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Benefits Coordinator Resume Example

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JC
Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Summary

Detail-oriented Human Resource Benefits Coordinator with four years in benefits coordination. Advocates positive relationships between employees, employers and insurance companies. Service-driven professional highly informed of all state and federal regulations pertaining to benefits for employees. Communicative Benefits Coordinator offering outstanding customer service and data confidentiality skills.

Skills
  • Benefits interpretation
  • Open enrollment
  • Special projects
  • Verbal and written communication
  • Vendor relationship management
  • Customer service
  • Problem resolution
  • Training & Development
  • Active listening
  • Highly skilled in Benefits Admin Software
Experience
07/2017 to Current Benefits Coordinator Analysis Group | Los Angeles, CA,
  • Led weekly open enrollment question and answer session with employees on benefit program updates.
  • Reviewed employee enrollments to verify accuracy, inputting all information into company's database.
  • Provided assistance to plan participants by explaining benefits information to ensure educated selections.
  • Monitored data integrity and confidentiality by observing strict regulations and procedures.
  • Mentored newly hired employees in benefits department and provided information regarding company policies and procedures.
  • Communicated effectively via email, phone and face-to-face with plan participants to resolve issues pertaining to health and welfare benefits.
  • Constructed detailed job descriptions and classification systems to define job levels and families.
  • Developed recommendations for improvement of organization's personnel policies and practices.
  • Saved company $3,000.00 per year by correcting clerical errors from previous years.
  • Worked closely with auditors on compliance testing of 401K plans.
  • Oversaw merit, sales commission and bonus programs with monthly, quarterly and annual payouts.
  • Conducted randomized feedback surveys.
  • Organized and executed 3 employee appreciation events per year.
  • Created new programs that resulted in increasing productivity and customer satisfaction.
  • Decreased worker's compensation fines 50% by improving reporting processes.
10/2016 to 05/2017 Customer Service Representative I First Hawaiian Bank | Hilo, HI,
  • Responded to customer inquiries promptly and accurately
  • Documented all inquiries appropriately
  • Understood and applied confidentiality and security guidelines
  • Maintained minimum production expectations while meeting defined quality expectations
  • Maintained knowledge of online reference information
  • Prioritized work throughout the day and adapts to changes in workload as needed
  • Exceeded company productivity standards 50% on consistent basis, handling more than 50% of quota each day.
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Escalated customer concerns, store issues and inventory requirements to supervisors.
  • Asked probing questions to determine service needs and accurately input information into electronic systems.
  • Trained new employees on procedures and policies to maximize team performance.
  • Answered 50+ inbound calls per day and directed to individuals or departments.
  • Documented conversations with customers to track requests, problems and solutions.
  • Consulted with customers to determine best methods to resolve enrollment issues.
  • Educated customers on enrollment processes.
  • Fielded customer complaints and queries, fast-tracking them for problem resolution.
  • Upheld privacy and security requirements established by US Government regulatory agencies.
  • Evaluated customer account information to assess current issues and determine potential solutions.
05/2016 to 10/2016 Patient Access Representative Crystal Clinic Orthopedic Center | Medina, OH,
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Verified demographics and insurance information to register patients in computer system.
  • Applied knowledge of payer requirements, utilizing on-line eligibility systems to verify patient coverage and policy limitations.
  • Submitted fees and claims to insurance companies manually or digitally.
  • Applied HIPAA Privacy and Security Regulations while handling patient information.
  • Processed patient responsibility estimate determined by insurance at pre-registration.
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Scheduled patient appointment and procedures.
  • Coordinated between patients and healthcare professionals to meet patient needs.
  • Scheduled and confirmed patient appointments with patients and healthcare professionals.
  • Utilized customer service skills and detailed system knowledge to support hospital and clinic operations.
  • Checked daily doctor schedules and verified insurance.
  • Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
10/2014 to 05/2016 Provider Enrollment Specialist Amerihealth Caritas Health Plan | Columbus, OH,
  • Researched and controlled incoming applications and correspondence to ensure work is properly categorized
  • Entered data into internal document management and workflow systems
  • Provided quality check on the provider enrollment data and enters application information into the claims processing systems (MCS, etc.)
  • Managed inbound/outbound online FAX queues to and from providers
  • Quality assurance checks of claims processing system enrollment data
  • Created and mailed notification letters
  • Completes application returns and/or application acknowledgement process
  • Support other enrollment functions such as status calls, basic PECOS entry, special mailings, etc.
  • Reviewed, researches, and processes provider enrollment applications abiding by contract regulations, internal policies, and guidelines
  • Coached providers through the enrollment process and provides inbound phone support
  • Initiated requests for information to complete the online enrollment process
  • Verified credentialing information and completes fraud detection and prevention
Education and Training
Expected in Bachelor of Science | Nursing University of North Dakota, Grand Forks, ND GPA:
Expected in 05/2010 Associate of Arts | General Studies Sisseton Wahpeton College, Sisseton, SD GPA:
  • 3.5 GPA
  • Dean's List Honoree 2009
  • Honor Roll 2007-2010
  • TRIO and AHEC Member
  • AICF Scholarship Recipient
  • AIEF Scholarship Recipient

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Resume Overview

School Attended
  • University of North Dakota
  • Sisseton Wahpeton College
Job Titles Held:
  • Benefits Coordinator
  • Customer Service Representative I
  • Patient Access Representative
  • Provider Enrollment Specialist
Degrees
  • Bachelor of Science
  • Associate of Arts