By Fanette Delorme. Resume. Published at Tuesday, August 13th, 2019 - 05:45:55 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.
Health and Benefits Administrator, Provided leadership for the Credit unions wellness initiatives particularly the administration of benefit programs. Facilitated FMLA, Workers Compensation and Disability Leave Programs. Resolved employee issues and questions regarding benefits in a timely and accurate manner. Introduced all benefit plans to new employees during benefit orientation. Managed all insurance vendor and broker relationships. HR Generalist/benefits Administrator, Processed 30 employees actively on a leave per month. Established and implemented a company leave policy for employees not eligible for FMLA. Researched maternity/paternity paid leave options and proposed to senior leadership. Improved awareness of 403b retirement plan offerings increasing participation by 30%. Increased new hire benefit enrollment to 95%.
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.
Sr. Benefits Administrator, Managed Comprehensive Benefit Plans for over 25,000 employees. 401(k) Plan Administrator managing assets of $60 million. Processed monthly billing invoices from our vendors. Worked with JD Edwards Accounting/HRIS software. Worked with Broker Consultant to manage $35 Million Dollar Self Insurance PPO Plan. Created an Electronic Virtual Filing/Retrieval system that eliminated the need for paper filing.
Staff Accountant/benefits Administrator, Responsible for Accounts Receivable including data entry, preparing invoices and processing payments. Processed A/P invoices, authorization approval, g/l coding and input, check processing and filing. Managed 3 bank accounts as including between-account transfers, wire follow ups and bank account reconciliation. Prepared payroll – tracked hours per job per architect, verified hourly rate (regular, overtime, double time, sick time, premiums, etc). Prepared, filed, and disbursed quarterly/annual payroll taxes (941, 940) as well as estimated quarterly taxes for S corp owners/officers. Administered 401k program, track company matches, file 5500 and distribute SAR. Oversaw and managed health care reimbursement account, group medical insurance and dental insurance. Enrolled new hires into all insurances (Life, ADD, LTD, STD, health, dental, HRA).
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.
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