SHANE BURNETT

Southgate, MI ad3xev@r.postjobfree.com 313-***-****

BENEFITS ADMINISTRATION SPECIALIST

Accomplished professional with over 19 years of experience orchestrating complex benefit programs to enhance compliance and operational efficiency within the insurance and healthcare sectors. Adept at analyzing data to identify cost-saving opportunities and recommending strategic enhancements to ensure a competitive and attractive benefits package. Well-versed in leading cross- functional project initiatives, improving operational workflows, and implementing technology-based solutions. Known for increasing employee satisfaction, improving retention rates, and enhancing overall organizational efficiency. Strategic thinker who excels in facilitating training, enhancing team interactions, delivering exceptional customer services, and developing operational strategies to drive organizational success in dynamic environments. Ability to successfully collaborate with cross-functional teams and external vendors, ultimately delivering seamless benefits administration processes. CORE COMPETENCIES

Benefits Management

Process Improvement

Quality Assurance

Claims Processing

ICD-9 Coding

Policy Development

Operational Efficiency

Cross-Functional Team Leadership

Customer Service Excellence

HIPAA Compliance Strategies

Strategic Planning & Analysis

Account Management

Stakeholder Engagement

Project Management

Health Care Reform Analysis

PROFESSIONAL EXPERIENCE

Senior Regulatory Analyst ALLY – Detroit, MI 2019 – Present Coordinate communication strategies to facilitate understanding of complex technical information across diverse audiences. Spearhead project initiatives to verify effective execution. Oversee the maintenance and updating of state licensing to validate compliance for all associated persons and entities. Implement onboarding procedures, including fingerprinting, for seamless integration of new hires. Administer annual employee attestations to verify and confirm their completion. Engage with cross- functional teams to achieve alignment between field and corporate objectives. Exercise independent judgment in decision-making processes that have a significant impact.

Secured licensure as an Insurance Producer in all 50 states through diligent compliance with varying state requirements.

Managed timely and accurate state and municipal license applications and renewals by maintaining an organized workflow.

Advanced alignment and cooperation via effective interaction with matrixed cross-functional teams.

Ensured regulatory compliance and operational efficiency by updating and adhering to licensing and onboarding procedures. Quality Excellence Specialist LIFESECURE INSURANCE COMPANY – BRIGHTON, MI 2015 – 2019 Modified existing processes in response to agent requirements to meet operational responsibilities effectively. Interfaced with state regulatory bodies and external constituents to build productive relationships and confirm compliance. Documented processes and conducted quality reviews for multi-life and group hospital indemnity products to maintain operational efficiency. Investigated process-related feedback and suggested resolutions for individual and multi-life products to enhance customer satisfaction. Reviewed claims processes for ERISA compliance to maintain legal and regulatory standards. Participated in requirements-gathering sessions to assist in the implementation of process improvements. Developed operational strategies and analyzed executive dashboards to provide leadership with key performance indicators.

Ensured compliance with state regulations by completing State Regulatory Compliance reporting for Long-term Care products.

Conducted vendor compliance audits specific to Third Party Administrative SLAs to uphold contract standards.

Monitored and audited activities as outlined in LifeSecure’s Compliance Work Plans to oversee compliance measures.

Identified and evaluated emerging compliance risks, leading to the engagement of internal stakeholders in risk mitigation.

Liaised with IT to implement technology-based process improvements, enhancing operational standards and compliance.

Deployed a workflow management system with a team to improve quality and compliance effectiveness and efficiency.

Created project plans with specific milestones for cross-functional teams to streamline project execution. SHANE BURNETT

2 P a g e

Supplied leadership with qualitative data and industry trends through strategic and analytical Executive Dashboards. Senior Sales Analyst BLUE CROSS BLUE SHIELD OF MICHIGAN – DETROIT, MI 2009 – 2015 Created benefit comparisons to streamline program specifications and enhance contract language. Researched benefit information for creating and editing Benefit-At-A-Glance (BAAGs). Coordinated with various departments like Underwriting and Group Administration to promote efficient Group Sales processes. Investigated issues with Consumer-Directed Health (CDH) vendors and proposed solutions to optimize vendor relations. Analyzed and interpreted benefit information for internal and external stakeholders to maintain clarity and transparency. Reviewed certificates, riders, and plan modifications to draft detailed benefit summaries for group clients. Applied Michigan Operating System (MOS) benefits structure for accurate group# division/BPID administration. Monitored State/federal mandates, including Health Care Reform, to assess and communicate impacts on benefits. Contributed to claims process improvement with CDH vendors to enhance operational efficiency. Explored business bottlenecks and devised procedural solutions to optimize workflows and reduce operational costs. Led projects effectively to achieve desired results and streamline operations. Prepared test work papers and issued Rating Matrix and Compliance Corrective Action Form to ensure regulatory compliance.

Facilitated successful rollout of Blue eSolutions by leading training sessions and conducting thorough analysis and testing.

Enhanced compliance with the Affordable Care Act and Mental Health Parity by assessing and translating legislative impacts.

Improved operational efficiency by formulating and implementing new workflows and procedures.

Guaranteed BCBSM's adherence to HealthCare Reform regulations by evaluating laws and potential annual dollar limits.

Streamlined the testing process of the Agent Toolkit through comprehensive analysis and collaboration with the legal team.

Formulated test scripts and methodologies to support business line-specific test procedures and regulatory requirements.

Led the research and reporting on competitors' agent commission structures, ACA concerns, and BCBSM coverage compliance, contributing to strategic decision-making.

Union Steward for Local 1781 BLUE CROSS BLUE SHIELD OF MICHIGAN LABOR RELATIONS – SOUTHFIELD, MI 1998 – 2014 Supervised interactive classes to enhance the skills of both membership and leadership. Employed interest-based problem-solving techniques for resolving workplace disputes effectively. Orchestrated HIPAA compliance strategies to safeguard patient privacy and data security. Utilized assertive and effective communication skills to enhance team interactions and efficiency. Conducted leader-to- leader coaching sessions to foster leadership development within the organization. Addressed employee and HR concerns through a comprehensive understanding of company rules and policies, ensuring fair treatment of all employees.

Certified in Leader-to-Leader Experience by completing specialized training programs.

Achieved Excellence in Leadership certification through rigorous skill improvement.

Completed the People Skills Course, demonstrating a commitment to personal and professional growth.

Enhanced employee rights awareness and policy transparency by addressing and aligning HR concerns with objectives.

Advanced organizational leadership capabilities by obtaining certification in Excellence in Leadership. EDUCATION

Master of Science, Law Champlain College – Burlington, VT Bachelor of Science, Business Management Cleary College – Howell, MI CERTIFICATION

Lean Six Sigma Green Belt 2017 to Present

AFFILIATIONS

Association of Certified Fraud Examiners 2016 to Present Member of The Securities and Insurance Licensing Association (SILA) 2019 to Present

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