Experienced HR Benefits Director
Resume:
************@*****.***
Grand Prairie, TX 75050
https://www.linkedin.com/in/ra
chale-r-9776b154
https://bold.pro/my/rachale-
ramosroach-250*********
Skills
• Benefits administration U.S.,
Canada & LATAM Benefits
Strategy
• Vendor Management &
Negotiations
• Compliance (ACA, ERISA, HIPAA,
5500s)
• Benefits Education &
Communication
• Mergers & Acquisitions Support
• HRIS: Workday, SAP, ADP,
PeopleSoft
• Data Reporting & Analytics
• Open enrollment
• Budget management
• Data analysis
• Financial analysis
• Training development
• Program evaluation
• Problem solving
• Team collaboration
• HR policies implementation
• Labor law compliance
• Conflict resolution
• COBRA administration
• Leave of absence management
• Cost analysis and control
• Project management
• Manager coaching and training
Education
Bachelor's Degree:
Business Management
University of Texas
Rachale Ramos Roach
Professional Summary
PHR certified, dynamic Benefits Manager with a proven track record at Eduro Healthcare, achieving 57% cost savings through strategic negotiations with over 18 years of experience designing, implementing, and managing employee benefit programs across the Americas (U.S., Canada, and Latin America). Proven expertise in policy development, vendor management, regulatory compliance, and employee engagement. Adept at leveraging data to drive strategy, improve program design, and enhance employee satisfaction. Trusted advisor to executive leadership, with experience communicating across all levels of the organization. Adept at managing budgets and developing training initiatives that enhance organizational effectiveness.
Experience
Eduro Healthcare - Benefits Manager
Salt Lake City, UT
06/2022 - 03/2025
• Managed and administered employee benefits programs, including health insurance, retirement plans, and wellness initiatives
• Manage end-to-end U.S. benefits administration, supporting 5,000+ employees.
• Collaborate with HR partners in Canada and LATAM on regional benefits initiatives and vendor coordination.
• Support annual enrollment, vendor implementation, and compliance reporting (5500s, ACA, PCORI).
• Coordinate resolution of complex employee issues and serve as escalation point for benefit concerns.
• Collaborated with insurance brokers to negotiate competitive rates for health insurance plans resulting in 57% cost savings
• Developed and implemented comprehensive benefits communication strategies to educate employees on available options and increase participation rates
• Conducted regular audits of benefit plans to ensure compliance with legal requirements and company policies
• Led open enrollment process, coordinating with HR team to provide clear instructions and support to employees during the enrollment period
• Liaised with external vendors such as insurance providers, third-party administrators, and wellness program vendors to resolve issues or address concerns raised by employees
• Maintained accurate records of employee benefit elections, changes, terminations, and COBRA notifications in compliance with regulatory requirements
• Collaborated with finance department to reconcile monthly billing statements from benefit providers ensuring accuracy of charges incurred by the company
• Served as subject matter expert on all matters related to employee benefits during cross-functional meetings or projects
• Educated managers on how various benefit programs impact overall compensation packages when making hiring offers or promotions
• Collaborated with legal counsel during contract negotiations with benefit plan providers ensuring favorable terms were obtained for the organization
• Developed and delivered training sessions on benefits programs to new hires during orientation sessions
• Managed the annual benefits budget, tracking expenses and ensuring cost-effective utilization of resources
• Collaborated with HR team to develop comprehensive leave policies including FMLA, ADA accommodations, maternity/paternity leave etc
• Conducted regular audits of benefit plan documents to ensure compliance with ERISA regulations
Novinium - Benefits Manager
Kent, WA
02/2021 - 06/2022
• Primary contact with Benefit consultants and plan providers to ensure efficient administration of benefit plans
• Research, analyze and recommend new benefit programs for Company to remain competitive and manage costs related to benefit plans
• Implement programs providing effective communication and training to employees
• Responsible for management of the systems and technology to support the benefit plans
• Works closely with Payroll, HRIS, and Employee Services as it related to benefits
• Conducts budgeting and financial analysis of employee benefits programs
• Monitors high-cost claims, targets problem claim areas
• Ensure adequate estimates, forecasts, and calculations of expenditures in benefits for budget planning and tracking
• Manages existing disease management and wellness programs as well as analyzes the effectiveness of programs and research/recommend new initiatives
• Ensures compliance with governmental regulations related to benefit programs and labor law, including ERISA, FMLA, and HIPAA
• This includes required testing and audits and SOX compliance
• Ensure proper day-to-day administration of benefit changes and enrollments are processed by the payroll team
Reliable Parts, Inc - Benefits Administrator
Carrollton, TX
11/2019 - 02/2021
• Facilitates annual open enrollment for healthcare, vision, dental, STD, LTD, life, and any other benefit offering
• Verifies dependents enrolled in coverage
• Processes company portion of benefit claims
• Answers benefit and leave related questions for managers and employees
• Set up benefit deductions in payroll system
• Prepare benefit information and materials
• Distribute notification letters, benefits information and materials
• Set up employee benefits in various carrier systems (medical, dental, etc.)
