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Customer Service Insurance

Location:
Lake Villa, IL
Posted:
April 24, 2014

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Resume:

FRED MILLER

**** ******** *****

Antioch, IL **002

847-***-****

acdurw@r.postjobfree.com

SUMMARY / OBJECTIVE

Career orientated Client Benefits Specialist/Customer Service Professional

with over 15 years experience in the benefits administration, insurance and

outsourcing as well as information technology. Computer skills include MS

Word, Excel, Power Point, and in-house applications such as People Soft,

Brass Ring, CATS, TBA, SAP, Watts & Wyatt, Abbott Case Management and

Quantum Leap. Maintained and created various logs for user

identifications, electronic fund transfers, electronic remittances and plan

management setups. Proven skills in training, evaluating procedures and

troubleshooting in a corporate and educational environment

WORK EXPERIENCE

Sears Holding Company, Vernon Hills, IL

2013-2014

HR Lead

Supervision of four office staff employee's, cash office and HR operations

for the store on an ongoing basis involving recruiting, training,

orientation of new hires, payroll, customer service, onboarding, transfers,

HR personal needs of employee's as needed, interpretation and enforcement

of HR Company Store policies for associates as needed, i.e. attendance

policies, incident reports, hiring firing, etc.,. Utilizing People Soft,

Brass Ring, Work Flow Management

AON HEWITT, Lincolnshire,

IL 2011-

2012

Benefits Advisor

Selling to and Educating Medicare eligible individuals transitioning to the

independent market from previous employers to Medicare Advantage, Medigap

and Prescription Drug plans to meet there present and future medical

insurance needs. Licensed by the state and certified by many health

carriers to help individuals find a plan that meets there needs by working

with various insurance carriers throughout the country and walking through

the application process with customers on an ongoing basis to insure that

they are enrolled correctly. Educating customers on the need to have

supplemental insurance and how Medicare works for meeting their medical

needs and what other options are available though supplemental insurance

offered in the independent market. Application review and scrubbing for

accuracy before sending to the carrier and corrections as needed

Abbott Labs/Manpower, Abbott Park, IL

2008 - 2010

HR Associate II

. Working/Creating Benefit Tickets via SAP, TBA, Watts Wyatt and TNT

. System setup for new employees, online ordering for dept supplies,

envelopes

. File room maintenance, Terminations, Retirements, and New Hires. Etc,

. Pension, editing direct deposit, tax withholdings, address changes,

life insurance information for Retiree's

. Pension initiation and processing of retirees Estimates, etc.,

. Supervision of Student Interns

. Special Projects as needed/special mailings/research, etc.

. CSR for benefits questions as needed via phones

. Setting up of Leave of Absence Cases for processing via ACM, Access

Based

. Sending out LOA notices and/or requests via ACM system, time

management

. Processing of intermittent forms from people being on leave

. Contract extended twice

CVS/CAREMARK, INC, Northbrook,

IL 2005 - 2008

Client Benefits Specialist

. Set up annual enrollments, auto-testing, trouble shooting with Quantum

System which, created new co-pays and riders, improving functionality

and accuracy.

. Researched current payers managed EFT/ERA databases, resulting in

increased profits.

. Monitored diversion queue, utilized CATS system, resolved electronic

claim issues to ensure proper use and efficiency.

. Maintained website administration logs, used excel spreadsheets,

tracked user names and passwords, achieving increased effectiveness.

. Creation of SOP's, i.e. for requesting login information for websites,

to increase efficiency

. Contract to hire via Medix Staffing

HEWITT ASSOCIATES, Lincolnshire, IL

2000 - 2004

Senior Customer Service Representative

. Performed pension calculations, processed requests, answered questions

for medical and pension benefits, providing 100% customer

satisfaction.

. Trained new hires and experienced CSR's on client specific

requirements, improving individual and team effectiveness.

. Managed supervisor calls with escalated issues within benefits center,

ensuring 100% accountability.

EDUCATION

Masters of Arts in Teaching National Louis University,

Wheeling, IL

B.A Education Northeastern

Illinois University, Chicago, IL

Certification and Licenses

Licensed to Teach in the State of Illinois

Supplemental Information

Any gaps in employment were augmented with Substitute Teaching



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