Roshanta M. Hurt

**** *. **** ******

Maywood, IL 60153

Cell: 708-***-****

E-mail: acw8fb@r.postjobfree.com

Career Objective: To obtain a full-time position utilizing my specialized skills

EDUCATION Loyola University Chicago; Chicago, IL May 2003

Bachelors of Science in Psychology

Colorado Technical University; Colorado Springs CO November 2007

MBA Human Resource Management

WORK HISTORY

Futurewave Staffing Agency; Atlanta, GA 08-16 to Present

Client Specialist at ADP in Elk Grove Village, IL

Assisting client companies with their Open Enrollment employee benefits.

Providing one on one services via phone meetings to test out employee self-service for OE

Ensuring that all carrier connections for insurance carriers are updated with new plan information

Assisting clients to build new medical, dental, vision, AD&D and life plans for their company’s OE

Confirming payroll deductions for plans are updated and processed on the correct payroll dates

Following up with the client during their company’s OE to ensure that all employees enrolled in benefits are included on the OE files sent over to the carriers

Randstad Staffing Agency; Schaumburg, IL 04-16 to 8-16

Benefits Verifications Representative at CVS Caremark Specialty Pharmacy

Verifying secondary insurance for patient’s co-pay assistance

Updating patient drug therapy sequences for orders to ship out on specialty medications

Imputing primary insurance data into patient accounts

Contacting insurance carriers to confirm eligibility for specialty medications

Running claims to verify coverage of specialty medications

Blue Cross Blue Shield; Naperville, IL 01-12 to 04-15

Broker Service and Membership Advocate:

Assisting health insurance brokers with their client’s accounts

Troubleshooting issues with the retail producer portal

Submitting agent of record requests

Assisting members with their health benefits

Answering questions regarding rejected insurance claims

Providing contact information for provider referral requests

Updating dependents in medical, dental and vision plans

Helping members to enroll or renew their health insurance benefits.

Aerotek Staffing Agency; Oakbrook, IL 11-10 to 11-11

Customer Care Professional at SXC Healthcare Solutions:

Assisting pharmacies to process paid claims for the member prescriptions

Troubleshooting rejected claims to resolve unpaid claims.

Working with doctor’s offices to get medications approved by the plan by helping them submit prior authorization requests

Reaching out to the plan to update member account information.

Participating in training classes that facilitate the work duties of my position.

Educating members about their prescription benefits.

Scrip Companies; Bolingbrook, IL 02-10 to 10-10

Customer Service Representative:

Assisting customer purchase various spa products

Processing returns on orders from customers

Providing high level customer service to customers to decrease overall returns on products

Unemployed 4-09 to 2-10

Regrouping to plan my next move in terms of job positions

Spending quality time with my daughter and family

Obtaining additional certifications to make myself more marketable in the current job market.

Working a temporary job to generate some income to pay bills and stay productive

Hewitt Associates; Lincolnshire, IL 6-06 to 4-09

Customer Service Associate:

Assisting employees with questions regarding their health, pension and 401K benefits

Assisting employees in enrolling into medical, dental, vision, pension, and 401K benefits

Answering any questions, they many have about their existing benefits

Indexing and processing documents to associates accounts with health, cobra, and 401K benefits

Participating in the customer satisfaction project, which will allow the Benefits Center to better assist associates in their overall benefit needs

Assisting other client teams within Hewitt in enrolling their union, non-union, and retirees in benefits for their Spring Annual Enrollment as well as 401K

Participating in company training to enhance my knowledge of benefits and protocol

Providing assistance to retirees in setting up their pension benefits

Answering questions about what’s covered under their medical, dental, and vision benefits

Trouble-shooting any carrier update issues that employees have regarding adding newborns to existing medical coverage

Computer System Knowledge: SPSS, SAS, WordPerfect, Microsoft Office, PeopleSoft, Ecometry, Navigator, CS Pro, AS400, RxClaim, Centrix, Sanovia, O’neil, Info Call Tracking, CMS, System 80, Prime, Onbase, PRAP, Premier Pricing, TRACE, Blue Chip, Doc Direct, IWPM, NPI Crosswalk, Siebel Dashboard, CATS, Emdeon Card Finder, Peoplesafe, SPARCS, HBS, ADP WFN, ADPworks.

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