Laura A Long

Email: abo18b@r.postjobfree.com

Address:

City: St. Clair

State: MI

Zip: 48079

Country: USA

Phone: 586-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Extensive background in benefit plan design for the company's requirements. Multi task person who thrives under pressure and, enjoys implementing the dynamics of a team-oriented environment. Extensive communication skills working with the sales force, peers, management personnel, and direct reports. Excellent oral and written communication skills

Educational Background:

High School Dipolma from Suomi College, Hancock MI 1/2001 to 5/1988 (Applied Science)

Job History / Details:

Executive Summary

Extensive background in benefit plan design for the company's requirements.

Multi task person who thrives under pressure and, enjoys implementing the dynamics of a team-oriented environment.

Extensive communication skills working with the sales force, peers, management personnel, and direct reports.

Excellent oral and written communication skills

Professional Experience

Sept 2000 to June 2009

JS CLARK AGENCY

Senior Account Manager

Successful benefits consulting brokerage firm with $10 Million in revenue and 150 clients.

Responsible for compliance, employee communications, vendor management and day-to-day service for 40 separate clients.

Audited client's compliance with federal and state benefits regulations such as COBRA, HIPAA, FMLA, Section 125, Medicare Part D and ERISA.

Managed existing vendors to resolve service issues, claims issues, enrollment and eligibility issues, billing discrepancies.

Managed implementation of new vendors and plans for optimal transition and minimal disruption to employee population.

Reviewed vendor contracts, booklets and SPDs for plan provisions and compliance.

Created monthly, quarterly and annual employee print communications, open enrollment print communications, consolidated and customized enrollment forms, conducted employee meetings.

Responded to day-to-day service questions ranging from compliance concerns to claim resolution.

May 1999 to Sept. 2000

GALLAGHER BENEFIT SERVICES

Client Service Representative

Responsible for RFP process, client presentations and day to day service issues Renewal negotiation and presentations Prepared Requests for Proposal (RFP) for vendor searches Presented results of vendor search and recommendations Implemented new vendors Monthly claims analysis, demographic analysis, renewal analysis Union negotiation support including benefits presentations to union Open enrollment communications and employee meetings Research regulatory questions Daily client service.

Jan.1998 to Sept. 1998

NGS AMERICAN, INC

Client Service Representative

Responsible for the design, preparation and analysis of both standard and ad hoc reporting of health plan claim expenses and utilization for NGS clients.

NGS clients include corporate, governmental and non-profit organizations that sponsor group health plans for their employees.

This individual will be responsible for identifying and analyzing cost increase trends under particular health plans as well as overall book of business and industry trends.

The position is instrumental in supporting and enhancing client relationships and meeting each client's current and long-term needs.

June 1996 to Dec.1997

CLAIMSPRO HEALTH CLAIMS SERVICES, INC

Account Manager

Client Service Representative

Obtained the 'critical' new case information application, check, new case checklist, and enrollment.

Performed a preliminary review for completeness and accuracy of all sold case materials before sending the new case package to home office.

Prepared and forward applicable sold case and enrollment materials to broker/customer upon notification of a sold case.

Worked with the Sales Rep to prepare benefit summaries and customized forms for new cases.

Facilitated the completion of benefit summaries on inforce cases upon request.

Responded to caller inquiries regarding company products, plan design, rates, procedures, underwriting rules and requirements for marketed products.

Supported sales in renewal process, including generating renewal reports and processing.

renewal changes, generation of alternate plan quotes on inforce cases.

Facilitated resolution for escalated service issues.

Jan.1993 to June 1996

VALUERX

Client Manager

Client Service Representative

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Acted as a day-to-day client contact for issue resolution in eligibility, claims, implementations, participant materials, report requests, and general inquiries.

Assisted in managing client accounts, including new accounts and products, to ensure satisfaction, profitability, and renewal.

Assisted in reviewing quality control of account activity and operations.

Responsible for tracking operational performance guarantees and maintaining documentation for client review.

Worked with Account Directors on plan implementation for new clients, upsells, and expansions.

Education

2014 Wayne State University Suomi College,

Associates Degree Applied Science

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