Highly organized and detail-oriented Insurance and Benefits specialist with more than 8 years of Insurance and Benefits experience. Strong administrative support experience, communication skills, and the ability to work under pressure.
Skills
Highly Organized
Training and Development
Advanced Excel Knowledge
Excellent Communication Skills
Accurate and Detailed
Excellent Customer Service Skills
Works well under pressure
Fluent in Spanish
Experience
01/2020 to Current
Insurance and Benefits SpecialistCity Of Springfield – Springfield, MA,
Use PeopleSoft and math skills to calculate retro deductions.
Assist City of Albuquerque and Participating entity employees related to our group health plans. Provide customer service to employees selecting from benefit choices; explain eligibility requirements, coverage and programs. Participate in the planning, coordination, and implementation of annual open enrollment meetings and activities.
Coordinate the administration of early retirement programs; process applicable paperwork; make presentations at pre-retirement seminars, coordinate communication with PERA. Participate in new employee orientation procedures; make benefit and wellness program presentations.
Enter sensitive benefit data; ensure accuracy; process and reconcile benefit enrollment. Run and analyze queries through Peoplesoft to research, respond, and resolve difficult and sensitive appeals and grievances from internal and external departments, employees, dependents; Recording of insurance coverage appeals from employees and/or retirees, seeking assistance from the Senior Analyst when appropriate.
Participate in the development of policies and procedures; Review Divisional forms and documents including Job Aides for employee use in enrollment and standard operating procedures for compliance with city rules and regulations, completeness and accuracy. Make recommendation for changes and improvements to existing procedures in order to benefit the City and the employee/retiree.
Participate as liaison to assigned entities regarding City’s standard operating procedures and entity administrative guide. Review Entity Mini 834 enrollment submission for accuracy. Train Entity liaison on processing requirements and errors found in submission. Requiring Entity resubmission with guidance on error mitigation and/or manual correction of data entry of the submission in preparation for file consumption by ERP. Review of post upload error report to identify and train Entity on errors.
Research and respond to various requests, inquiries and information from employees and Entity liaisons; maintain and enter related HIPAA protected benefits data into computer software systems including PeopleSoft and Entity specific data bases.
Maintain early retirement department payroll; Serve as timekeeper and liaison for assigned employees in early retirement; conduct data entry/schedule entry into either Peoplesoft or Kronos as timekeeper for the retiree department payroll. Coordinate with Technology and Innovation department to ensure Kronos entries are processed correctly. Coordinate with Central payroll staff to ensure payroll entries are timely and accurate as they relate to the retirement program.
01/2017 to Current
Senior Office AssistantCity Of Brownsville – Brownsville, TX,
Provided assistance and information to City of Albuquerque employees, retirees, and the general public regarding City of Albuquerque Policies and Procedures.
Conducted research through various Human Resource Information Systems to retrieve information regarding City of Albuquerque employees, temporary employees, and retirees.
Provide excellent customer service.
Perform functions through PeopleSoft such as modifying dependent records and benefit elections
Utilize Microsoft excel to compile, track, and maintain reports related to the Insurance and Benefits Division.
Utilize Psycapture to scan all Insurance and Benefits documents and ensuring that they are electronically filed correctly through Onbase.
Participate and assist with the New Employee Orientation material related to Insurance and Benefits. Preparing and assisting with the distribution of Open Enrollment material, and attending and participating in open enrollment meetings.
09/2013 to 01/2017
Police Records TechnicianAlbuquerque Police Department – City, STATE,
Provided a wide variety of assistance and information to the public, Police officers, and other law enforcement agencies.
Interpreted and applied a variety of APD and City Policies when responding to requests from the general public and outside law enforcement agencies.
Managed and maintained all Insurance billing accounts; requests related to workmans comp and insurance claims. Issued invoices and processed payment for billing accounts. This included utilizing Excel to compile, track, and maintain customer accounts.
Lead trainer of new employees.
Processed background checks and incident reports requests requested by the public. Conducted research through FileNet, OnBase, New World, Tiburon, Copperfire and Microfiche in order to compile various reports requested by the general public.
Utilized Copperfire to write police reports for citizens.
Compiled daily work logs, monthly logs, and time sheets by assigned due dates.
Cash handling duties at front counter.
Counted the cash register before and after shift, and made deposits after each shift.
Scanned and electronically filed documents through the older system of FileNet and Psycapture.
Provided excellent customer service both in person and over the phone.
Education and Training
Expected in 2020
Bachelor of Arts: Management with Concentration in Public Administration Southern New Hampshire University - Hooksett, NH GPA:
Expected in 2018
Associate of Arts: General Studies with Concentration in Business Southern New Hampshire University - Hooksett, NH GPA:
Expected in 2011
: High School Diploma The New America School - Albuquerque, New Mexico GPA:
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