Job Summary:

• Help facilitate Benefits orientations and ongoing training initiatives
• Maintain benefits information on intranet site
• Update Workday with benefit changes
• Sends out bi-weekly notices to all employees on Leave of Absence
• Advising them of benefit payments due to Holy Name Hospital.
• Responds to benefit surveys and maintains relationships with vendors.
• Processes forms necessary for employees requesting Social Security and Medicare.
• Provides coverage for reception desk daily 
• Assist in yearly open enrollment process and new hire open enrollment.
• Utilize Paylocity HRIS to update employee benefit information.
• Responsible for annual service award distribution.

Skills on Resume:

• Benefits Administration (Hard Skills)
• HRIS Management (Hard Skills)
• Communication Skills (Soft Skills)
• Compliance Knowledge (Hard Skills)
• Organizational Skills (Soft Skills)
• Customer Service (Soft Skills)
• Attention to Detail (Soft Skills)
• Team Collaboration (Soft Skills)

Job Summary:

• Administer various employee benefits programs
• Assisting plan participants with daily questions.
• Assist in the onboarding process of all new hires (professional staff and attorneys).
• Daily administration of benefits events in the Firm’s HRIS system, Workday. 
• Generate monthly billing for vendors utilizing Workday.
• Interacting with the vendors and the internal payroll department.
• Handle COBRA Administration for the firm.
• Act as a key participant in the annual open enrollment process. 
• Process all life Insurance Claims and run additional government filings 
• Administer Leaves of Absence including: STD, LTD, workers compensation & personal. 

Skills on Resume:

• Benefits Administration (Hard Skills)
• HRIS Management (Hard Skills)
• Customer Support (Soft Skills)
• Onboarding Assistance (Hard Skills)
• Vendor Interaction (Soft Skills)
• COBRA Management (Hard Skills)
• Open Enrollment Coordination (Hard Skills)
• Leave Administration (Hard Skills)

Job Summary:

• Guide and support client employees in the annual enrollment process 
• Ensuring accurate document completion of forms. 
• Assist new hires with the enrollment process
• Maintain accurate system updates for proper employee records
• Provide information and assistance to support vendor management
• Process COBRA and Direct Bill payment adjustments and workflow administration
• Provide Death, Retirement, and Disability counseling by client contract
• Perform benefits administration activities related to benefits enrollment and COBRA. 
• Administrate retiree, and inpat/expat support according to clients operating procedures.
• Respond to inquiries related to benefit eligibility, elections, interface issues and benefit appeals.

Skills on Resume:

• Enrollment Support (Soft Skills)
• Document Management (Hard Skills)
• New Hire Assistance (Hard Skills)
• Record Keeping (Hard Skills)
• Vendor Support (Soft Skills)
• Payment Processing (Hard Skills)
• Counseling Services (Soft Skills)
• Benefits Administration (Hard Skills)

Job Summary:

• Plan and execute work in a helpful collaborative manner.
• Responsible for designing / improving customer service policies.
• Work with peers and leadership to research new business opportunities.
• Provide suggestions and contribute to workflow improvements.
• Utilize all capabilities to satisfy one mission
• Enhance the competitiveness and profitability of members. 
• Be punctual and organized with e-mail box, call tracking episodes, and other lines of communications.
• Develop creative ways to understand how customers perceive their interactions with and the process for getting their medications here at PRxS.

Skills on Resume:

• Collaboration (Soft Skills)
• Policy Design (Hard Skills)
• Communication Management (Soft Skills)
• Perception Analysis (Hard Skills)
• Opportunity Research (Hard Skills)
• Workflow Optimization (Hard Skills)
• Mission Alignment (Soft Skills)
• Competitiveness Enhancement (Hard Skills)

Job Summary:

• Assisting employees with leaves of absences
• Filing disability claims for short and long term disability
• Managing the Employee Assistance Program
• Facilitating the 4-month review process
• Managing employee requests for accommodations
• Assisting with new hire onboarding 
• Assisting employees with insurance questions
• Filing workers compensation claims
• Managing the relationship with the FMLA vendor
• Perform basic accounting skills, balancing individual payments back to a total deposit
• Read and interpret an Explanation of Benefits form based on standard business rules
• Ability to accurately transcribe information quickly and accurately

Skills on Resume:

• Leave Management (Hard Skills)
• Claims Processing (Hard Skills)
• EAP Administration (Hard Skills)
• Review Coordination (Hard Skills)
• Accommodation Support (Soft Skills)
• Onboarding Assistance (Soft Skills)
• Insurance Handling (Soft Skills)
• Workers' Comp Management (Hard Skills)

