Benefits Administration & Claims Specialist

Corie Nelson

Longview, Washington

801-***-**** ***********@*****.***

Professional Summary

Detail-oriented Benefits Support and Retirement Plan Administration professional with experience assisting members and retirees with eligibility, claims processing, reimbursements, and plan information. Provide phone and email support within structured benefits systems, ensuring accurate claims processing, timely deadline management, and detailed documentation. HIPAA-trained with regular access to protected health information (PHI) and strong adherence to privacy and compliance standards. Known for accuracy, responsiveness, de-escalation and a service-oriented approach.

Core Competencies

● Benefits Administration Support

● Claims Processing & Reimbursement Review

● Eligibility & Enrollment Management

● Deadline & Time-Sensitive Case Management

● HIPAA Compliance & PHI Handling

● Discrepancy Research & Resolution

● 401(k) Loan Processing

● Data Entry & Record Auditing

● Detailed Client Log Documentation

● Written Communication & Proofreading

Professional Experience

Customer Success Coordinator

Vimly Benefit Solutions

2023 – Present Washington

● Respond to inbound member and employer inquiries via phone and email regarding eligibility, claims status, reimbursements, coverage details, and plan provisions.

● Process and review claims documentation and reimbursement requests in accordance with plan guidelines and established procedures.

● Assist retirees in accessing benefits, explaining documentation requirements, and navigating time-sensitive deadlines.

● Return incomplete or inaccurate documentation for correction and follow through to resolution.

● Research and resolve coverage discrepancies, including terminations, eligibility updates, and claims-related issues.

● Maintain detailed client interaction logs and case documentation to ensure transparency and audit readiness.

● Manage multiple concurrent cases with strict attention to processing deadlines and plan timelines.

● Verify member identity prior to discussing benefits and regularly access PHI in compliance with HIPAA regulations.

Retirement Plan Administrator

Wagstaff & Crawford

2017-2018

● Processed 401(k) loan applications and supporting documentation in compliance with plan rules and regulatory requirements.

● Reviewed loan requests for completeness and eligibility prior to approval and disbursement.

● Posted employee and employer contributions accurately to participant accounts.

● Audited account records to identify and correct discrepancies.

● Maintained confidential employee financial information in accordance with privacy standards.

● Worked within ERP and retirement administration systems to update account data and documentation.

Manager and Gemologist

Fast-Fix Jewelry & Watch Repairs

2008-2015

● Managed high-volume customer service interactions, resolving service concerns and pricing questions with professionalism and attention to detail.

● Maintained accurate service orders, financial transactions, and inventory records within digital tracking systems.

● Monitored repair timelines and vendor service deadlines to ensure timely completion and follow-up.

● Prepared written estimates, documentation, and customer communications with clear and professional language.

● Handled sensitive customer information and high-value merchandise with discretion and accountability.

Additional Strengths

● Strong listening skills and calm, professional communication style

● Highly organized with ability to prioritize multiple time-sensitive cases

● Comfortable working independently in structured, process-driven environments

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