• COBRA administration including sending communications, tracking payments, etc
• Ensures benefit selections are made timely by employees
• Process benefit changes based on qualifying events
• Processes invoices associated with benefits
• Special projects as assigned
• Maintains employee HR files
• Analyze trends in employee benefit usage and recommend changes when needed
• Communicate with employees to maximize and educate them as related to benefits
• Experience with administering self-funded insurance plans
• Computer skills including ADP, excel, and outlook
• Customer service, written and verbal communication skills Roach HR Consulting - Senior HR Consultant
Las Vegas, NV
01/2017 - 09/2019
• HIPAA compliance
• COBRA compliance
• AHIP compliance
• Advising management on the administration of human resources policies
• Medicare procedures
• FMLA compliance
• Serving as internal consultant by analyzing a company's current HR programs
• OSHA and recommending solutions
• Recruiting & Staffing
• Developing, revising, and implementing HR policies and procedures
• Logistics
• Ensuring HR programs and services are in compliance with established regulations
• Sexual Harassment policies and procedures and state/federal laws and regulations
• Ethics
• Preparing and maintaining reports related to specific HR projects
• Anti-Discrimination training
• Assisting with the development and coordination of recommended changes TLC Casino Enterprises Inc - Human Resources Manager / Benefits Manager Las Vegas, NV
01/2016 - 01/2017
• Administration of employee benefit programs such as 401k, medical, dental, life insurance, and supplemental insurances
• Work with internal and external resources to develop and refine current processes
• Perform monthly new employee benefit enrollments as well as annual open enrollment program
• Manage HR systems and explore possible efficiencies
• Assure company compliance with provisions of ERISA and ACA
• Manage the preparation of reports required by law
• Review and analyze changes to federal, state and local laws pertaining to employee benefits and report necessary and suggested changes to management
• Handle premium payment and eligibility reports to vendors
• Create and maintain all documentation and communications regarding all benefit plans
IIS Administrators - Benefits Specialist
Las Vegas, NV
07/2015 - 01/2016
• Design and implement benefits program
• Perform research to ascertain the best program to suit a company's structure, function, and size
• Analyze complex benefit plans
• Negotiate programs offered and contracts
• Devise programs that include all the following: medical, dental, and vision insurance and protection against catastrophic illness
• Stay current on changing Federal and State regulations and legislation that may affect employee benefits
Omega Financial & Insurance Services, Inc - Operations Manager Las Vegas, NV
07/2014 - 07/2015
• Accountable for growing district sales on a consistently broad basis as well as developing sales teams around the five fundamentals of success
• Recruiting, Direct Sales, New Leader Development, Account Management, and Broker Sales
• Implemented new staff training process, incentive program, and career advancement initiatives to identify, coach, and support high performers and management trainees
• Oversaw the implementation of a new ERP system, resulting in streamlined operations and improved data accuracy
• Conducted regular performance evaluations for team members, providing feedback on areas of improvement and recognizing achievements Univers Workforce Solutions - Benefits Specialist
Santa Monica, CA
08/2013 - 07/2014
• Responsible for developing, maintaining, and updating employee benefits for computer input with minimal supervision and direction
• Developing employee benefit procedures
• Overseeing the maintenance of employee benefits records through on-line data computer input
• Supervising and evaluating personnel
• Assisting in making recommendations for employment and assignment of personnel
• Assigning priorities and deadlines
• Preparing special reports and records
• Acting as liaison between Employee Benefits and other departments
• Coordinating the acquisition of medical, dental, and vision insurance coverage
• Acting as a liaison between all health plan representatives and employee benefits
The Laughton Company - Account Manager / Producer
Las Vegas, NV
10/2011 - 02/2013
• Primary advisor to clients on all group insurance issues
• Prepare an annual service plan for all clients
• Met with them quarterly or as necessary
• Lead role in the selection of carriers and policies
• Oversee all renewals and new policy implementations and enrollments
• Provide information on current and emerging trends in the insurance industry
• Hold educational employee benefit meetings
Licenses Certificates Training
• Professional in Human Resources PHR
• FMLA, DMEC Disability Management Employer Coalition
• Microsoft Excel, Skills Success
• Life & Health, State of Texas
• Life & Health, State of California
• Life & Health, State of Idaho
• Life & Health, State of Michigan
• Life & Health, State of Montana
• Life & Health, State of New Mexico
• Life & Health, State of Ohio
• Life & Health, State of South Carolina
• Life & Health, State of South Dakota
• Life & Health, State of Utah
• Life & Health, State of Virginia
• Life & Health, State of North Dakota
• Life & Health, State of Nevada
• PMP Project Management, Skills Success
. • Quick Books, Skills Success
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