🔹 Human Resources Benefits Specialist at Deloitte - Responsible for administering and optimizing employee benefits programs, ensuring efficiency and employee satisfaction.🔹 Daily Responsibilities: - Oversee health, wellness, and retirement plans, including medical, dental, vision, life insurance, 401(k), and voluntary benefits. - Provide personalized support to employees, answering questions on benefit options, eligibility, and enrollment. - Act as the primary contact with benefit vendors, ensuring timely claim processing, enrollments, and changes, while negotiating to improve service quality.🔹 Compliance & Reporting: - Ensure adherence to ERISA, ACA, HIPAA, and company regulations. - Manage audits and generate reports related to benefits programs, eligibility, and participation.🔹 Open Enrollment Leadership: - Lead the annual open enrollment process, including plan updates, employee communications, and informational sessions to enhance understanding of benefits.🔹 Continuous Improvement: - Analyze current benefits, gather employee feedback, and benchmark against industry trends to recommend improvements and cost-saving measures.🔹 Strategic Collaboration: - Partner with HR leadership to design benefits plans aligned with organizational goals, aimed at improving employee attraction and retention.🔹 Technology & Data Management: - Utilize ServiceNow and Workday to maintain and update employee records and process benefits transactions, ensuring data accuracy.🔹 Wellness Programs: - Collaborate with internal teams to promote wellness initiatives that improve employee health, engagement, and reduce healthcare costs.🔹 Commitment to Excellence: - Dedicated to enhancing the employee experience through clear communication, streamlined processes, and proactive program management.

🔹Benefits Analyst at Aqua - Managed the administration of various employee benefit programs, ensuring smooth operations, regulatory compliance, and high-quality service delivery.🔹Benefits Administration: - Oversaw health, retirement, and other employee benefits programs. - Led logistics planning and communications for Annual Open Enrollment.🔹Employee Support: - Interpreted benefits policies and plan rules, advising employees on coverage options. - Resolved escalated claims and service issues, ensuring employee satisfaction.🔹Vendor Management: - Collaborated with third-party vendors and consultants to ensure timely issue resolution. - Ensured high-quality service delivery to employees.🔹Compliance & Auditing: - Ensured adherence to HIPAA, PPACA, and other regulatory requirements. - Prepared and submitted 5500 forms and distributed required materials (SPDs, SBCs, SARs). - Assisted with 401(k) audits and testing to meet regulatory standards.🔹Process Improvement: - Researched benefits trends and best practices in plan design. - Recommended process improvements to enhance quality, efficiency, and employee satisfaction.🔹Invoice Reconciliation: - Reviewed, audited, and reconciled benefit plan invoices for accuracy before payment submission.🔹Workers’ Compensation & DOT Compliance: - Managed workers' compensation claims and coordinated with employees, supervisors, and adjusters. - Oversaw compliance with DOT drug/alcohol testing and CDL medical requirements.🔹HRIS & Payroll Collaboration: - Partnered with HRIS and Payroll teams to ensure accuracy in benefits administration and reporting.🔹Commitment to Excellence: - Consistently drove process improvements, delivered clear communication, and ensured compliance with regulations, contributing to both employee satisfaction and operational excellence.

🔹Benefits Specialist at Verizon - Managed and audited comprehensive employee benefits programs, supporting multiple client teams from new hire onboarding through retirement across various platforms.🔹Benefits Management: - Oversaw the full spectrum of employee benefits, including health, retirement, COBRA, FMLA, and LOA programs. - Ensured accurate and timely processing of benefit changes to maintain compliance and employee satisfaction.🔹Compliance & Auditing: - Maintained adherence to AHA compliance rules, SAS70 audit requirements, and other regulatory standards. - Managed audits to ensure benefit plans consistently met compliance and accuracy requirements. - Provided employees with guidance on benefit options, retirement planning, and policy interpretation. - Addressed inquiries and resolved escalated issues related to benefits.🔹Data Analysis & Reporting: - Tracked usage trends across various benefit programs to identify opportunities for optimization and improvement. - Generated reports to monitor the efficiency and compliance of benefit programs.🔹Vendor & Platform Coordination: - Collaborated with benefit providers and external vendors to streamline processes and resolve service issues. - Enhanced the overall employee experience through improved coordination and vendor management.🔹Retirement Benefits Administration: - Managed pension funds, 401(k) plans, and other retirement benefits, ensuring employees had access to necessary resources for effective retirement planning. 🔹Specialized Programs: - Administered workers' compensation claims, long-term care benefits, term life insurance, and employee leave programs (FMLA, LOA). 🔹Process Improvement: - Recommended and implemented enhancements to streamline benefits administration. - Focused on improving operational efficiency and optimizing employee benefits processes.

