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Life Insurance Health

Location:
White Plains, MD
Posted:
May 21, 2020

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Resume:

Coleen Joseph,COC, CPC

addc1h@r.postjobfree.com

240-***-****

www.linkedin.com/in/coleenjoseph

CAREER SUMMARY

Knowledge and skills encompass the management of the day-to-day operations and administration of US benefit plans including health, prescription drug, dental, vision, short and long-term disability, life insurance, flexible spending plans, retirement plans. Customer service skills include the ability to collaborate directly with clients, benefit plan administrators, members, employees, health care providers, and the public. Extensive knowledge of HRIS platforms and online benefit management platforms.

• COBRA Administration • Disability Plans • System Implementation

• HR Management • Benefit Enrollment • UltiPro

• Microsoft Office

• CPT/ICD-!0-CM/HCPCS

Level II coding

• Vendor Management

• Wellness Administration

• Medical Terminology

• Peoplesoft 9.1

• ADP Workforce Now

• • •

COMPUTER SKILLS

• PowerPoint

• Excel

• Outlook

• Word

EDUCATION

• Human Resources /Gerontology, University of Maryland, 2013 - 2019

• Certificate, Medical Coding Academy

• Certificate Computer Programming, Computer Learning Center, Springfield, VA

• AAPC Certified Outpatient Coder (COC)

• AAPC Certified Professional Coder(CPC

PROFESSIONAL DEVELOPMENT

• Government Programs Medicare Compliance, University at Coventry Healthcare, Inc.,

• Medicaid training programs, Aetna Company,

• Six Sigma Yellow Belt Certification, Aetna Company, Coleen Joseph, COC, CPC

addc1h@r.postjobfree.com

240-***-****

www.linkedin.com/in/coleenjoseph

PROFESSIONAL EXPERIENCE

Montgomery Child Care Association, Inc, Rockville, MD (MCCA) Human Resources Coordinator

December 2019-Present

As the Human Resources Coordinator, responsibilities include assisting the Human Resources Director in providing operational and administrative support to MCCA.

• Maintaining accurate employee eligibility records. Identifying and correcting errors relating to employee eligibility records.

• Providing reports and files to benefit carriers and vendors and collaborating with vendors to resolve any issues.

• Regulatory compliance activities required by the Affordable Care Act.

• Benefit invoice reconciliation.

• Acting as a liaison for employees regarding benefit information, issues, and enrollment.

• Processing of verifications of employment and income on behalf of employees.

• Administration of Paid Time Off Balance, FMLA or other leave balances, including maintenance of balances, auditing of balances, and assisting employees with questions regarding balances.

• Administration of Employee Referral Bonus Payments, Tuition Reimbursement Program, Workers Compensations and Unemployment reporting.

• Administration and communication of all benefits programs, including medical, dental, vision, short term disability, life, HSA and 403B plans.

• Processing status changes, new hires, terminations, pay changes and COBRA eligibility.

• Conducting new hire benefit orientation.

• Coordinating annual open enrollment, preparing materials, monitoring enrollment, calculating premiums and communicating changes to external administrators and payroll. M J Boychak Consulting Newark, Delaware

Reporting Consultant (On Call)

March 2017 - August 2019

As an on-call employee, responsibilities included consulting with Human Resources Information Technology departments and selected business partners on testing, configuration projects and report requests for third party insurance administrators as needed. Coordinated end users and business owner’s information needs, by analyzing system data and collaborating with external clients on system modification and system testing.

• Eligibility enrollment file audits.

• Secure file transfers from vendors to health, dental, disability, COBRA, retirement and wellness administrators.

• Supported development teams with design, testing and implementation on new system configuration.

• Utilize clients Human Resources Information Systems (UltiPro-Peoplesoft) to create requested Business Intelligence reports.

Coleen Joseph, COC, CPC

addc1h@r.postjobfree.com

240-***-****

www.linkedin.com/in/coleenjoseph

Coventry Healthcare an Aetna (CVS Health) Company

Benefits Analyst

Hartford, Connecticut

August 2004 - January 2017

Lead liaison for Managed Care, Health Reimbursement Accounts, Health Saving Accounts, Dental, Vision, 401K retirement, Life Insurance, Long and Short-Term Disability, Flexible Spending Accounts, and Wellness Programs. Primary contact for vendor administration.

• Audited data integrity of centralized Human Resources Information system (HRIS) Peoplesoft- UltiPro).

• Processed new hires, qualified status changes, pay changes, terminations, and benefit changes.

• Functioned as liaison with payroll to ensure all qualified status changes were processed timely, by payroll cut-off deadlines.

• Processed and reconciled monthly benefit statements and variances for all vendors.

• Audited data integrity of centralized Human Resources Information system (HRIS)Peoplesoft- UltiPro).

• Planned and managed system enhancements

• Consulted with Information Technology departments and selected business partners on testing, configuration projects and report requests for third party insurance administrators as needed.

• Interfaced enrollment data to create daily enrollment files for external vendors.

• Interfaced new applicant background and drug test results via external Talent Acquisition system.

• Interfaced new hire data to Human Resources and Payroll systems.

• Supported development teams with design, testing and implementation on new system configuration.

• Utilize clients Human Resources Information Systems (UltiPro-Peoplesoft) to create requested Business Intelligence reports

• Developed Functional Requirement Specification for annual updates to integrate new benefit programs into existing system application.

Willis Towers Watson

Healthcare Benefits Specialist

Arlington, Virginia

October 1996 - July 2004

Lead benefit representative for medical, dental, COBRA, disability and life plan administrators on behalf of employees and retirees on eligibility, benefits, claims and enrollment issues.

• Processed and reconciled monthly benefit statements and variances for all vendors.

• Audited data integrity of centralized Human Resources Information system.

• Processed new hires, qualified status changes, pay changes, terminations, and benefit changes.

• Lead liaison with payroll to ensure qualified status changes were processed timely, efficiently, and accurately, meeting payroll cut-off deadlines.

• Determined eligibility for retirement benefits, calculated premiums based on service and age at retirement.

• Managed COBRA administration with external vendor (Ceridian).

• Documented Functional Requirement Specification for annual updates to plan benefits, vendor and rate changes for Health/Dental/Vision/Flexible Spending Accounts/ Health Savings Plan/Life plans.



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