Jonathan Silverstein Email & Phone Number

Los Angeles Metropolitan Area

Culver City, Ca

• Provided support to all employees regarding H&W benefit questions, issues and enrollment. Responsible for ensuring all new employees were enrolled before new hire benefits enrollment deadline expiration • Primary POC for external benefits consultants, vendors and internal business partners for resolution of daily benefits administration issues• Contact responsibilities included providing input for claims appeals, eligibility verification, demographic information correction and provision to Payroll Department of verified benefit premium payroll deductions, catch-up deductions, Flexible Spending Account and Health Savings Account contributions in accordance with payroll cycles• Contributed to the road map for the company to migrate in single year from a start-up, off cycle minimal coverage H&W benefit plans to calendar year cycle, large group H&W employee benefit plans of significantly higher coverage levels (the ultimate goal being the evolution into experience-rated, self-insured plans of coverage)• Administered entirely manual, multi-state leave of absence process for company (over 1300 employees). Communicated with employees and their managers, HRBPs and health and welfare benefits vendors throughout individual employee leaves. Created, issued and tracked leave related forms and documentation from start of individual LOAs through return to work, including accommodations• Noted for offering highly sought-after customer service of outstanding quality regarding employee benefits questions and issues. Service quality utilized listening and empathetic skills and offered honest, understandable responses proffered in a respectful manner• Responses to employee inquiries also characterized by asking questions to verify understanding of issue(s), discretion, depth of comprehension and thoroughness of responses. Included were suggestions of next steps and a realistic description of outcome(s) likely to result from pursuing various response strategies

Glendale, Ca

• Employee benefits subject matter expert• H&W benefit plan eligibility and enrollment contact for H&W benefit vendors• Assisted employees with obtaining pre-service authorizations and achieving medical and Rx claims resolutions• Produced Annual Enrollment employee communications and promoted A.E. best practices• Implemented benefit changes following Qualifying Life Events (QLEs)• COBRA administration• Balancing individual employee benefit premium YTD amounts (Retro Reports/catch-up deductions)• National Medical Support Notice processing• Medicare (CMS) inquiries and requests• Authorized H&W benefit vendor client general contact • Conversant in medical terminology and skilled with Summary Plan Description usage when assisting employees with conduct of appeals

Pasadena, Ca

• Assisted job seekers with professional degrees in the creation of effective resumes as Resume Review and Mock Interview Coordinator

Los Angeles, Ca

• Authored Policies & Procedures for correcting missed payroll benefit premium deductions and credits• Completed quarterly reports of HR activities for SOX compliance • Created PowerPoint course that resulted in all HR depts achieving HIPAA Certification• Led a process improvement project to increase efficiencies in existing leave of absence administration • Created educational material and designated contact point for all employees during company-wide implementation of Medco, a new "carve-out'' pharmacy benefits manager (PBM)• Key participant in annual User Acceptance Testing (UAT) of enrollment system prior to Annual Enrollment

Pasadena, Ca

• Corporate reference for field HR generalists regarding group H&W benefit plan administration and utilization• Responsible for ensuring that correct HRIS data input procedures were properly disseminated to and practiced by all HR colleagues across the United States• Created, distributed and processed completed Annual Enrollment responses and associated forms for all COBRA and retiree medical plan participants

Glendale, California

• Prepared and presented medical patient files to Medical Directors and company officers to evaluate patients’ final appeals for payment (coverage) for medical treatments already received or desired. Achieved 50% prior denial reversal rate based upon presenting new appellant specific medical data and contractual information to Committee members.Served as CIGNA Customer Services Representative between 1990 and 1994.