PROFESSIONAL SUMMARY

Recent experience in the health care industry and many years of solid

benefit administration experience, including multiple management/salaried

and collectively bargained benefit plans. Types of plans administered

include various health and welfare, COBRA, defined-benefit pension, defined-

contribution 401(k), and severance. I also have a very strong customer

service background with the ability to work well in a fast-paced, stressful

environment and with confidential information, maintaining compliance with

HIPPA regulations.

EMPLOYMENT HISTORY

MEDICAL MUTUAL of OHIO, Toledo, OH (7/2009-present)

Customer Service Representative

. Provide medical benefit quotes to providers and members

. Explain coverage and insurance terms to providers and members

. Process claims adjustments

. Assist providers and members in accordance with HIPAA compliance

. Typically resolve between 85-105 calls a day

IBM CORPORATION, Maumee, OH (02/2006 - 02/2009)

HR Professional; Benefits Representative-Retiree Processing Center-Dana

Account

. Led responsibility for administration of two of the largest defined

benefit plans in the Company; worked closely with appointed Third

Party Administrator to transfer US pension work across all plans

. Trained Level One Customer Service Representatives and Level Two

managers located in San Jose, Costa Rica Service Center to complete

final transition of US Retiree Processing Center work

. Pension Lead for transition of defined pension work from Canada Pension

Service Center to US Retiree Center

. Approved payments for salaried pension plan, up to over five hundred

during one cycle

. Calculated pension benefits and determined eligibility for Dana

retirees and former employees across various types of health and

welfare and over thirty defined benefit pension plans

. Completed special projects as needed, including benefit and system

audits, corrections, and system updates, bankruptcy-related projects

including assistance with a smooth transition during healthcare

cessation for non-union and union retirees, with COBRA enrollment and

related issues

. Troubleshoot and resolved issues within individual calculations so

benefit payments could be made

. Assisted other Benefit Representatives and Senior Benefit

Representatives with difficult benefit calculations and individuals,

such as Employees, retirees, family members

. Processed life events such severance, retirement, marriage, death, by

researching eligibility, preparing applications, calculating benefits,

and maintaining corresponding HRIS system(s)

. Facilitated repayment process when a participant or beneficiary was

overpaid from the pension trust due to death, family status change, or

disability status change, including obtainment of repayments of more

than $10,000

DANA CORPORATION, Toledo, OH (4/2005 - 02/2006)

Performance Development Specialist-Organization Development & Learning

. Developed department job descriptions to define roles in the newly

developed department

. Created new performance appraisal form and manager and employee job

aids to assist corporation in completing the performance appraisal

process

. Coordinated cascading Management by Objective (MBO) process for

corporation and performance appraisal process for department

. Assisted with roll out of annual organization-wide talent review

process

. Performed data collection and/or research in many areas of Talent

Management, including performance appraisal, goal setting, mentoring,

and competency creation

DANA CORPORATION, Maumee, OH (7/2001 - 4/2005)

Benefits Representative-Retiree Processing Center

. Determined eligibility for health and welfare and defined benefit plans

for Dana retirees and former employees

. Administered active Employee benefit plans for participants on Long

Term Disability and others receiving severance benefits from recently

closed facilities. Work directly with Payroll Department regarding

payroll approval/problem solving for these groups

. Worked directly with various Third Party Administrators to resolve

individual problems as they arose, including difficult or outstanding

claims, plan clarifications and eligibility issues

. Calculated pension benefits

. Processed benefits and life events; i.e., severance, retirement,

marriage, death, by researching eligibility, preparing applications,

calculating benefits, and updating the corresponding HRIS system(s)

. Assisted with implementation of a consumer-driven health plan

. Answer telephone and mail correspondence from Employees, retirees,

former employees, and government agencies such as the Department of

Labor. Use Call Reporting system to document communications

. Monitored monthly age auditing for benefit plans in which participants

aged out

. Completed special projects as needed, including audits, corrections,

and system updates, mainly inherited from divested/closed facilities

with inconsistent/incorrect benefit administration practices.

Participated in large recurring projects, such as annual Open

Enrollment

. Prepared documents and files for scanning

. Verified wages, former employment and pension earnings received from

employment and various government agencies

BENCO ADMINISTRATIVE SERVICES, Toledo, OH (6/1999 - 7/2001)

Health Benefits Enrollment Manager, Diocese of Toledo

. Accountable for the enrollment and file management of over 3000

employees enrolled in health and prescription drug benefit plans for

the Diocese of Toledo

. Generated invoices and collected premiums from 163 member parishes and

schools for the health and prescription drug benefit plan

. Created Certificates of Creditable Coverage for employees terminating

health, dental and/or prescription drug coverage under the health care

plan

. Responsible for both customer and third party administrator relations,

including contact with confidential and sensitive information and

claims resolution

. Data entry of enrollments into HRIS and prescription drug system

. Kept Cash Flow and Account Balance spreadsheets current

EDUCATION

The University of Toledo-Bachelor of Business Administration

Major: Human Resource Management, Minor: Business Law

. Graduated Magna Cum Laude

Owens Community College-Associate of Science-Business Administration

. Graduated with Honors

. Captain of Women's Basketball Team

PROFESSIONAL AND COMPUTER SKILLS

. Strong customer service, problem solving/conflict resolution, and time

management skills

. Ability to work with sensitive information and communicate effectively

with all levels of the corporation while maintaining a high level of

confidentiality, having done so consistently throughout my career

. Solid experience with many HRIS systems, including PeopleSoft and

PeopleSoft Benefits Administration, various stand alone pension and

healthcare administration tools, both web based and mainframe

. Proficient with computer systems including Microsoft Word, Excel and

PowerPoint

VOLUNTEER ACTIVITIES

. Held various coaching positions

. Junior Achievement Presenter

. Habitat for Humanity

. Mobile Meals

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