Kristine Derkovich Email & Phone Number

Westlake, Ohio, United States

Punta Gorda, Florida, United States

Managing my personal investment portfolio

Cleveland, Ohio, United States

Provide leadership and direction in the development, implementation and management of benefits plans and wellness programs. Manage daily communications with clients regarding regulations, compliance, and market trends. Develop and implement internal team workforce planning, project budgeting, and client billing.

Cleveland, Ohio, United States

Work with clients and brokers to help employers utilize health care data to shape their benefits strategy.

With office closure, I decided to take a sabbatical for personal growth and to pursue higher education.

Rockville Md

Benefits Manager overseeing programs for more than 22,000 benefits eligible employees. Led a team of Benefits Specialists in the daily administration of medical, dental, vision, life/disability and 401(k).

Cleveland/Akron, Ohio Area

Helping clients design, implement and manage their benefits programs and navigate health care reform.

Cedar Rapids, Iowa Area

Benefits and total rewards strategyImplementation of retiree health care exchange through Extend Health (now Willis Towers Watson OneExchange Retiree Exchange)

Greater Denver Area

Employee benefits education, communications, and new hire and annual enrollment.

-Manage projects arising from client needs related to health care and other group benefit programs -Serve as a primary client resource-Provide direct client support (working in onsite project management capacity) for acquisition and integration project-Coordinate cross-practice and cross-office client delivery teams -Develop self-insured premium equivalent rates, budget projections and benefit analysis as needed for clients with varied populations (200-15,000+ employees)-Lead client meetings for presentation of rate development, vendor selection analysis, strategy development, annual planning, benefits budget setting, etc.-Develop bid specifications and analyze vendor bidding responses for health care and other group benefit programs, such as dental, pharmacy, life, disability, etc. -Conduct finalist interviews and contract negotiation for vendor procurement projects-Review and analyze health and welfare vendor renewals -Respond to compliance questions related to ERISA, HIPAA, Account-based Plans, high deductible health plans, etc.-Work with Communications specialists in developing employee communications materials and conducting open enrollment meetings-Assist with new business development researching prospective companies and attending sales meetings-Lead and/or assist with claim audit projects, including medical, dental, pharmacy and dependent eligibility

Process Requests for Proposal (RFP) and all follow-up for department based on manual and experience rates-Work with Marketing to provide premium rates and self-insured administrative fees to support RFP process-Attend client and prospect meetings to explain premium rate development and renewal actions-Assist in development and testing of rating tool used for self-insured rate development -Conduct training for various departments on rating tools and underwriting concepts-Work with Actuarial Department to develop item cost adjustments

Team Leader duties include mentoring, training and guidance for 6 person team-First level resolution of Marketing special requests/exceptions/conflicts-Work with Actuarial Department for rate development and filing-Close contact with all levels of management (managers, directors, vice presidents and CFOs) in finance and marketing departments to ensure profitability of block of business-Involved with development/testing/implementation of web-based rating system-Provide training to Marketing Representatives on underwriting concepts and system tools-Underwriter duties include assessment of new & renewal business for profitability, groups of 2-100 lives, and some larger groups as needed-Compile monthly reports of all renewal activity for review by management and actuarial department

Assess all aspects of new business for Small Group medical insurance-Confirm compliance of underwriting actions with state mandates and Health Insurance Portability and Accountability Act (HIPAA)-Assess change requests for current accounts-Process applications for additions to existing employer groups, confirming eligibility-Review medical records for Claims Department to determine possible fraud or misrepresentation-Compose and implement procedures for underwriting staff-Provide systems training and support for underwriting department-Audit underwriting decisions for training purposes-Research large dollar claims for anti-selection issues and as a training tool for future risk assessment-Review existing accounts for employee participation/eligibility

Specializing Masters, Viticulture And Enology

Bachelor'S Degree, Political Science

B.A. in Political Science