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By Laverna Lacroix. Resume. Published at Sunday, August 18th, 2019 - 01:06:26 AM.

Plan administrator for 401(k) plans, pension plans, and health and welfare benefits. Processed estimates and commencements of pension plans. Processed withdrawals, loans, and distributions for 401(k) plans. Followed up on any outstanding issues to ensure they were resolved. Applied and communicated conceptual elements of health benefits, defined benefits and defined contributions to participants. Benefits Administrator, Responded to; inquiries from employees, retirees, carriers, physicians, and attorneys for benefits coverage, eligibility, claim procedures, as well as fund regulations and specifics. 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. Processed New Hire packages and QMSO cases. Conducted follow up on Subrogation cases. Acted as office receptionist, greeting vendors, member, and clients; handled deliveries.

Administer employee health benefits to employees over the phone for online enrollment through call center methods. Process benefit enrollments during open enrollment and throughout the year (life event changes). Verify coverage and maintain eligibility files ensuring proper notification is made between employer/employee and benefit plan vendors (interface). Complete carrier bill preparation and reconciliation; handle billing and remittance questions, investigation, and resolution. Enroll employees into pres elected Medical, Dental, and Vision Insurance, FSA, 401K, Life, Prescriptions, STD/LTD for over 200 companies, through the Cloud portal while utilizing HRP web system for carrier feeds to be transmitted to vendors for processing. Review and prepare benefits adjustments of premiums to transmit to payroll for accurate deductions. Perform benefits audits, monthly to ensure proper elections and deductions are set in place within system.

Human Resources Benefits Administrator, Coordinated and managed all aspects of employee benefits for approximately 265 employees. Coordinated and managed all aspects of annual open enrollments for all benefits such as medical, flexible spending (medical/dependent care) profit sharing plans and stock purchase plans. Managed all aspects of employee Family Medical Leave. Conducted investigations of alternative fringe benefit plans. Acted as liaison between insurance companies and employees. Assisted in consolidation 2 companies benefit plans.

Coordinated medical, dental, and life insurance company invoicing; acted as liaison between employees and associated vendors. Processed new employment and terminations while administering COBRA, worker’s compensation claims, and first aid billing. Assisted with research and implementation of insurance carrier change. Administer eligibility of health and welfare benefits for United Airlines and Century Link. Researched and created tools to provide fellow colleges quick reference materials to assist their customers and clients. Played key role in the implementation of merging United Airlines and Continental Airlines Benefits (2012). Assist participants with their Pension and 401 (k).

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.

Conduct new hire orientations relating to policy and procedures, employee benefits. Coordinate and conduct annual and quarterly benefits enrollments for corporate and out of state offices for 600+ employees locally and nationally. Research and create benefits incentive programs for employees. Track and process requests for disability, family medical leaves, return to work determinations and No Fault Insurance claims. File and track Worker’s Compensation claims with carrier and OSHA reporting. Conduct exit interviews and assist in employee terminations including COBRA compliance and documentation. Process interstate and out of state unemployment claims.


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