Customer Service Manager
Resume:
Annette Hale
Benefits Implementation / Human Resources Manager
Virginia Beach, VA 23455
*******.*******@*****.***
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Summary
Self-motivated professional with over twenty years experience in the insurance, implementation and client relations field. Has a proven history of success, the ability to adhere to company policies and procedures while delivering exceptional service. ᅳ
Objective
To secure a full-time management or supervisory position in the Human Resources, Benefits Administration or Client Relations field. ᅳ
Experience
Flexible Benefit Administrators - Virginia Beach, VA Enrollments / Implementation and Client Relations Manager 2018 - present
● Manager of Enrollments, Implementation and Client Relations Departments
● Responsible for day-to-day HR functions of departments including, but not limited to employee schedule management, hiring, performance evaluations and workflow management.
● Perform of new FSA, HRA and HSA plans and takeover administration of current plans.
● Prepare customized open enrollment communication materials for distribution.
● Collect information and perform non-discrimination tests.
● Coordinate and attend open enrollment meetings.
● Create cafeteria plan documents utilizing software to ensure compliance.
● Support client Human Resources departments with inquiries on IRS rules and regulations governing a section 125 plan.
● Stay current with healthcare and IRS regulations. Aflac, Inc. - Virginia Beach, VA / Benefits Advisor 2017 - 2018
● Responsible for securing and enrolling new accounts
● Account management and claims filing
(October 2015 - April 2017: Business Owner & Stay at Home Mother) Aetna - Columbia, SC / Claims Processor
2000 - 2015
● Processor of all short and long term disability claims
● Processor of medical insurance and COBRA claims
● Call Center Supervisor
Supervised approximately 30 employees, dedicated to providing customer service for incoming calls from the southeastern United States. Example of issues handled: billing questions, pre-certifications, appeals, claims reprocessing, EOB questions, dispute resolution and insured information verification.
Blue Cross Blue Shield of South Carolina / Customer Service Representative
1998 - 2000
● Customer Service for Tricare for Life division
Duties included handling inquiries from members and medical providers regarding claims and authorizations, appeal resolution and claim reprocessing.
Medical Services of America - Lexington, SC / Collections 1995 - 1998
● Collections representative for unpaid durable medical equipment claims.
Duties included identifying delinquent accounts, working with clients and insurance carriers to resolve accounts. ᅳ
Education
Midlands Technical College / Associate Degree, Early Childhood Education
September 1996 - June 1999
University of South Carolina / Bachelor’s Degree in Teacher Education (in process)
Other Licenses and Certifications:
Commonwealth of Virginia Bureau of Insurance
Producer / Health
References available upon request.
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