By Marcella Dasilva. Resume. Published at Friday, August 02nd, 2019 - 02:57:43 AM.
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.
Facilitated retirement processes for 9000+ members throughout the Southern California and Southern Nevada areas. Educated members regarding procedures and offered post-retirement job counseling. Collaborated with Central Pension Fund office in Washington, D.C., to coordinate pension benefits nationwide. Resolved health and benefits issues by effectively liaising with vendors. Expedited resolution of pension issues by building and leveraging a strong business relationships with the Central Pension Fund’s office in Washington, D.C. Identified and corrected errors in premium payment system to ensure health insurance coverage for members. Eased process for next of kin of deceased members seeking information regarding death benefits and life insurance.
Handled daily administration of employee benefit: medical, dental, vision, life, AD&D, STD, LTD, worker’s compensation, flexible spending accounts and 401(k), as well as the tuition reimbursement and transportation benefit programs. Created and/or maintained databases to track employee leaves—workers’ compensation, disability, FMLA, ADA, etc. Entered and tracked data in HRIS system – Deltek GCS Premier and Cost point. Prepared and audited monthly premium statements for payment for all health & welfare benefit plans.
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.
Corporate liaison for insurance brokers and vendors. Point of contact for employees regarding all benefits matters. Plan, direct and implement benefit activities and related processes including open enrollment, FSA, medical, dental, vision and life insurance plans. Conduct benefits orientation for newly hired employees. Coordinate all benefits deductions with payroll. Oversees the preparation of reports and benefit statements according to State and Federal compliance requirements; gathers data and prepares annual benefit statements, IRS and other reports for employees, administrative and regulatory requirements. Administer COBRA plan and the 403B retirement plan for 1200 participants.
Benefits Administrator, Assisted with the daily administration of all benefits, as well as special projects in the Human Resources department. Communicated and assisted all new hires with benefits and 401(k) enrollment. Assisted the Benefits Manager with creating and implementing all communication campaigns. Resolved all issues related to the benefits function, including but not limited to health insurance, 401(k), worker’s compensation, leaves of absence, and accounting-related responsibilities. Planned, coordinated and provided on-site support for all travel, activities and meeting planning for the annual Office Coordinator meeting, held at the Ponte Vedra Inn & Club and Crown Plaza in 2007 and again in 2008, saving $20, 000 while maintaining the integrity of the conference. Provided general administrative support and record keeping.
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