Human Resource Benefits Coordinator

PROFESSIONAL SUMMARY

More than five years of experience in call center setting. Experienced as Medical Benefits Specialist, Claims, Medical Benefits, Health Coordinator, Customer Svc Supervisor and Quality Assurance. Skilled with payroll WEB, TaxSaver Plan, Bluestar, HRIS, CUB, CPWeb, Meditech and SAP. Performed roles as a credit analyst. An excellent team player that is experienced, knowledgeable, attentive, flexible, and think change is always an opportunity for growth.

TECHNICAL EXPERIENCE

Software/Databases: Microsoft Office, SAP/ ADP/ UltiPro

Methodologies: Credit Analyst

Others: Data Entry, HBOC, Typing 60wpm, Collections, MetLife, Right view WEB, TaxSaver Plan, Bluestar, HRIS, CUB, CPWeb, Meditech, Centre View, Claims, Recruitment/Education, Call Center, Claims, Residential Appraisal, Marketing /Sales, Insurance Verification, Multi-Phone Lines, Accounts Payable

PROFESSIONAL EXPERIENCE

IGNITE RESTAURANT GROUP JUNE 15 – Jan 16

Benefits Coordinator

Reconcile monthly insurance statement for Vision, Dental, Medical, STD/LTD and Standard life, Teladoc, Home and Auto.

Assist clients with coordination of enrollment for all benefit insurance plans.

Maintain proof of life events files, benefit rates, Audit support for 401K.

Send third party admin.

For termed employees for Cobra.

Collect arrears to apply to medical/cobra payment.

Update weekly newly eligible employees to qualify for medical benefit, send letters to employee when they are eligible.

FMLA/LOA Updating files for Principal 401k loans.

Apply for restaurants license.

Manage the day to day corporate compensation and benefits strategy, Oversee certain aspects of human resources function relating to compensation and benefits, policies, objectives.

Organize health fairs.

RIVIANA FOODS INC Oct 2014 – Jun 2015

Benefits Rep.

Process Family Medical Leave Act (FMLA).

Make sure application is ready for process and reviewed for employee’s eligibility within 5 business days of receipt.

Contact employee and payroll dept of FMLA status.

Process STD and LTD if applicable.

Verify medical documents for accuracy while out and when returning to work.

Process billing for medical dental and vision through BCBS using ADP.

Also processed death and retirement claims.

Enrollment and benefits inquiry.

MCGEHEE & ASSOCIATES Jun 2014 – Oct 2014

Physician Recruitment

Contact providers educating them on the new changes per the state of Texas Medicaid Program for IDD Patients that included children and young adults.

Conduct after hour accessibility survey to assure on call coverage that is required by the state for Physician.

FT BEND CENTRAL APPRAISAL/ Richmond, TX Sep 2013 – Jan 2014

Residential Appraisal

Newly developed and used homes for property tax purposes.

AIG HOUSTON, TX MAY 2012 TO MAY 2013

Claims Preparation Rep

Preparing claims for processing using SAP, Client Builder to set up and contact persons of insured to claim inheritance, verify date of death and next of kin.

call center environment

BLUE CROSS BLUE, Shield TX Apr 2008 – Jul 2011

Health Coordinator Houston

Responsible for receiving external vendor or transitioning files from management and creating cases for condition and disease program using Blue star and CPWeb System.

Conference and monthly meeting setup, minutes, annual mandatory regulatory and HIPAA compliance updates.

call center environment

CHRISTUS HEALTH, Houston, TX Oct 07 – apr08

Insurance Verification

Claims adjudication, reimbursement, bad debt through Meditech, Cubs and HBOC, inbound/outbound call.

MERCER HR CONSULTING, Houston, TX Oct 06 – Oct 07

Professional Rep

Open enrollment for health insurance, payroll concerns i.e. overtime, garnishment, deduction, life insurance using SAP system.

EDUCATION/LICENSE/CERTIFICATE/ASSOCIATIONS

Some College: Study HR Management @ HCC

Class 1 Appraisal License 2013 Richmond TX

Gaila Business School: Secretary Certificate

Occupational Training: Data Entry Certificate

Hospital Ministry Recruiter/Assimilator

Member of the Eastern Star Association

High school Diploma

McCLUER North high school state of MO

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