Cheryl Murphy Email & Phone Number

Remote - Peachtree City Ga

Evaluate employer Health and Welfare benefit Plans and claims using data analytics, benefit program policies and procedures, Plan Documents, and other vendor contractual agreements.Author internal and external results reporting for delivery across many divisions of Human Resource management, financial, reinsurance and third-party administrator teams. Evaluate operational efficiencies and manage relationships with third party administrators, consultants, and vendor partners to ensure efficient Plan administration.Communicate new benefits strategy, design changes and process improvements to ensure compliance with federal and state regulatory requirements (HIPAA, ACA, ERISA, SOX) Coordinate financial reimbursement of claims with outside vendors

Remote - Peachtree City, Ga

Directed projects to evaluate self-funded and fully insured benefit Plans on behalf of consultants, third party administrators and vendors.Mentored and trained staff to evaluate claims, workflow, processes, technical and regulatory components of Health and Welfare Plans and/or agreements between vendors and other contractors.Utilized analytical tools to assess vendor performance across various metrics and communicated improvement strategies in various formats to employers, third party administrators and insurers.

Evaluated Health and Welfare Plans of Fortune 500 employers both self-administered and third party administered, their consultants and vendors. Communicated strategies to improve processes and delivery of benefits to covered participants and made financial recovery recommendations.