Benefits Specialist Resume Example

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Professional Summary

Experienced Benefits Administrator seeking Insurance Verification Specialist Position, capable of working with providers, establishing client rapport and coordinating benefits. Solid understanding of documentation, recordkeeping and compliance requirements. Ready to bring organizational, problem-solving and relationship-building skills developed over a 10+year's career to a challenging new role.

Work History
Aids Healthcare Foundation - Benefits Specialist
San Francisco, CA, 04/2016 - Current
  • Explained benefits to plan participants in easy to understand terms in order to educate each on available options
  • Observed strict procedures to maintain data and plan participant confidentiality
  • Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email and in-person interactions
  • Handled average of 25 calls per day to address benefit inquiries and concerns
  • Resolved conflicts and negotiated mutually beneficial agreements between employees and insurance carriers
  • Implemented and administered employee benefit programs: health, dental, vision, flexible-spending accounts; health savings accounts; COBRA; disability insurance, life insurance, employee assistance benefits
  • Managed and track ed all employee FMLA/Personal/Medical Leaves nationwide
  • Calculated and prepared benefit invoices due for duration of employee FMLA
  • Provided all Federal and State FMLA paperwork to support FMLA requests and Federal requirements
  • Provided and educated State and employer Short Term and Long-Term Disability
Collaborative Solutions - Talent Acquisition Specialist
Indianapolis, IN, 03/2015 - 11/2015
  • Timely and adequate availability of qualified candidates for Operating positions in multi-state locations
  • Develop effective relationships with both candidates and managers to ensure top talent is attracted to organization
  • Search both active/passive candidates on Social Media sites and various job boards
  • Actively utilize ATS to post open positions and follow department's recruiting guidelines
  • Coordinate and administer all candidate skills assessments
  • Conduct and document HR Phone Screens
  • Maintain candidate pipeline with qualified candidates
  • Actively utilize Taleo ATS and follow department interview/selection process to process and input employee data
  • Recruiting strategy meetings with hiring manager
  • Managed over 30 calls per day
  • Manage and accurately documented all steps of the selection/ interview process
  • Determine if a candidate will continue with the selection process
Aids Healthcare Foundation - Benefits Specialist
Unavailable, CA, 03/2012 - 06/2014

• Primary Benefits Administrator for 250+ lives
• Coordinated and tracked all FMLA for employees throughout USA
• Audited and secured all dependent verification forms: marriage certificates, Birth Certificates, Certificate of insurance, and social security numbers for insurance enrollments.
• Managed, coded and processed all employee medical and dental claims
• Responsible for collecting over $28,000 in company claims after identifying system error
• Counseled employees regarding claim payments, co-pays, and EOB explanations
• Liaison between insured and third-party administrator to assure claims were paid correctly and promptly.
• Paid and tracked all monthly billing for company responsible insurance plans
• Prepared and communicated to employees all insurance updates and policy reminders through company newsletter
• Set up payment plans with employee doctors/hospitals
• Prepared and processed all paperwork regarding escalated claims to external Vendors for review process
• Partnered with IT department to integrate company IT system with HRIS
• Coordinated Benefit Open Enrollment meetings, processed and updated all employee changes according to Healthcare Reform
• Played active part in annual negotiations with providers

Benefits Management Solutions , INC - Benefits Specialist-Call Center
City, STATE, 08/2011 - 03/2012

• Call Center -Benefits Administrator Benefits Administrator for over 15,000 lives in call center environment
• Maintain strong organizational skills in a high volume fast paced atmosphere
• On-Boarding for all new hires for clients with over 5000 employees
• Complete and process all STD, LTD, Life and EOI applications
• Maintained weekly report for STD, LTD, and Life claims. Review and update all approved claims through ADP benefits systems.
• Addressed all pending applications for STD, LTD and Life Claims to assure all necessary information was obtained for completion.
• Followed up on all employee dependent verifications to assure coverage
• Established positive relationships with multiple Carriers to address enrollments, claims, billing, tier changes,
• Coordinated all claim reconciliations by acting as liaison between doctors’ offices, medical facilities, employees and carriers to assure timely payment of claims

Personal Touch

Supporter of the American Breast Cancer Society and St Jude Children's Hospital ;

Enjoy Cooking for family and Friends.; Avid Food Network and HGTV fan;

Enjoy living a healthy lifestyle; Love my golden-doodle, an advocate of Animal Adoptions
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
  • Benefits Administration
  • Human Resource Information Systems (HRIS)
  • Claim verifications
  • Insurance Verification
  • Proficient in MS Office
  • Strong Data Entry skills
  • Customer service
College of Mount Saint Vincent Bronx, NY, Expected in 05/1987 Bachelor of Arts : Business Administration - GPA :

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Resume Overview

School Attended
  • College of Mount Saint Vincent
Job Titles Held:
  • Benefits Specialist
  • Talent Acquisition Specialist
  • Benefits Specialist
  • Benefits Specialist-Call Center
  • Bachelor of Arts