Safety Officer Enrollment Manager
Resume:
Blanca Jimenez
Benefits / Leave of Absence Analyst
San Antonio, TX / Remote Based
***********@*****.***
Resourceful collaborator with in-depth knowledge of Benefits and Leave Accommodation Administration. Capable on maintaining ongoing compliance with federal and state laws. Partnerships independently or as part of a small supportive team.
Authorized to work in the US for any employer
Work Experience.
Disability Leave Specialist
Amazon Contingent - Remote
February 2022 to Current
Initiate and respond to inquiries about leave and disability events, benefits, and options available to employees
Serve as a point of contact for assigned employees (150 – 200 employee cases) to provide holistic case management services, including reviewing medical documentation to adjudicate leaves in compliance with the corresponding leave plans, federal and state laws and benefit plans as defined by Amazon
Troubleshoot issues and seek to remove barriers before, during, or after a leave event
Respond to employee impacting issues that may arise during the leave event and ensure the right communication occurs
Facilitate a smooth return to work and ramp-back plan for employees returning to the workplace
Processed Short Term Disability & Extended Pay Payments based on employees state leave policies.
Educate managers and business partners on employee concerns and needs prior to being off or returning back to work
Communicate regular updates to employees and stakeholders both verbally and in writing Benefits & Leave of Absence Specialist
TaskUs - New Braunfels, TX
November 2019 to January 2022
Serve as the front line employee for Benefits by assisting employees with questions regarding plans, enrollment, life events and other benefits administration needs.
Partner with Leave Administration provider regarding employee information, status updates on approval/denial, update policies with providers and maintain any other compliance needs associated to leave administration.
Conduct benefit orientations and explain benefits self-enrollment system during open enrollment.
Review bi-weekly payroll deductions for Benefits.
Resolve administrative problems with the carrier representatives.
Administer COBRA.
Assist HR manager in completing benefits reporting requirements.
Implemented COVID- 19 onsite testing and temperature entry verification. Leave Of Absence Coordinator
Petco Animal Supplies Stores Inc - San Antonio, TX March 2018 to July 2018
Provided guidance in interpreting leave policies, federal and state leave laws, & leave policies to employees, department mangers and HR generalists
Operated PeopleSoft database to track and monitor leave status, included approved time off, intermittent leave dates, denied/ineligible leaves, certification-not-received notes, RTW dates and leave exhaustion dates
Obligated to handle over 400 FMLA cases per monthly, maintained daily correspondence via inbound/ outbound phone calls, emails, chat messages and USPS mail.
Educated in benefits, such as COBRA, Short Term Disability, Long Term Disability, PML, ADA and Workers Compensation.
Independently approved and/or denied leave related cases. based on relevant medical information.
Coordinated and organized all medical information and ensures that HIPAA and employee privacy guidelines are closely monitored and effectively execute.
Conducted investigations and define or foresee any high risk job description/ processes
Preformed administrative aspects including the tracking of hours used/taken. Disaster Relief Coordinator
FEMA -Hurricane Harvey- San Antonio, TX
October 2017 to March 2018
Call Center based intake for disaster relief assistance with unmet disaster needs, support services and resources related to their case status
Experienced to actively listen to disaster victims, elicit, relate, evaluate information and interpret terms
Explained registering online and appeal process for denial notices sent to dissatisfied victims
Ability to work effectively in structured, flexible with structure changes based on leadership directives.
Experienced in high volume inbound calls & placing outbound calls
Met departmental call time quota
Maintained data information accuracy with attention to detail to assist home inspectors.
Scheduled home inspections to be processed within 3 days, provided vouchers for temporary housing accommodations and medical device /prescription reimbursements Human Resources Assistant /Safety Officer
Hart Components, Inc - San Antonio, TX
June 2017 to August 2017
Assessed overall company safety, performed regular safety hazard
Assist in benefit administration including claims resolution including the processing of unemployment claims, change reporting and communicating benefit information to employees
Assist employees at all levels with timekeeping, personal time off, job availability and child support deductions.
Provided recruitment efforts regarding employment applications for non-exempt positions, including updating job descriptions, updating job postings, screening candidates, interviewing, selection and on- boarding.
Coordinated daily communication with Staffing firms regarding active and potential temporary employees to meet staffing needs.
Maintain all Safety training records, Enforce OSHA Standards and Company Policies throughout the Plant.
Answered and directed inbound and outbound phone calls, performed various administrative functions, including filing paperwork, delivering mail, sorting mail, office cleaning and bookkeeping.
Leave of Absence Administrator
WHATABURGER LLC - San Antonio, TX
January 2015 to February 2017
Independently processed leave request from the employees initial notice to the return to work. Notices include but not limited to designating of Leave as FMLA, Personal Leave, Military Leave, Intermittent leave and Reduced schedule accommodations.
Executed all workers' compensation claims submitted with in 48 business hours from the date of the incident.
Manages all administrative aspects of leave and workers' compensation claims to include tracking hours used/taken and working closely with the HR Service Center and Payroll to ensure that pay for associates is accurate and correct.
Works closely with associates to ensure that all relevant completed medical documentation is submitted for timely review while executing HIPAA and Employee Privacy guidelines.
