Job Summary:

• Provide materials and assemble packets for client meetings
• Run data analytic reports for client meetings
• Once fully trained, fill in for account representatives in their absence
• Responsible for daily data entry and processing to meet deadlines in a timely manner
• Process enrollment changes with carriers via applications and online administration systems
• Communicate with team members regarding enrollment changes and apprise COBRA 
• Document conversations and transactions to avoid E&O issues
• Provide project and program support for team members
• Collaborate and communicate with others in the division
• Maintain department renewal reports for review during EBAR meetings

Skills on Resume:

• Meeting Prep (Hard Skills)
• Data Analysis (Hard Skills)
• Account Backup (Hard Skills)
• Data Entry (Hard Skills)
• Enrollment Processing (Hard Skills)
• Communication (Soft Skills)
• Project Support (Soft Skills)
• Collaboration (Soft Skills)

Job Summary:

• Provide assistance with claim denials, pre-authorization
• Support overall to client employees and their dependents via phone and email
• Provide clerical and administrative support to the Employee Benefits Department.
• Support staff in day-to-day management of benefit accounts.
• Assist in preparing bid specifications for Requests for Proposals (RFPs).
• Process data and generate routine reports as directed.
• Maintain office event records and calendars.
• Generate and update client communication materials for Open Enrollment
• Pursue a program of personal and professional development.
• Responsible for electronic file maintenance, including ongoing filing and documentation of new business/renewals/policy changes.

Skills on Resume:

• Claim Assistance (Hard Skills)
• Client Support (Hard Skills)
• Admin Support (Hard Skills)
• Benefit Account Management (Hard Skills)
• RFP Preparation (Hard Skills)
• Data Processing (Hard Skills)
• Event Coordination (Soft Skills)
• Communication Management (Soft Skills)

Job Summary:

• Performs and executes clerical functions as determined by the Benefits Manager.
• Provide administrative support to the Human Resources Assistant Manager.
• Sort incoming mail, photocopy, and fax and distribute materials as required.
• Answer phones and take accurate messages.
• Maintain accurate and up to date employee Benefit files.
• Accurately assemble Benefit orientation packages.
• Participate in part of the Benefit Orientation for all new employees.
• Send out notices to attend Benefits Orientation for employees with status changes.
• Monitor and track health coverage for all new employees and eligible staff for proper completion of necessary forms (includes sending out Health eligibility memo).
• Initial follow up and reporting of Workers Compensation claims as directed by the Benefits Manager.

Skills on Resume:

• Clerical Support (Hard Skills)
• HR Admin Assistance (Hard Skills)
• Mail Handling (Hard Skills)
• Phone Reception (Hard Skills)
• Benefit File Management (Hard Skills)
• Orientation Package Assembly (Hard Skills)
• Orientation Participation (Soft Skills)
• Health Coverage Tracking (Hard Skills)

Job Summary:

• Delivering exceptional customer service.
• Partnering with Benefits Team to respond to benefits inquiries and issues
• Providing courteous, accurate, responsive, and timely service.
• Assisting with New Team Member Orientation and Onboarding sessions.
• Processing benefits enrollment per plan verification process.
• Creating metric reports and compiling data for reporting purposes using the Organization’s HRIS System
• Tracking and completing vendor invoicing, self-billing, and other necessary reporting. 
• Support Finance with reporting needed to pay benefit vendors. 
• Compliance with all applicable federal, state, and local laws, regulations, GLWA policies, and labor contracts related to benefits administration.
• Serving as a primary point of contact for Team Members and vendors to triage and facilitate the resolution of inquiries and issues.

