Benefits Administration and Operations Management Professional and diverse experience 3rd Party in office/virtual last 10+ years. Management of Association and Employer Underwriting processes. Payroll, Benefits Specialist, AP/AR, Insured/Self-Insured Disability Plans, Medicaid Plans, Operations, Client Services, Short/Long-Term Disability, Q/A specialist, FMLA, Military, State Leaves, Appeals, Claims Examination, and exposure to both occupational and non-occupational businesses. In-depth knowledge of ERISA Guidelines/Compliance as well as MDG guidelines. Ensures accurate and timely claim processing/payroll, including state and worker’s compensation offsets, while keeping with client specifics and customer expectations of disability plan provisions/procedures, client performance guarantees for total quality as well as state/federal guidelines and regulations. Obtained and reviewed objective/supportive medical documentation per eligibility guidelines to make final decisions to overturn or uphold STD/LTD/Appeal case manager decisions. New Client/Resource Management/Transition Team implementation by creating Standard Operating Procedures (SOP) and PowerPoint for training/coaching for business and process needs for improvement including risk management, customer Service management/customer relationship management (CRM) for leave of absence Short/Long Term Disability new clients.

Accomplished initiative-taking, positive, energetic, and detailed oriented team player, well organized, able to multi-task and identify priorities in a fast-paced environment, business professional with over 48 years’ experience business operations consistently exceeding goals including but not limited to payroll, AP/AR systems, and 43 years Customer Service Relations Specialist. 10+ Years’ advanced knowledge regarding Short-Term/Long-Term Disability, Appeals, Q/A Specialist, FMLA, ADA, ERISA, Military, Personal, Company leaves and benefits practices, Senior Leader, problem solving, and personnel manager. Serves as a Subject Matter Expert on Leave of Absence programs and supports the team with expert knowledge of client specific details. Works effectively across cultures to drive ROI, reduce cost, and increase organizational efficiency.

Accomplished organized office manager with over 20 years’ experience in a fast paced business operations setting, 32 years’ customer relations specialist and office experience in general. 3.5 years’ experience with Senior Customer Service Representative and Quality Coach Specialization for Short Term, Long Term Disabilities, FMLA and State Leaves for Disabilities for Aon Hewitt & Reed Group Leave of Absence Team for Amazon, Memorial Hermann and Texas Income Protection Plan, Nissan, Envision, Johnson Johnson. Training & Coaching new employees and quality control. Excellent communication and interpersonal skills; builds respect and hardworking relationships with senior management, peers, and clients.