Maintained reasonable communication with employees on leave to facilitate a timely return to work, Established an interactive process between the managers and employe
Administered and facilitated other leave requests which may include accommodations under the ADA.
Interacted with vendors, physicians, legal counsel, etc. concerning employees out on leave.
Provided reporting regarding metrics and analytics for all leave cases and workers' compensation claims for the department and HR business partners on a monthly basis
Encouraged phone call and email from employees requesting assistance to provided support in a compassionate manner.
Compliance Officer/Internal Auditor
FCE Benefit Administrators, Inc - San Antonio, TX
May 2013 to July 2014
Managed performance of 50 team members through mentoring, one-on-one meetings and training program.
Aligned with Department team leaders to increase efficiency and functional quality via implementation of new systems, best practices, risk controls and process improvements.
Counseled committees and department heads regarding compliance risks and standards.
Prepared training programs to improve compliance at all levels.
Managed quality programs to reduce overdue compliance activities.
Monitored data export from internal and external systems, identifying and reporting potential risks.
Scheduled and conducted evaluations of company policies, procedures and internal control structures.
Benefit Enrollment Manager
FCE Benefit Administrators, Inc - San Antonio, TX
March 2012 to May 2013
Performed monthly reviews assessing each employee's performance and developed improvement plans.
Led team of 2 direct reports managing over 30 employees.
Improved operational planning and business frameworks to enhance resource utilization and reduce waste.
Raised property accuracy and accountability by creating new automated tracking method.
Trained new employees in specific job requirements.
Hired, trained and mentored staff to maximize effectiveness.
Adjusted job assignments and schedules to keep pace with dynamic business needs, factoring in processes, employee knowledge and customer demands.
Reconciled daily reports of "hours transactions" to balance and log day-to-day revenue with TRUST data base.
Maintained current knowledge of all facets of operations Implementation/ Plan Builder Analyst
FCE Benefit Administrators, Inc - San Antonio, TX
March 2011 to March 2012
Analyzed data effecting all benefit plans, including rates and plan eligibility to locate and interpret patterns in complex data sets.
Provided analytical knowledge and skill with the ability to collect, organize, and disseminate significant amounts of information with attention to detail and accuracy.
Met expected timelines for completion: New Plans - 30 days, renewing plans - 15 days, mid-year plan changes and coding events - within project agreed upon timelines based on size and scope of project.
Testing of benefit plan designs to ensure accuracy within the system
Work with auditors, trainers, IT Business Analyst and Project Mangers to ensure processes are understood correctly
Handled over 50 incoming calls daily while providing excellent customer service.
Prepared digital files, physical documents and work requests in compliance with company guidelines.
Managed regulatory requirements and audit support needs by completing and submitting accurate paperwork.
Sr. Membership Analyst/ Q&A
Trainer FCE Benefit Administrators, Inc - San
Antonio, TX January 2005 to March 2011
Directed and controlled various benefit programs, including 401K, medical, dental and vision.
Composed weekly manager reports detailing the departments and individual backlog and error ratio.
Conducted Employers Open Enrollment meetings led by Account Manager
Supervised 40 Membership Analysts in providing excellent customer service to callers requiring assistance for Benefit Eligibility and Invoice Billing issues.
Implemented dramatic improvement to reporting processes, reducing errors 60%.
Managed quality assurance program including on site evaluations, internal audits and customer surveys.
Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email and in-person interactions.
Organized and led 3-day staff orientation and training to promote collaboration.
Effectively communicated with clients about payment needs and kept updated, detailed and accurate ledgers.
Monitored, verified and approved invoices and reviewed balances using financial software to assess balance sheet for variances.
Analyzed and adjusted inconsistencies in automated supply accounting system.
Complied with all established policies and performed bank reconciliations, accounts payable/ receivable, invoicing, billing, collections, daily and monthly balance records, vendor payments and profit and loss statements for 20 clients.
Membership Analyst
FCE Benefit Administrators, Inc - San Antonio, TX
October 2003 to December 2004
Managed and corresponded to eligibility issues pertaining to members, clients and human resource department.
Assisted with open enrollment meetings and ensures all insurance policies are renewed on time to avoid lapses in coverage for employees.
Resolved discrepancies including payroll deductions and data reporting (FMLA, CBDAL, and QMCSO) for outstanding issues in eligibility and billing inquiries for carriers. Processed health and welfare changes related to additions and termination on a daily basis.
Entry of benefit plan cost funding for health and welfare on a daily basis for all service contract act contracts, Davis Bacon Act contracts for clients with small fringe administration. Reconcile and balance of all employee reports, verification of continuance of benefit for any employees who had FMLA/ CBDAL/ QMCSO
Directed and controlled various benefit programs, including 401K, medical, dental and vision. Checked employees' benefits enrollment for accuracy and inputted all data into a Trust Accounting Database
Education
Thomas Alva Edison High School - San Antonio, TX
Skills
Leave of Absence Management
Benefits administration
COBRA Administration
Employee benefits
FMLA, ADA, PFL,
Case Management
Invoice/Billing Reconciliation
Customer service
SalesForce
Microsoft Office
Process Improvement
Implementation/ Renewals
Human Resources
Workers' Compensation
PeopleSoft
Languages
Spanish - Fluent
English - Fluent
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