Customer Service Insurance

RESUME

Sue Bradford

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

Cary, NC 27513

919-***-****(cell)

EXPERIENCE

*/**** - */**/**** ACS Human Capital Solutions; Cary, NC (formerly

Kwasha Lipton, Coopers & Lybrand,

PricewaterhouseCoopers, Unifi & Mellon HR Solutions)

Position: Health & Welfare Analyst/Vendor Liaison for 3

current clients (serviced 3 prior clients and

backup for 5 other clients). Also served as acting

Technical Analyst, trainer & floor support for Open

Enrollment & Business As Usual teams.

Duties:

o Resolved and closed all customer service inquiries

that required interaction on a daily basis with

carriers, Administration, Client Service Managers or

clients.

o Adhered to contracted case closure requirements.

o Verified & updated coverage, interpret plan rules and

statutory regulations governing H&W benefit plans.

o Determined problems regarding carrier files that

affect participant coverage.

o Responded to client inquiries and special projects

when necessary.

o Served as client Customer Response Team administrator

for clients.

o Processed HCFA forms for early Medicare approval and

Turning Age 65 events for prior client.

o Processed QMCSO & Medicare Verification of Coverage

forms.

o Kept all logs and files updated and accurate.

o Served as claims & appeals administrator for prior &

current client.

3/1986 - 6/1998 Rhone-Poulenc Ag Company (now Bayer Crop Science);

Research Triangle Park, NC

Position: Corporate Benefits Administrator

Duties: Served as corporate benefits administrator of all

H&W, 401(k) and pension benefits for 9 agricultural locations

(approximately 1500 employees & retirees). Served as

liaison for employees & retirees with carriers. Conducted new

hire orientations and entered election info into HRIS; also

processed local HMO enrollment applications. Processed

all 401(k) transactions & submitted to 3rd party

administrator. Manually calculated pension estimates & final

calcs until

implementation of computer program. Conducted benefit

presentations to various employee/retiree groups at different

locations throughout the country. Processed 10 HMO carrier

monthly premium invoices for various locations.

Prepared COBRA continuation packages and retirement

packages for terminated employees. Adhered to strict

maintenance of confidentiality due to PHI. Worked in

conjunction with Compensation, FMLA & Workers Comp.

analysts. Occasionally assisted with recruiting.

3/1985 - 2/1986 Triangle Temporaries; Raleigh, NC

Worked various contracting positions.

6/1984 - 3/1985 Upton Associates; Raleigh, NC

Position: Secretary/Meeting Planner Assistant

Duties: Secretary to owner. Assisted in scheduling

meetings and rooms at hotels for various executive association

groups such as Carolina Society of Associated Executives,

NC Republican Party, NC Masonry Assn., Podiatric

Medical Society of NC, Car & Truck Rental & Leasing Assn.&

Episcopal Church of NC.

6/1980 - 12/1984 Cessna Finance Corp.; Raleigh, NC

Citicorp Financial Corp., Raleigh, NC

Kensington Mortgage Corp.; Raleigh, NC

Position: Loan Assistant

Duties: Calculated & prepared loan contracts for

airplanes (Cessna), automobiles and mobile homes (Citicorp &

Kensington). Checked contracts upon return and worked

directly with dealerships to ensure accurate completion.

Strong financial formula knowledge was necessary to

calculate loan payment schedules.

10/1974 - 6/1980 Lufkin, Div. Of Cooper Industries; Apex, NC

Position: Employee Insurance Coordinator

Duties: Administered medical, dental, STD, LTD, life, &

dependent life coverage for approximately 1000 active

employees & retirees. Acted as liaison between

employees/retirees and carriers. Filed life, medical & dental

claims

with carrier and distributed claims payments to

employees/retirees. Conducted new hire orientation. Calculated

&

processed premium payments to insurance companies. Strong

benefit & financial knowledge and interpersonal skills

necessary, as well as strict maintenance of

confidentiality, to do job.

6/1972 - 10/1974 Durham Life Insurance Company; Raleigh, NC

Position: Group Issue Policy Preparer

Duties: Worked in Group Insurance Dept. preparing mock-up

policies for prospective employer groups based on

various factors such as number of employees, type of

coverage, etc. Also assisted in working up proposals &

calculate premiums for these prospective groups.

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