Customer Service Medical

Tanya Lewis

Professional Summary:

●Benefit audits

●HRIS (AIMS)/PeopleSoft, ADP, Medical terminology

●Cobra administration

●Benefits administration

●Healthcare Billing oversight

●PeopleSoft Insurance policy coverage knowledge

●KRONOS/ADP Audit timekeeping/payroll preparation and reporting

●Administrative background Performance management systems

●Computer proficiency Federal/State tax preparation

●MS Office expert

Professional Experience:

Strategic HR – UC Health – December 2019 to Present

Benefits Consultant/Contractor

Organize and set up employee Defined Benefit/Pension files for digital conversion

Research and prepare files for scanning

Research and complete employee pension information requests

First Group America - April 2017 to August 2019

Benefits Coordinator

●Payroll audit of union and non-union employee benefit deductions (individual and full location)

●Interpret CBA language ensuring correct benefit deductions

●Process incoming Medical Support Notices and Terminations

●Daily Benefit functions setting up benefit mapping with Third Party Administrator and

●in-house Payroll

●Direct benefit customer service with locations management, unions and employees

●Maintain LOA records with location and carrier. Assure locations remain compliant with federal, state, and local leave laws.

●Reconciling H&W billing for union Multi Employer Plans

Macy’s – April 1995 to September 2016

HR Analyst Auditor - June 2012 to September 2016

●Supervised a team auditing compensation and benefit policies and procedures.

●Audited third party vendor responsible for payment of retiree medical claims

HR Services Lead - July 2010 to June 2012

●Supervised team of customer service representatives responsible for answering questions regarding associate and retiree benefits.

●Audited third party vendor and provided direct customer service to retirees enrolled in company's self- funded medical plans paid by vendor

Medical Claims Lead - May 1998 to July 2010

●Coordinated work activities of subordinates and staff relating to processing and payment of retiree medical and dental claims.

Claims Processor - April 1995 to May 1998

●Processed and paid retiree medical and dental claims.

Education:

California State University at Los Angeles

Princeton High School

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