Administers benefits plans county-wide including medical, dental, vision, onsite medical clinic and wellness programs including strategies to control benefit cost increases.Manages the county’s online enrollment process. Formulates and maintains health and welfaredocumentation/communication with employees and Human Resources Service Team.Acts as the Benefits HRIS subject matter expert and provides support to the Benefits team HRIS users, including knowledge of configuration, tools… Show more Administers benefits plans county-wide including medical, dental, vision, onsite medical clinic and wellness programs including strategies to control benefit cost increases.Manages the county’s online enrollment process. Formulates and maintains health and welfaredocumentation/communication with employees and Human Resources Service Team.Acts as the Benefits HRIS subject matter expert and provides support to the Benefits team HRIS users, including knowledge of configuration, tools, vendor, interface, and open enrollment.Maintains Benefits Activity in PeopleSoft and updates PeopleSoft during Open Enrollment or otherchanges. Troubleshoots issues with PeopleSoft.Participates in design, configuration, conversion, testing, process definition, issue identification, andresolution to new/existing benefit systems.Supports the design, implementation, and maintenance of health and wellness strategies.Generates and compiles statistical reports and trend plan information; researches analyzes data andprovides recommendations.Works with vendors and key internal parties to develop performance metrics.Generates and compiles statistical reports and trend plan information; analyzes data and providesrecommendations.Provides oversight and management of vendor relationships including developing RFPs and trackingprogram metrics and measurements.Responds to written, phone, and in-person inquiries regarding County benefits.Authors, updates, and trains on policies, procedures, and programs.Creates up-to-date resource material for employees.Maintains the benefits web page, updating benefit changes, and information. Show less

Administrator of various employee benefits programs, such as group health, flexible spending accounts, dental and vision, accident and disability, life insurance, 401(k), and wellness benefits.Track and process benefit enrollments and terminations in HRIS and enrollment systems.Provide follow-up to employees on enrollment statuses.Verify the calculation of monthly premium statements for all group insurance policies and maintain statistical data relative to premiums, claims and… Show more Administrator of various employee benefits programs, such as group health, flexible spending accounts, dental and vision, accident and disability, life insurance, 401(k), and wellness benefits.Track and process benefit enrollments and terminations in HRIS and enrollment systems.Provide follow-up to employees on enrollment statuses.Verify the calculation of monthly premium statements for all group insurance policies and maintain statistical data relative to premiums, claims and costs. Resolve administrative problems with the carrier representatives.Process workers' compensation claims with third-party administrator and follow up on claims.Gather employee data and perform enrollment and compliance audits.Provide excellent customer service support, resolving benefit inquiries from employees, HR Business partners and vendors.Support annual reporting processes including 5500, 1095C, 401k audits and workers compensation audits.Assist in obtaining statistics and information in renewal process of health, life and retirement plans.Prepare and set up meetings designed to help employees obtain information and understand company benefits and other related incentive programs.Ensure distribution of required employee notices to ensure compliance with various laws and regulations.Leave administrator in the day-to-day operations of Family Medical Leave, Short-term Disability, and Long-term Disability plans. Process HR and Benefits transactions in Workday.Work alongside payroll regarding overseeing benefit deductions and other payroll related tasks.Provide ongoing support for HR and Payroll teams. Show less

Benefits administrator for government contracted benefits. Including Davis Bacon, Individual Cost Contract and Collective Bargaining. Administrative benefit support to an assigned book of business.Administer and maintain health and welfare plans including COBRA, FMLA, FSA, HSA, SCA, 401K, Disability & Life Insurance.Manage the annual renewal and open enrollment process.Manage carrier bills, audit discrepancies, create and maintain self bills.Maintain and review the benefit site… Show more Benefits administrator for government contracted benefits. Including Davis Bacon, Individual Cost Contract and Collective Bargaining. Administrative benefit support to an assigned book of business.Administer and maintain health and welfare plans including COBRA, FMLA, FSA, HSA, SCA, 401K, Disability & Life Insurance.Manage the annual renewal and open enrollment process.Manage carrier bills, audit discrepancies, create and maintain self bills.Maintain and review the benefit site to guarantee accuracy in rates, eligibility, EDI and FTP feeds to carriers.Reconcile invoices and resolve discrepancy reports from carriers.Educate clients on applicable legislation and market trends Selling cross serving lines to clients (50,000 in last 12 months) Show less

Analyze large projects of unpaid RX scripts. Litigated collections and high level concerns.Determined problems and recommended resolutions for best practices within compliance.Created and maintained excel spreadsheets on all carriers within the organizations.Set up policy and procedure templates for employees to follow.

Specialized on site audits for health insurance companies. Reimbursement and billing knowledge.Liaison between hospital management and the corporate office. Worked on and resolved issues to create positive and rewarding relationships.Detailed researching of unpaid and denied insurance claims, secondary billing, appeals and contractual adjustments.

Full service billing office for a group of 35 Anesthesiologists. Knowledge of all aspects from creating bills, Insurance submission and daily deposits. Appealing insurance companies for denied or improperly paid claims.Managed the payroll process with responsibility for scheduling the work flow within the office.