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Manager Health

Location:
Somerdale, NJ
Posted:
June 16, 2017

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Resume:

KIA WILSON

*** ****** ****** • MAGNOLIA, NJ *****

PHONE 856-***-****

E-MAIL ac0vgg@r.postjobfree.com

PROFESSIONAL EXPERIENCE

**/**** – Present Kennedy Health Systems Cherry Hill, NJ

Senior Benefits Manager

Principal Responsibilities

Oversee the benefits administration for employee population base of approximately 4,000 individuals.

Govern the administration of the employee benefit programs such as health insurance, disability, life insurance, employee assistance, retirement and other ancillary plans.

Maintain knowledge of governmental regulations including (PPACA, ERISA, HIPPA, NJFLA, ADA, etc.) Ensure compliance of benefits administration with all federal and state laws.

Analyzes the participation and utilization for all benefits on a monthly, quarterly, and annual basis. Uses data to both monitor trends and recommend the appropriate initiatives, plan changes, vendor changes, cost sharing, etc.

Supervise annual enrollment processes including all plan design changes, communication and delivery methods.

Maintains knowledge of current benefit trends and legislative requirements to ensure competitiveness and affectability.

Evaluates plan administration and develops processes to ensure compliance and control as well as delivering effective management reporting and documentation that meets governance best practices.

Design, prepare and review all benefit communication materials distributed to employees. Goal is to deliver detailed communication that corresponds with targeted audiences.

Work with independent outside auditors for all 401(k), 403(b) plans and group health plans.

Manage all vendor relationships ensuring that service agreements and contract performances are being adhered to adequately and correctly.

Supervise and train benefit staff of 4 individuals. Monitoring performance, expectations and goals to ensure that the staff is delivering accurate, comprehensive and exceptional customer service.

Directly involved with RFP processes and renewal processes for all benefit plans.

Directly involved with benefit design concepts/tactics and designs for broad employee base encompassing various perspectives.

Identify and escalate any issues that have broad corporate implications or risk regarding plan benefit plans. Research and responds to complex questions from employees.

02/2006 – 03/2014 AmeriGas Propane, Inc. King of Prussia, PA

Benefits Manager

Principal Responsibilities

Insures compliance and adherence to government regulations for all plans (qualified and non-qualified).

Manage benefits administration for employee population base of roughly 9,000 employees in 50 states and over 600 regions.

Implemented the Non-Qualified Deferred Compensation Plan for highly compensated employee base.

Oversees the administration of the 401(k) plan and Non-Qualified Deferred Compensation Plan for company.

Maintains knowledge of current benefit trends and legislative requirements.

Completes and conducts surveys; maintaining information on group health benefit programs of industry competitors.

Analyzes plan administration and develops processes to ensure compliance and control as well as delivering effective management reporting and documentation that meets governance best practices.

Works with independent auditors for all 401(k) plans and group health plans.

Develop and maintain positive relationships with external providers, brokers, vendors, auditors, consultants, and legal counsel as well as, interface with various governmental agencies.

Works with finance department in reconciling 401(k) forfeiture balances and offsetting company contributions.

Financial management of all plans, including reviews of financial statements, budgeting, negotiation of renewals and ensuring competitive fee structures.

Design, prepare and reviews all communication materials distributed to employees (annual enrollment materials, employee handbook, Summary Plan Descriptions, benefit training materials, submission of benefit articles for bi-monthly company newsletter, etc) for all group health plans, 401(k) plan and Non-Qualified Deferred Compensation Plan.

Manages all health & welfare plans which include the following; medical, dental, prescription, vision, STD/LTD, EAP and numerous additional plans. Experience with both fully funded and self-funded medical plans.

Perform all Human Resource due diligence, integration, and post-closing processing for company acquisitions and divestures

Identify and escalate any issues that have broad corporate implications or risk regarding plan benefit plans.

Serve as benefits expert for six regional employee relation managers spread throughout the various regions of the state.

Responsible for coordinating all benefit training and new hire processes within fifty states.

Responsible for providing benefit support and educational training to employees and administrative staff as needed.

Prepares data and presentation materials for Board of Directors, Compensation/Pension committee and Benefits Committee meetings.

Prepares and reviews all IRS and ERISA mandated forms and submissions on a timely basis. Performs audits on outside recordkeepers to insure compliance with Plan documents and company standards.

