By Darchelle Francois. Resume. Published at Wednesday, August 14th, 2019 - 01:41:24 AM.
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.
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.
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.
Responsible for administering a case load of 35 401(k) retirement plans. Developed and maintained an ongoing relationship with clients through strategic client contacts. Ensured record-keeping is completed accurately and timely. Resolved processing issues and keep clients informed of progress towards resolution. Reported to the Director of Daily Valuations. Prepared quarterly/annual valuations, including calculations of annual employer contributions. Performed nondiscriminatory and coverage testing. Prepared IRS 5500 forms, Reconciled assets and Trust Accounting. Processed contributions, loans, distributions, hardships and QRDO. Reviewed census, eligibility and vesting determination. Researched client inquiries.
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.
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.
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