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Life Insurance Manager

Location:
Newark, NJ
Posted:
July 15, 2014

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Resume:

John Jelenic

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

New Milford, New Jersey 07646

(201) 634 –7508

Cellphone: 201-***-****

Email: *********@*****.***

EXPERIENCE

****- ***, ***.- ****** *****, NJ

Retirement Case Administrator

Provide counseling to clients on all Health and Welfare benefits such as: medical,

dental, short and long term disability, life insurance, vision and pre-paid legal

plans.

Provide counseling to clients on all Defined Contribution Plans such as: 401K,

403B, profit sharing, employee stock ownership and thrift savings plan.

Provide counseling to clients on all Defined Benefits plans (Pension), also create

mini calculations with regards to their plans.

Research and resolve issues concerning Health and Welfare benefits, Defined

Contribution plan and Defined Benefits Plan (Pension)

Liason with attorney’s, financial advisors and clients on all matters concerning

employee benefits.

2003 –2010 ALLSETTLED GROUP, INC – New York, N.Y.

Case Manager/Underwriter

Managed the Portfolio of Company Owned Life Insurance Policies for Investment

Purposes.

Assisted in the Negotiations of Purchase and Sell of Life Insurance Policies from the

portfolio.

Responsible for underwriting the Life Insurance Portfolio by obtaining life

expectancies, evaluating the life insurance illustrations and verification of coverage

forms for eligibility, risk factors and pricing.

Completed due diligence on policies that were purchased and managed by the

company.

1997 – 2003 NETWORK TEMPORARY STAFFING – Montclair, N.J.

Benefits Consultant for Network Temp- Client TIAA-CREF

• Responsible for the administration of claims for Group Life and Accidental Death

& Dismemberments Benefits.

• Initiated and participated in investigation of questionable claims concerning

Eligibility, Circumstances of Death and Contestable Claims.

1986 – 1997 GUARDIAN LIFE INSURANCE COMPANY – New York, N.Y.

Senior Group Life Claims Approver & Life User Analyst

• Responsible for the administration of claims for Group Life and Accidental Death

& Dismemberment benefits.

• Initiated and participated in investigation of claims concerning Eligibility of

Benefits, Circumstances of Death, Misrepresentation, and Adverse Claimants.

• Testified in court and depositions, on behalf of the Life Department when

required.

• Responded to complaints from the Department of Insurance.

• Planned, organized, and directed the function and duties of the Group Life Plan

Analysts and the Clerical Staff.

• Developed a Group Life Claim payment system.

• Interfaced with other departments to research and reconcile discrepancies in plan

building and performed system testing for any system enhancements.

Accountable for the approval and/or denial of claim benefit payments within

specified limit of authority.

Maintained effective relationships with a variety of company personnel, attorneys,

brokers and claimants.

1980 – 1986 MUTUAL BENEFIT LIFE – Newark, N.J.

Senior Claims Examiner

• Responsible for the administration of claims under Group Major Medical,

Hospital Indemnity, Continuance of Disability and Life Benefits.

• Accountable for the approval and denial of Group Insurance Benefits.

• Interfaced with other Departments to resolve discrepancies concerning Group

Insurance Benefits.

• Investigated eligibility of Group Benefits.

EDUCATION

B.A. History and Government - St. John's University

HIAA and LOMA courses

HR Block Tax courses

CFP courses

References Upon Request



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