Works closely with in-house ERISA attorneys on compliance issues with all benefit plans.

Research and respond to letters and inquiries from employees, regional employee relations managers, attorneys and governmental agencies regarding plan procedures and operations.

Responsible for updating the company’s bi-monthly newsletter with benefit updates and other educational and informative data.

Involved in developing cost control measures and procedures for all benefit programs (Health & Welfare and Retirement).

Attend various seminars, webinars and conferences as needed to stay current with various benefit practices.

Directly involved with RFP processes and renewal processes.

Experience with union populations (involving benefit plans and union billing issues)

Directly involved with benefit design concepts/tactics and designs for broad employee base encompassing various perspectives.

Experience with self-funded benefit plans; developing cost effective measures that are coherent with company’s objectives.

Work with workforce health team on Worker’s Compensation issues and concerns and how they interact with benefits.

04/2005 – 02/2006 Momentum Services/EDS- Towers Perrin Cherry Hill, NJ

Senior Project Manager (Independent Consultant)

Principal Responsibilities

Responsible for quality of service delivery for a multiple client base. Strong organizational and process management.

Responsible for in building effective and efficient liaisons between the client team and the client.

Worked on various high level projects with detailed structures and strict timelines.

Responsible for leading the requirements definition process, implementation efforts and the transitions of new features.

Overall processing procedures, application of business objections, financial review, and maintenance of deliverables and processing flow.

Hewitt Associates Bridgewater, NJ

Benefits Delivery Manager (10/2001 – 4/2005)

Business Analyst (03/2001 – 10/2001)

Principle Responsibilities:

Serves as primary contact and subject matter expert for overall client delivery team and participant services for all group health benefit related inquiries and escalated issues.

Responsible for providing the highest quality service for plan sponsors and employees and maintaining the highest level of associate engagement within the client team infrastructure.

Thorough background knowledge of HR processing environments, complex tiered benefits delivery models and best practices.

Knowledge of group health benefit plans: regulatory, legislative environments, and related services.

Superior ability in building cohesive client relationships, change management and complex employee relation issues.

Experience working and comprehending large company employee benefit designs.

Lead requirements definition process and implementation for plan design changes.

Act as liaison with health management practice consultants in designing benefits and selecting vendors.

Project scheduling, financial and budget review, client communication, and budget financial oversight.

Conducts plan performance/ administration analysis.

Experience in the interviewing and applicant screening process.

Provide negotiation reports and financial analysis review. Coordinating RIF/RFP proposals with prospective and on-going clients.

Perform vendor management; including carrier follow-up, problem resolution, vendor assessment and contract negotiations.

Responsible for assisting in health & welfare benefit design and analysis.

Responsible for translating legal and procedural documents that form the function for system testing.

Develop system planning programming and testing specifications that fully represents the clients’ requirements and plan provisions.

Work closely with benefit vendors and third party administrators in gathering required specifications concerning benefit application and analysis.

Work closely with various HRIS interfaces and HR outsourcing for numerous Fortune 500 companies.

4/2000 – 3/2001 Arbor Associates Inc; an eBENx Corp Philadelphia, PA

Senior Benefits Plan Analyst

Primary Responsibilities:

Interface with clients, carriers, and brokers on eligibility and client specific matters.

Troubleshoot and resolve technical issues as they arise in a stimulating fast-paced environment.

Generate carrier file extracts and reconcile carrier error reports.

Maintain and regulate web related interfaces/ communication network.

Provide clients with monthly, quarterly and annual compensation and reconciliation reports.

Assist in web and IVR benefit design set-up for new clientele.

Effectively coordinate client’s HRIS systems with in-house technology/ specifications.

Utilize MS access to create database relational structures to convert/ maintain client’s data integrity.

Incorporate quality measures, performance management, and scheduling and project status.

EDUCATIONAL EXPERIENCE

1997 Richard Stockton College of New Jersey Pomona, NJ

Bachelor of Arts Degree in psychology

Minor: Management Science / Business

Member, Psi Chi Psychology, Students Honor Society

TECHNICAL EXPERIENCE

Software Applications: Microsoft Access, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Lotus Notes, Database Systems, Mainframe Applications, Lawson

Programming Languages: SAS, SQL, QMF, ADB2, JCL

Operating Networks: Microsoft Windows 98, Windows XP Professional, Windows NT



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