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Customer Service Project

Location:
Luling, LA
Posted:
October 03, 2013

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Resume:

Bridgette T. Deloach

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

Luling, Louisiana 70070

314-***-****

Professional Summary

• Experienced in Benefit Administration and Information Technology with over twenty years of experience

with various products including medical, dental, FSA, LTC and overall business strategy for the employee

voluntary benefits programs.

• Strengths include the ability to resolve complex problems, provide exceptional customer service internally

and externally, design and implement end user solutions and materials.

• Manage various projects including project estimations, resource allocation, schedule development,

tracking and reporting status, issue resolution and vendor relations.

• Perform trend analysis to help maintain and steer the Health & Welfare Benefits towards measurable and

lasting success for active and retiree plans.

Technical Skills Summary

• Microsoft Office (Word, Excel, Access, PowerPoint)

• SAP

• Teammate Suite Audit Tool

• eSource RFP Tool

• EDI – ANSI X 12 Transactions

Professional Experience

Monsanto, St. Louis, Missouri 2010-Present

Senior Benefits Advocate/Plan Administrator

• Manage the voluntary benefits program for US based active employees and retirees and their

dependents, including administering Monsanto’s Flexible Spending Account and Long Term Care benefit

program.

• Intake of employees and retirees calls and correspondence, resolve benefit issues with third party

administrators, provide recommendations and resolutions, including assisting with 401K and Pension

inquiries.

• Collaborates, consults, and partners with COEs on strategy and business needs.

• Conduct HIPAA training for employees to ensure proper implementation of policies and procedures are

followed for healthcare information.

• Facilitate requirements pertaining to HIPAA, COBRA, Medicare and Social Security to employees and

retirees.

• Build credibility, establish rapport, and maintain communication with third party vendors and internal

departments (i.e., Compliance, Law, and Tax).

• Conduct research and analysis to define trends and consistencies in health care programs.

• Support the benefits on-boarding process for non-US employees who are being assigned to positions in

the US.

• Handle appeals and prepare all documents for review and approval by Monsanto’s Employee Benefits

Plan Committee and Internal People Committee.

Monsanto, St. Louis 2008-2010

Business Analysis and Project Lead - IT Auditing Department

• Led domestic and international audits for Monsanto locations to ensure the adequacy of IT security

controls, integrity of IT assets, and compliance with corporate and legal requirements.

• Evaluated IT control environments by interacting with IT and Business area personnel for data and

information gathering, technology and business process assessments.

• Ensured compliance with IT policies, standards, and systems development methodologies.

• Performed risk assessments and pre-implementation reviews to determine security, operational and

compliance risk.

• Documented and reported audit findings and workflow processes for domestic and international audit

projects.

• Served as a liaison between the Audit Team and Enterprise Application Support Team for reporting and

problem resolution.

• Lead overall project direction for data conversion project that resulted in the retirement of two legacy

systems.

MasterCard Worldwide, O’Fallon, Missouri 2007 – 2008

Business Analyst – Consultant

• Coordinated and participated in system implementation reviews, revisions, enhancements, testing, and

documentation for product enrichment and/or business opportunities.

• Provided business knowledge and technical support and worked closely with developers to identify data

and functional requirements in the design of new or enhanced systems.

• Ensured development objectives were accomplished, user testing was performed, and member

notification was prepared in a timely manner.

• Maintained continuous alignment of program scope with strategic business objectives and make

recommendations to modify the program to enhance effectiveness toward the business result or strategic

plan intent.

• Consulted with Business Owners on projects to ensure timely and accurate communication with project

staff throughout the life cycle of the project.

• Evaluated business requests to determine feasibility, worked with Software Engineers to define

alternatives and recommended optimal solutions.

• Prepared overall project plans, incorporating cost and tasks from the various components, ensuring a

successful and timely project implementation.

• Ensured methodology compliance, documented problem areas and coordinate resolution steps.

Magellan Health, St. Louis, MO 2005 – 2007

Business Analyst

• Liaison between the company and its clients to assess the need to generate and standardize product

requirements and specification documents.

• Maintained Statistical EDI Claims data by creating reports for clients using MS SQL including running

queries to extract specific data elements.

• Coordinated the activities for a given project for staff serving in the roles of programmers and analysts.

• Primary contributor for the EDIFECS systems conversion of Ramp Manager and was responsible for

preparing and executing Test Plans and Test Cases for Direct Submit.

• Participated in the full-life cycle software development for small to mid-size projects by performing

requirements analysis and testing using development methodology.

• Responsible for developing, recommending and implementing business improvements and organizational

change for Senior Managers.

• Worked with IT Management and Senior Programming Staff to propose the best alternative and prepared

project specifications (includes analysis and design) for a system design to the Business Owner, End

User Department Reps and IT Management staff that l met business requirements.

Westport Benefits, St. Louis, MO 2001 – 2005

Internal Business Consultant / Claims Analyst II

• Mentored new associates on a day-to-day basis with claims processing instructions and workflow

inefficiencies.

• Participated on the system conversion team to implement the new Eldorado claims processing systems.

• Proven trouble shooter for claim benefits issues including systems programming and analysis for the

claims processing team.

• Audited claims for trainees prior to their release from training class.

• Served as a liaison by communicating employee benefit information to clients and members.

• Met with IT personnel consistently to determine User requirements and served as a liaison for business

purposes.

• Performed the role of key Claim Processing Technical Specialist for implementation, testing and training

for new client groups.

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Bridgette T. Deloach Page 3 of 3

General American Life Insurance, Dallas, TX / St. Louis, MO 1992 – 2001

Claims Analyst II

• Developed and maintained effective relationships with business leaders and vendors through call intake

and resolution.

• Support claim processing operations by providing oversight, training and audits on adjudicated claims.

• Served as a Client Representative and Analyst for special groups in Dallas by applying benefits and

system knowledge to resolve client and workflow issues.

• Reviewed claim submission data, applied benefits and adjudicated medical, dental, vision and Medicare

claims.

• Mentored and provided one-on-one training for new associates on claims processing and provider

discounts.

• Audited medical records and reviewed physician notes to determine medical necessity.

Payroll Clerk

• Provided regulatory guidance to associates on a daily basis, per request.

• Calculated and recorded year-end financials for reporting purposes.

• Maintained employment information and conducted employment verification.

• Educated employees on 401K, Profit Sharing and Tax Deduction questions.

Education Summary

• Fontbonne University, St. Louis, Missouri 2006 – 2008

Masters in Business Administration

• Maryville University, St. Louis, Missouri 2001 – 2002

Bachelors of Science in Business Administration with emphasis in Information Systems

• University of Texas, Richardson, Texas 1998 – 2001

Management Information System – Computer Programming

References Available Upon Request



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