Patricia Gamez Email & Phone Number

Wayne , Nj

Reporting to the Benefits Manager I am responsible for review/set up and administration of client/employee benefits plans, such as Health, Dental, Life, Disability and other ancillary plans in a PEO setting for over 4,000 clients and approximately 90,000 work site employees across the 50 states.• Partner with Account Executive and client contact for execution of contract and plan set up at Open Enrollment, Renewal or when creating new benefit classes and eligibility • Service employees/clients for Large Group Master Plans as well as Small Group/client owned plans• Training and Coaching of other team members and interns• Benefit plan and premium audits at client and employee level• Data Entry and Eligibility • Responsible for the maintenance of clients’ Health Spending Account and Flexible Spending Accounts.• Claim resolution and client/employee assistance • Carrier relations• Life Insurance. STD and LTD claims• Coordinate Qualified Medical Child Support Order notices and communications with agency, payroll and employee• HRP, Client Space, Document Locator , Business Solver, Access, carrier sites

Benefits SpecialistSt. Joseph’s Healthcare System, August 2013 to January 2014Reported to Director of Benefits and served as subject matter expert in Health and Welfare areas for hospital and satellite employees. Worked along Third Party Administrator and benefit carriers to ensure proper and timely enrollment of employee eligibility. Collaborated on special projects. Managed process and approval of various Leaves of Absences ie., Medical family, personal, intermittent coordinating with the state, department and payroll to ensure proper approval, processing and payments are realized Reviewed High Dollar Claim, Frequent ER visit & Prescription Fraud Waste Abuse reports –ensuring appropriate information is forwarded to Stop Loss carrier or appropriate action if applicable Coordinated with payroll for proper payments or capture of Arrears or Refunds of employee premiums Partnered with Third Party Administrator on employee eligibility, COBRA, and qualifying events Reconciled carrier invoices UltiPro, carrier sites

North Bergen Nj

Benefits AdministratorFifth & Pacific Companies 2006 to December 2012Subject matter expert in Health and Welfare areas for 6,000 full-time associates across the U.S, P.R. and Hawaii. : Master Plan , FSA and Ancillary plans. Collaborated with Director of Benefits on special projects. Created and proposed new process of distribution of benefits kits saving time and money in packaging and shipping. Oversaw implementation of new process and package creation Selected as Project Manager for corporate name change on all items related to Benefits reflected new company name Managed process and approval of various Leaves of Absences ,coordinating with the state, department and payroll to ensure proper approval, processing and payments . Trained Benefits staff on policies, procedures and programs while insuring team worked cohesively  Developed and coordinated corporate wellness events (Annual Health Fair) including communications on company’s Intranet as well as mailings to associates.  Trained Retail District and Store Managers regarding state laws and regulations as related to benefits insuring proper benefit programs were followed and tracked State by State Created procedure manual and benefits program related materials supporting Benefits department and HR Generalist community in answering frequently asked questions-Processed COBRA, FMLA and Short Term Disability paperwork while collaborating with Payroll and HRIS, insuring proper and timely payment was achieved within same pay cycle-Trained incoming Benefits staff on policies, procedures and programs while insuring team worked cohesively when solving day to day issues-Coordinated corporate wellness events (Annual Health Fair).

Newark Nj

Benefit SpecialistUniversity of Medicine and Dentistry of NJ 2001 to 2006Reported to Manager of Benefits and HRIS. Served as subject matter expert in Health and Welfare for 16,000 Faculty, Union, Resident House Staff and employees across several locations throughout NJ. Administered all Health and Welfare Plans including: Medical, Dental, Vision, Tuition Reimbursement, Basic Life, Supplemental Life, AD&D, LTD, FSA and Commuter Transit programs while responding to inquiries regarding benefit options, issues and eligibility. Coordinated timely processing of COBRA with NJ Division of Pensions and Benefits, insuring timely distribution of enrollment materials keeping with compliance under IRS guidelines Presented weekly new hire orientations and on boarding sessions for up to 30 employees weekly Developed and coordinated numerous multi-day wellness events (Annual Health Fair and seminars) including communications to associates and promotional flyers and posters around UMDNJ campus increasing awareness of plans’ designs Processed up to 300 qualifying events, new hires and terminations, monthly of associates and family members insuring immediate updates in database and NJ State Division of Pension and Benefits site. Managed processes for FMLA and Short Term Disability paperwork while collaborating with Payroll and HRIS, ensuring accurate and timely payment within same pay cycle.

Woodbridge Nj

-Facilitated new hire orientations and on-boarding sessions for sales & administrative staff-Processed data entry orders for sales staff insuring customer's phone lines would activate and bill for our services within 24 hours-Managed existing client base for 3 sales representatives allowing reps to build new business-Met with customers and prospective clients regarding our products and services-Led and trained staff on process management