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Life Insurance Service Specialist

Location:
Houston, TX
Posted:
August 15, 2023

Contact this candidate

Resume:

Sifiya Ogiste

HR and Payroll Professional

Contact Info

832-***-****

adyyt0@r.postjobfree.com

Linkedin.com/in/Sifiya-

ogiste40846751

Skills

Excellent problem-solving skills

Persistent; achieves the end

result. Strong organizational

skills Service-oriented

Very good communication skills

Proficient in Microsoft Word

Expert using Microsoft Excel (V-

Lookup and Sum-ifs), Microsoft

Office and Suite

Fast learning ability

Able to manage multiple

projects simultaneously and

successfully

Team player

Punctual

Detail oriented

Proactive

Systems: Extensis, ADP, B-Swift,

Salesforce, Kronos, Prism, Client

Space, Costpoint, Seibel, Facets

Profile

Accomplished HR professional with 14 years of experience and a thorough understanding of HR policy and

procedures. Adept in employee orientations, benefits administration, compensation, rewards, conflict resolution, and payroll. Possess excellent interpersonal and analytical skills with a detail-oriented mindset.

Experience

HR Generalist

Twenty/Twenty Therapeutics Oct. 2021 – Current

• Complete new hire orientations, including

background checks, I-9 verifications via E-Verify, ESS registration and benefits enrollments

• Process payroll for Canadian and American

employees

• Performance Management

• Exit Interviews/terminations

• Run daily functions of HR

• Assists the legal counsel department by sending

NDA’s, legal contract agreements, SOWs via DocuSign Payroll Specialist (Contract)

Stepping Stones Group June 2021- Sept. 2021

• Reconcile regular premium payments.

• Audit summer prepayments at the completion of

each predetermined payment schedule by running

reports in Kronos payroll system to identify who is not current on premiums.

• Arrange new payment terms for those who do not

complete summer prepay, managing options for ACH

or check.

• Follow up with employees regarding the status of payments.

• Assist with turning benefit deductions off/on in Kronos payroll system in coordination with payments arrangements

• Monitor premium payments for employees who may not a part of the summer prepay process, yet who may go unpaid and have outstanding premium payments that need to be collected (i.e., Spread)

• Create a tracking system that can be used for monitoring and reporting progress.

• Conduct a reconciliation at the end of summer, to determine who may need to do a final catch-up in September.

Benefits Administrator

GeoControl Systems HOUSTON, TX August 2019 - June 2021

• Direct and plan day to day operations of group benefit and union pension plans for NASA and US Missile Defense employees

• Complete new hire orientations, and onboarding, FMLA, STD and LTD, death claims

• Process benefit billing audits and pension payments and updates on a monthly basis

• Oversee quality control for tuition reimbursement, healthcare and spousal benefit reimbursement and more company benefits

• Processed life events, annual enrollment and benefit changes and updates

• Used Costpoint, carrier and pension websites for processing and accessing information. Benefits Specialist

G&A PARTNERS/Houston, TX. /May 2018- August 2019

• Orchestrated payroll processing to ascertain accuracy and completion, validates that benefit deductions are audited for 80 clients in the book of business.

• Exceled as the main point of contact for 1300 worksite employees, which includes handling benefit deduction questions, leave of absence, status changes, and enrollment audit discrepancies.

• Fostered quality service by training the Benefits Administrator on insurance enrollments, benefit plan setups, and best practices for benefits while also delegating tasks to her.

• Managed the relationship and renewal process for clients with an outside broker while acting as the main point of contact for carriers and work to resolve escalated claims issues.

• Coordinated with insurance carriers to research and resolve benefit eligibility and enrollment issues, analyzed and identified root causes to avoid errors or inefficiencies.

• Oversaw the new client implementation and acquisition process, ascertained clients/new entities are on-boarded efficiently and accurately.

• Thrived as a primary liaison for life and disability claims, to validate the carriers’ process timely and accurately, providing win-win guidance options for clients. Medicare Specialist

Memorial Hermann/ Houston, TX. / July 2016- April 2018

• Verified Medicare Advantage insurance eligibility and benefits with providers while using Facets.

• Ensured all notifications and authorizations were completed within required timeframes.

• Monitored, reviewed, and resolved Medicare Advantage member and provider issues and problems.

• Confirmed if patients needed prior authorization and transferred them to the prior auth department for additional assistance.

• Adhered to all Memorial Hermann policies, procedures, and standards, including time management, supply management, productivity and accuracy of practice. Client Service Specialist

EMPYREAN BENEFIT SOLUTIONS HOUSTON, TX Sept. 2013- July 2016

• Managed customers’ database accounts, performed customer verification and processed benefit changes for open enrollment, new hire or life change events

• Forwarded all communication for life carrier EOI, Portability, and Conversion with precision and accuracy.

• Performed specialized operational and administrative support for 14 clients such as employment benefits programs coordinated through the central HR offices

• Provided information, advice, assistance, and follow – up to departments, employees, retirees, and/or carriers of employer benefits policies, procedures, and documentation while using Salesforce, Peoplesoft, and Employee Self Service.

• Managed benefit data for self- insured and fully insured plans in the PeopleSoft Human Resource Information System (HRIS) platform, Salesforce, SAP platform.

• Functioned as a subject matter expert for benefits and Cobra administration.

• Completed urgent medical, dental, and prescription enrollments for 5 clients, and had coverage reinstated within 24-48 hours.

• Enrolled families and dependents into MetLife dental, and COBRA coverage via carriers’ the website.

• Executed, researched, and provided problem resolution for our clients and their retirees, plus their employees.

HR BENEFITS REPRESENTATIVE

Mercer HRS/Houston, Tx/ July 2008-June 2012

• Managed customers’ database accounts, performed customer verification and processed benefit changes for open enrollment, new hire, and life status changes.

• Forwarded all communication for life insurance carrier EOIs, portability and conversions with precision and accuracy.

• Provided accurate and appropriate information in response to customer inquiries in administration (medical, dental, vision, disability, life insurance, and defined benefits)

• Processed death claims and created new hire packets for 14 clients

• Administered benefits for United HR Direct, for all United Healthcare employees, assisting with employee relations, payroll time and attendance, Total Rewards, total absence management and life event processing.

EDUCATION: 8/2000-5/2001 University of Houston; 8/2014-5/2016 Houston Community College; ASSOCIATES DEGREE IN HR BUSINESS MANAGEMENT



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