🔹HR Account Manager at Benefit Harbor - Managed employee benefits administration for multiple client teams, ensuring seamless delivery and compliance.🔹Benefits Management: - Oversaw end-to-end benefits for health, retirement, COBRA, FMLA, and LOA across various client accounts from onboarding to retirement.🔹Compliance & Auditing: - Ensured adherence to AHA and SAS70 requirements by conducting regular audits to maintain program integrity and regulatory compliance.🔹Client Relations & Plan Implementation: - Worked directly with clients to design and implement tailored benefits plans. - Guided clients through the annual renewal process, offering support and insights for plan updates.🔹Process Improvement: - Identified and implemented opportunities to streamline benefits administration processes, improve workflow efficiency, and enhance data accuracy. - Tracked benefit usage trends to recommend adjustments to plans.🔹Employee & Client Support: - Acted as the primary point of contact for both clients and their employees. - Provided detailed guidance on benefit offerings, escalated claim assistance, and resolved complex issues quickly.🔹Vendor Management: - Partnered with external vendors to ensure timely processing of benefit changes. - Managed vendor relationships to improve service quality.🔹Data Reporting & Analysis: - Analyzed benefits data and provided clients with actionable insights into program performance, trends, and opportunities for cost-saving or enhancement.🔹Annual Enrollment: - Led the annual open enrollment process for multiple client accounts. - Coordinated logistics, prepared employee communications, and ensured smooth implementation of all benefit changes.

🔹Beneficiary Support Specialist at Xerox - Managed comprehensive employee benefits programs, including leave of absence (LOA) processes, benefits counseling, and vendor coordination. Ensured employees fully understood and utilized their benefits while maintaining compliance and accurate administration.🔹LOA & Disability Management: - Handled end-to-end LOA requests, advising employees and managers on FMLA, sick leave banks, short-term disability (STD), and long-term disability (LTD) eligibility. - Ensured accurate documentation and clear communication between employees, managers, and relevant personnel.🔹Benefits Counseling & Compliance: - Provided individualized support to employees on a wide range of benefits, including medical, dental, vision, life insurance, FSAs, disability, retirement plans, COBRA, and time-off programs. - Ensured compliance with Certified and Classified Master Agreements and Administrative Program policies.🔹Vendor Liaison: - Acted as the primary liaison between employees and benefit vendors, efficiently resolving issues and maintaining positive vendor relationships to facilitate seamless support.🔹Systems & Data Management: - Utilized PeopleSoft Benefits Administration to update employee benefit enrollments and changes within the HRIS system. - Conducted regular audits of benefit reports to ensure data accuracy and compliance, collaborating with HR and payroll teams when necessary.🔹Documentation & Reporting: - Managed all aspects of benefits documentation, including assembling benefits packets, filing paperwork, and creating new employee files. - Ensured timely and accurate input of enrollment changes in alignment with vendor transmittals and payroll deadlines. 🔹Eligibility Calculations & Compliance: - Calculated eligibility for various programs, including FMLA, STD/LTD, and sick leave banks, ensuring compliance with federal and organizational policies.

🔹Medicare Benefits Specialist at Independence Blue Cross - Focused on handling customer inquiries and providing solutions for operational issues in health plan administration, while driving improvements in client satisfaction and operational efficiency.🔹Key Responsibilities: - Managed and resolved customer inquiries across various communication channels, delivering prompt and accurate responses. - Performed data analysis to identify trends in health plan operations, aimed at reducing administrative costs and enhancing service delivery. - Generated reports using charts, graphs, and tables to support decision-making and highlight areas for improvement. - Identified inefficiencies in health plan operations and proposed solutions to optimize processes and improve overall performance. - Collaborated with internal teams to resolve client-specific issues and streamline administrative processes. - Handled Medicare claims processing and assessments, ensuring accuracy and compliance with policies. - Assisted customers in understanding their claim status, resolving discrepancies, and providing guidance on Medicare benefits and coverage options. - Acted as a key resource for complex benefit inquiries, ensuring clear and accurate information for health plan members. - Worked closely with different departments to align operational goals, contributing to the financial and operational success of the organization. - Supported training and development efforts for colleagues on Medicare-related topics.🔹Key Skills & Tools: - Medicare Claims & Benefits Administration - Customer Service & Client Support - Data Analysis & Reporting - Process Improvement & Operational Efficiency - Claims Management & Issue Resolution - Cross-Functional Team Collaboration - Microsoft Office Suite** - Analytical & Problem-Solving Skills - Training & Development Support - Strong Interpersonal & Communication Skills