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Customer Service Microsoft Office

Location:
Norcross, GA
Posted:
November 19, 2017

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Resume:

FELICIA VALENTIN Private & Confidential

**** ******* **** ******* **. Apt. A, Peachtree Corners, GA 30092

513-***-**** ac3d65@r.postjobfree.com

PROFESSIONAL SUMMARY

Self-motivated and dependable Administrative professional with 20+ years’ extensive experience in employee benefits administration, and customer service practices. Adept in system implementation procedures and project management skills. Effective communicator with a proven track record of improving customer satisfaction by advising clients regarding benefit policies and procedures. Excellent solution-oriented work ethics and effective communicator of complex and sensitive information.

CORE COMPETENCIES

Proficient use of Microsoft Office Suite

Strong interpersonal and organizational skills

Problem solver with exemplary customer service skills Function independently with minimum or no supervision Actively plan, prioritize and organize time sensitive activities PROFESSIONAL EXPERIENCE

Automated Data Processing, LLC (ADP), Benefit Solutions Specialist APR 2016-Present

Process manual carrier updates, carrier connection management & error resolution.

Actively navigate Workforce Now systems based on client services and support needs.

Administer, manage and/or govern a variety of day to day qualified and non-qualified benefit plans.

Acts as a liaison between the service center, relationship manager and the client for benefit processes.

Process enrollment, work/life pending events, evidence of insurability, and documentation adjudication. Futurewave Systems - Contractor for ADP, ACA Benefits IC Level I Analyst JUL 2015-APR 2016

Collaborated with clients to ensure ACA compliance for their existing systems, policies and procedures.

Configured the Client HRB/WFN software specifications and trained clients and colleagues on the software.

Assisted clients with profile completion, client set up calls, and collaborated information with related departments.

Performed quality assurance testing, administrative maintenance and configuration of the clients ACA Dashboard.

Provided client experience product feedback to the development team for system or process improvements.

Managed multiple projects simultaneously and proactively followed up on detail-oriented project tasks. Cypress Care, Duluth, GA, Pharmacy Resolution Specialist SEP 2014-JUL 2015

Interacted with pharmacies regarding rejected prescriptions and entered medication approvals in RxClaim.

Processed workers’ compensation referrals for injured workers at the request of insurance adjusters and nurse case managers.

Buck Consultants, Xerox Company, Senior Associate - Health and Welfare Expert AUG 2008-MAY 2014

Processed monthly premium billing invoices, and removed over age dependents from coverage.

Facilitated client meetings, training sessions, and administered benefits plan for ACA compliance.

Processed new hire benefits and life event benefit changes and also wrote and updated process documentations.

Performed various eligibility and benefits system testing to update the new client onboarding implementation.

Analyzed vendor error reports, resolved escalated client benefits issues, created and ran ad hoc queries and reports. UC Health (formerly Health Alliance of Greater Cincinnati), Benefits Specialist, HR AUG 2002-AUG 2008

Effectively processed benefit enrollments, refunds and adjustments in the Lawson HRIS system.

Researched and resolved member issues related to benefits, eligibility an urgent update requests.

Administrated the organization’s tuition assistance program for more than 10,000 eligible employees.

Facilitated Open Enrollment benefit fairs. Performed data entry, vendor interaction for claim and eligibility issues. Alliance Partners, Cincinnati, OH, Customer Service Representative APR 2002-AUG 2002

Utilized proven techniques to verify benefits eligibility, benefits coverage, and claim status.

Professionally and tactfully resolved problems and ensured proper documentation of calls. Health Services Coordinator AUG 1999-APR 2002

Performed member pre-certification for inpatient and outpatient services, elective and emergency hospital admissions.

Facilitated patient admission/treatment scheduling process and effectively communicated to all parties involved.

Correspondence liaison for medical providers and the medical plans’ director on determinations of medical necessity. EDUCATION

Certified Healthcare Reform Specialist Nov 2015

ITT Technical Institute: Received associate degree in Information Technology - March 2003



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