 AM.
Oversaw the outsourced relationship for managed disability and Family Medical Leave operations coordinating workflow with vendors, and collaborating with HR Business Partners nationwide. Managed escalated disability issues and appeals for union and non-union employees ensuring timely and compliant resolutions. Conducted analysis of data in health and welfare vendor’s system to ensure accuracy, conducts data comparisons between internal and external systems. Investigated, researched and responded to inquiries from participants on pension benefits, eligibility for pension survivor benefits and retiree medical and life insurance. Coordinated internal and external audit activity for pension plan. Partnered with third party vendor to validate and confirm final data for pension calculations. Established and executed the process to identify, notify and transition disabled employees to Medicare.
Processed benefit enrollment forms and maintained databases for all members and dependents of more than 20 school districts in Southern California. Cultivated relationships with benefit administrators from each school district to ensure all needs were met and all issues resolved in a timely manner. Educated members about various benefit plans available to them and guided them through our online open enrollment process. Responsible for vendor premium payments, administering Puerto Rico and Hawaii benefits plans, maintaining data integrity of SAP interface transmissions to vendor, providing customer service to associates. Oversaw administration of benefits plans in Puerto Rico and Hawaii including premium payments, open enrollment materials, website creation and COBRA. Involved in quarterly testing of SAP updates, Liaison between benefits and IT to identify programming defects and communicate defects. Back up to Benefits Admin 3 in the following areas: 401(k) funding and customer service, Canada benefits plans/leaves of absence/RRSP. Assisted LOA team with STD cases Budget responsibility of $2.5 million/mo. Responsible for processing qualified medical support orders.
Benefits Administrators oversee the systems of compensation and benefits for companies. Resumes for this position highlight such responsibilities as reviewing plan information for defined benefit plans and participant data to determine eligibility categories; assisting with special projects to correct and adjust benefit calculations; analyzing reconciliation reports, pension estimates, and automated calculations; and preparing automated benefit calculations. There are no formal education requirements for this position, though undergraduate degrees in human resources management or relevant areas do appear on example resumes in the field.
Responded to; inquiries from employees, retirees, carriers, physicians, and attorneys for benefits coverage, eligibility, claim procedures, as well as fund regulations and specifics. Updated and maintained, annual enrollment and demographic information for members and their dependents. Consulted with, retirees in person or by phone to review the process of continuing benefits after retirement. Assisted employees with filing health, dental, and prescription claims for reimbursement. Keyed and processed hard copy medical, dental, and prescription claims based on set contract rates and pricing. Completed enrollment process through receiving and verifying enrollment forms, received dependent documentation; processed QMSO cases.
Responsible for Benefits Administration for over 300 employees within four U.S. locations. Interacts with and advises employees on a range of individual benefits to include 401(k), health/dental insurance, COBRA eligibility, flexible spending accounts, FMLA and other associated benefits. Coordinates implementation of annual open enrollment programs for employees and assists with benefit negotiations with all vendors. Reviews and processes individual benefits applications and related documentation. Implemented Wellness Program within the firm which became the first law firm in RI to participate in the Governor’s Wellness Program, winning numerous awards. Introduced Employee Assistance Program and College Bound Fund Program. Processes and submits Affirmative Action Plan and EEO Report.
Assisted employees in resolving escalated or complex Health & Welfare claims or issues. Resolved benefit eligibility and enrollment issues. Identified weaknesses in current benefit delivery system and recommend cost-effective improvements. Responsible for payment for health and welfare invoices. Conducted audit of health and welfare enrollment to comply with Sarbanes-Oxley. Monitored plan usage and recommend cost-effective changes as needed.
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