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Case Manager Resume PDF

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By Tiffanie Roussel. Resume. Published at Thursday, August 08th, 2019 - 05:04:46 AM.

Human Resources Generalist/ Benefits Administrator, Reports to the Chief Financial Officer; overseeing all HR department functions, including: Organizational development, event planning, staffing, benefits administration, employee relations, performance management and investigations. Oversee ergonomic concerns, workers compensation, unemployment claims, and employee separations. Maintaining accurate and consistent documentation. Developed new hire orientation program; including a revised employee handbook, ensuring consistency and minimizing exposure to liability. Saved $26k with detailed auditing of monthly Blue Shield billing. Created IIPP/Safety Manual, initiated and facilitated a safety committee conforming to Cal OSHA standards. Created and planned events from conception to completion: developing program content, budget, managing on-site logistics; including transportation, accommodations, meals, guest speakers and team building activities. Analyzed benefit plans; negotiating a reduction of 12%. Reduced medical premiums by 21%; transitioning eligible employees to Medicare plans.

Risk Associate Ii/benefits Administrator, Assisted in the administration of Open Enrollment, which included educating and assisting employees. Served as the Employee Self Service Administrator for online enrollment instruction and education. Investigated and resolved claims and eligibility issues for members and qualified dependents. Maintained and processed benefit updates as needed for new hires, life status changes and terminations to ensure accurate monthly eligibility file transfers were transmitted to vendors. Performed bi-weekly payroll auditing, managed deferred compensation loans and payoffs. Scheduled employees and retirees for wellness programs and other benefit events.

Updated employee enrollment change information. Encoded changes in information. Ensured accuracy and completeness in accordance with the requirements. Responded to queries related for all charter plans from employees. Established relationships between plan administrators. Maintained a superior quality rating of 94% in file, exceeding the 90% departmental goal. Managed the Leave of Absence process, including Worker’s Compensation, Family Medical Leave Act, and Personal Leaves for the entire company. Processed payroll for all employees on a leave of absence. Organized and distributed Open Enrollment communications. Collaborated with the HR Technology Team to create and update vendor eligibility files.Implemented self service benefit enrollment with the HR Technology Team.

Worked with the Accounting Department to successfully develop a more cost effective and time saving Medical and Dental Premium Reconciliation process; this allowed the process to move independently to the Human Resources Department. Independently and accurately identified and reconciled billing discrepancies by utilizing eligibility reports run in People Soft in order to remit correct payment. Corrected eligibility errors through vendor contact and eligibility file maintenance to sustain employee coverage. Paid monthly premiums and administrative fees to all medical, dental and FSA plans in a timely manner. Acted as key contact regarding the FSA program; answered employee questions and maintained and transmitted eligibility and contribution files. Quickly resolved escalated employee benefits issues that were received in the company’s Benefits call-center. Conducted New Hire Benefits Orientations to ensure employees a thorough understanding of their benefits choices. Participated in special projects such as Open Enrollment, Benefits Fairs, and Wellness Seminars.

Human Resources Assistant/benefits Administrator-temporary, Benefits Administrator for 215 employees. Paid and reconciled all HR related bills in a timely manner. Completed Worker’s Compensation, Unemployment, Corrective Action and Termination paperwork. Worked with HR Manager on day-to-day employee relations issues and company policy. Led new hire orientation and company Safety Training courses; maintained training progress. Attended weekly Supervisor meetings to enhance my involvement. Monthly billing and reconciliation of employee contributions and company payments. Development of policies and procedures for the administration of benefit plans, to include monthly billing and reconciliation for finance. Create monthly reports summarizing Voluntary benefit activity. Perform research and analysis for monthly benefit’s audit reports utilizing Excel graphs and charts for department use. Administration of 15,000+ employees; Voluntary benefit plans, enrollment and eligibility. Maintain employee enrollment information in Lawson Application database and AON. Prepare and send correspondence regarding employee eligibility.

Administered all group health plan coverage in a corporate North American service center environment. Processed all new employee enrollments and mid-year changes. Addressed any benefits-related employee issues and questions, both through direct phone calls and service center tickets as a Tier 2 resource. Processed monthly life insurance invoicing and internal re invoicing for benefit plans. Participated in the implementation of a new benefits implementation system, providing raw data necessary for system development and auditing throughout the implementation process.


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