Benefits Administrator & Compliance Specialist

Patricia Dorsett

803-***-**** • ********@*****.*** • Columbia, SC

Summary

Dedicated Benefits Administrator with 28+ years of experience in high-volume benefits administration and regulatory compliance. Proven track record in executing leave administration and ensuring strict adherence to ACA, ERISA, and FMLA standards. Expert in managing HRIS data integrity and streamlining COBRA administration for diverse employee populations exceeding 1,000 members. Work Experience

Benefits Specialist January 2008 – Present

GALLAGHER BENEFIT SERVICES, TALLAHASSEE, FL

Administer comprehensive employee benefits programs and lead educational seminars to improve staff understanding of benefit packages.

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Execute Open Enrollment Execution for large employer groups of 1,000+ employees, ensuring 100% data integrity during the enrollment cycle.

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Process client enrollments utilizing Electronic Data Interchange (EDI) and Selerix to automate data transfer to insurance carriers.

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Maintain HRIS databases and problem-tracking systems to ensure accurate benefit records and facilitate Audit Support.

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Coordinate Vendor Management as a liaison between employees and health, dental, life, and disability carriers to resolve complex service issues.

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Ensure regulatory compliance with HIPAA and ACA standards while resolving application, hardware, and software issues for users.

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Regional Sales Manager January 2006 – January 2008 BASICPLUS INSURANCE SERVICES, LLC, COLUMBIA, SC

Recruited and trained a base of 100+ health and life agents on benefit product administration and enrollment procedures.

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Educated employers on health insurance policies, including FMLA Compliance and COBRA Administration guidelines.

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• Applied health insurance rating systems and Excel-based modeling to obtain accurate quotes for agents and clients. Acted as a primary liaison between agents, employees, and carriers to resolve systemic service and enrollment problems.

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Benefit Specialist January 2000 – January 2006

WARD SERVICES, COLUMBIA, SC

Administered benefits for large employer groups of 1,000+ employees, coordinating group presentations and one- on-one enrollment interviews.

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Enrolled clients via Electronic Data Interchange (EDI), maintaining high standards of data integrity for carrier transmission.

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• Managed knowledge and problem-tracking databases to ensure swift resolution of benefits-related inquiries. Provided Leave Administration support and acted as a liaison between employees and disability, health, and life carriers.

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Executive Vice President, Office Manager January 1996 – January 2000 BROKERS INSURANCE GROUP, COLUMBIA, SC

Supervised a team of 10+ employees, managing Human Resources functions including hiring, terminating, and performance oversight.

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• Ensured ERISA Compliance across multiple health and life insurance policies for employer groups. Processed insurance claim forms and conducted policy reviews to determine coverage eligibility and ensure accurate claims adjudication.

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• Managed Accounts Payable and monthly commission balancing for active agents using financial software and Excel. Education

Associate of Science in Medical Coding and Billing October 2010 COLORADO TECHNICAL UNIVERSITY

Additional Skills

Benefits & Compliance: Benefits Administration, Leave Administration, ACA Compliance, ERISA Compliance, FMLA Compliance, COBRA Administration, HIPAA Rules and Regulations, Open Enrollment Execution

Technical Systems: HRIS, Benefitfocus, Selerix, Electronic Data Interchange (EDI), Excel, QuickBooks, Lawson, MS PowerPoint, MS Word

Healthcare & Claims: Medical Coding (CPT, ICD-9, HCPCS), Medical Billing, Audit Support, Vendor Management, UNUM

Professional Operations: Group Presentations, Employee Education, Data Integrity, Accounts Payable, Typing Speed: 100 WPM

Certifications

• Certified Signing Agent - National Notary Association (January 2014)

• Certified Identity Theft Risk Manager - Kroll Worldwide (April 2007)

• Health and Life License - Brewer School of Insurance (June 1996) References

Upon request

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