Skills on Resume:

• Customer Service Excellence (Soft Skills)
• Benefits Inquiry Support (Hard Skills)
• Accurate Service Delivery (Hard Skills)
• Onboarding Assistance (Hard Skills)
• Enrollment Processing (Hard Skills)
• Data Reporting (Hard Skills)
• Vendor Invoicing Management (Hard Skills)
• Compliance Adherence (Hard Skills)

Job Summary:

• Provides coverage for reception desk 
• Maintain and reorder all Benefits related materials and supplies.
• Responsible for mailing all Benefits related correspondence.
• Assist with special projects (including annual Open Enrollment).
• Staying abreast of emerging government regulations.
• Performing audits and compliance reviews to ensure data integrity and resolve errors.
• Maintain spreadsheets on all Workers Compensation claims reported and not reported.
• Ensuring Team Member information and records are kept confidential and handled in compliance with HIPAA.
• Assisting in the preparation of annual regulatory filings and data compilation for quarterly and yearly audits

Skills on Resume:

• Reception Coverage (Hard Skills)
• Materials Management (Hard Skills)
• Correspondence Handling (Hard Skills)
• Project Support (Hard Skills)
• Compliance Monitoring (Hard Skills)
• Audit Management (Hard Skills)
• Compensation Tracking (Hard Skills)
• Record Maintenance (Soft Skills)

Job Summary:

• Assist in managing reporting of consumer Medicaid spend downs.
• Support the overall process of ensuring consumer eligibility for benefits.
• Complete benefits applications applications for consumers
• Assist in the completion or re-application of benefits if denied.
• Establish, restore, verify, and increase eligibility for benefits whenever possible.
• Attend Network 180 general fund meetings as requested.
• Complete the Social Security Administartion “level of care” form when consumer moves between programs or first arrives.
• Assure that Medicaid spend down requirements are met to maximize coverage and eligibility for benefits.
• Assist in gathering key supporting documentation when consumer moves between program or first arrives.
• Assist in communicating or distributing Benefit information to facilitate services to the consumer.

Skills on Resume:

• Spend Down Management (Hard Skills)
• Eligibility Support (Hard Skills)
• Application Processing (Hard Skills)
• Re-application Aid (Hard Skills)
• Verification (Hard Skills)
• Meeting Attendance (Soft Skills)
• Form Completion (Hard Skills)
• Documentation Coordination (Hard Skills)

Job Summary:

• Take the lead in an HR Comp and Bens Project to audit employee benefits
• Ensure that all employees are enrolled in the relevant benefit schemes
• Liaise with PAs in overseas offices to assist with the translation of benefits packages
• Ensure newly eligible employees are enrolled in the company’s benefits plans and perks
• Audit carrier invoices for discrepancies and respond to discrepancy reports with carriers.
• Processing and approving all qualifying life events (QLEs) and sending this on to the carriers.
• Manage HRIS system approvals for employee premium information.
• Submit relevant expenses to Accounts Payable.
• Assist in planning analysis and the gathering of employee resources, and scheduling meetings with vendors.
• Work closely with payroll, ensuring all deductions and enrollment changes are processed accurately 

Skills on Resume:

• Project Leadership (Hard Skills)
• Enrollment Oversight (Hard Skills)
• International Management (Hard Skills)
• Multilingual Liaison (Soft Skills)
• New Employee Enrollment (Hard Skills)
• Invoice Audit (Hard Skills)
• Life Event Processing (Hard Skills)
• HRIS Management (Hard Skills)

Job Summary:

• Assist with the function of the Hope Network Representative Payee for all consumers
• Prepare payments and personal spending reports weekly, monthly and yearly.
• Provide feedback to Program Managers for necessary corrections and follow up.
• Collect financial data to assist in completing the CMH agencies “Ability to Pay” fee determinations.
• Review medical and pharmacy invoices for accuracy and cost savings opportunities.
• Report to the supervisors any errors or discrepancies that need to be addressed. 
• Maintain and balance the consumer fund account as transactions occur throughout the month.
• Maintain proficiency in regulations of FIA, Social Security, and governing legislation to assure compliance.
• Maintain proficiency in regulations of FIA, Social Security, and governing legislation (including HIPAA) to assure compliance.
• Assists in training fellow employees in the use of e-Care and the proper disposition of electronic, audio, and paper documents.
• Assist in monitoring the Consumer’s finances and the Consumer Fund account for financial transactions and payments. 

Skills on Resume:

• Payee Assistance (Hard Skills)
• Payment Preparation (Hard Skills)
• Program Feedback (Soft Skills)
• Data Collection (Hard Skills)
• Invoice Review (Hard Skills)
• Error Reporting (Soft Skills)
• Account Balancing (Hard Skills)
• Regulatory Compliance (Hard Skills)