Teresa Gresham Email & Phone Number

Jacksonville, Florida, US

• Assist Benefits Manager with development of strategic plans for Benefits that support corporate goals.
• Implement and oversee all Health and welfare benefits plans (medical, dental, vision, life insurance, disability, COBRA, flexible spending accounts and all voluntary products).
• Develop and implement annual Full-time and Part-time Open Enrollment and communications (brochures, memos, newsletters, flyers, posters, paycheck messages, etc).
• Conduct Benefits meetings, presentations and training (Ensures that all new/current employees receive a comprehensive orientation and a thorough understanding of the benefits programs).
• Develop specific reports for management, as well as interpret results from reports and use for claims analysis to assist in medical and pharmacy budget forecasting and plan design.
• Serve as liaison and maintain professional relationships with health care plan administrators, brokers/consultants, insurance carriers and other external vendors; also internally with Payroll, MIS, IS and Risk.

New York, NY, US

• Trained claim examiners how to process claims.
• Trained employees on changes to the claim system, account plan designs, and provider negotiations.
• Audited claims for quality standards.*Designed policy and procedure to make the workflow run more organized and productive.
• Handled Accident and Subrogation claims that involved third party payor.
• Created Weekly inventory reports.

• Handled and processed medical claims for top level companies such as BMW, Michelin, Bibb
• Entered data in the IBM system regarding the eligibility of contracts and provider information.
• Evaluated documents to determine usual and customary charges for various procedures on claims.
• Assisted in the Customer Service Department with eligibility and benefits.