Job Summary:

• Calling the government for collections and maintain up to date reporting
• Receive, review and record all SSA award/payments in appropriate case files
• Communicate with all customer accounts receivables
• Delivers support accurate and timely HR payroll/time management 
• Ensure employees get paid right and on time
• Collect and review time data, determine required deductions, prepare the payroll upload file
• Verify gross net calculation and get payroll signed-off by mandated colleagues
• Manage one-time payments like STIP, LTIP, etc
• Follow-up on money movements and bank transfers with involved departments.
• Ensures compliance with country legislation and improves payroll/time processes

Skills on Resume:

• Collections Management (Hard Skills)
• Award Administration (Hard Skills)
• Receivables Communication (Soft Skills)
• Payroll Management (Hard Skills)
• Data Processing (Hard Skills)
• Payment Verification (Hard Skills)
• Special Payments Handling (Hard Skills)
• Compliance Assurance (Soft Skills)

Job Summary:

• Review 1095 C Forms before submission via payroll system.
• Run eligibility ACA reports and communicate eligibility status to employees.
• Serves as a backup for all New Hire Orientation sessions English/Spanish.
• Serves as a backup for Onboarding Spanish Speaking employees.
• Serves as a backup for producing Employee IDs 
• Manage Federal and State Poster Compliance Move to HR Generalist
• Administrates workers’ compensation records including accident investigation
• Follow-up care and payments to the occupational health provider invoices.
• Maintain internal spreadsheets for WC.
• Prepare Monthly reports for FMLA, and Workers’ Compensation to be submitted to the HR Generalist for review before submittal to Director of Human Resources.
• Maintain and review all records on Incident Tracker.

Skills on Resume:

• Form Review (Hard Skills)
• Eligibility Management (Hard Skills)
• Bilingual Support (Soft Skills)
• Onboarding Assistance (Soft Skills)
• ID Production (Hard Skills)
• Compliance Management (Hard Skills)
• Workers' Comp Administration (Hard Skills)
• Record Keeping (Hard Skills)

Job Summary:

• Forward any potential grievances or concerns to HR Generalist.
• Provide HR Generalist with any reports for HR Metrics.
• Serves has a member of the Risk Prevention and Management sub-committee.
• Conducts regular audits to review accuracy of deductions in payroll for all benefits.
• Distribute required employee notices based on yearly schedule.
• Updates monthly WC reports to monitor trends and make training recommendations. 
• Prepares a quarterly and yearend report on WC and incident to be submitted to the Director of Human Resources and the Risk Management Committee.
• Ensures that federal OSHA record keeping requirements are adhered to by the agency.
• Works with Human Resources and Payroll to ensure that the agency is in compliance with federal and state regulations regarding benefits.
• Produce census information for review by the HR Generalist prior to submitting to brokers for benefit renewal.

Skills on Resume:

• Grievance Handling (Soft Skills)
• Reporting (Hard Skills)
• Committee Membership (Soft Skills)
• Audit Conducting (Hard Skills)
• Notice Distribution (Soft Skills)
• Report Preparation (Hard Skills)
• Compliance Monitoring (Hard Skills)
• Data Compilation (Hard Skills)

Job Summary:

• Manages vendors and broker relationships. 
• Conducts Open Enrollment for group insurance programs.
• Administers 401K enrollment and employee changes.
• Communicate with 401K service provider to resolve any employee concerns.
• Communicates new deductions or changes to Payroll for processing.
• Answers employees’ questions and records employee enrollment in benefits and group insurance programs.
• Conducts the administration of all aspects of the Agency’s employee group benefits programs such as enrolling, terminating and reconciling invoices. 
• Answers questions regarding benefits, such as COBRA, FMLA, Short Term Disability, Long-Term Disability and Workers’ Compensation.
• Reviews and reconcile monthly insurance bills/invoices for accuracy
• Submits appropriate paperwork to ensure payment of such bills/invoices in a timely manner.
• Prepares monthly reports for COBRA (outsourced), Health and Dental Insurance

Skills on Resume:

• Vendor Management (Hard Skills)
• Open Enrollment Coordination (Hard Skills)
• 401K Administration (Hard Skills)
• Employee Communication (Soft Skills)
• Payroll Coordination (Hard Skills)
• Benefits Enrollment (Hard Skills)
• Benefits Administration (Hard Skills)
• Invoice Reconciliation (Hard Skills)

Job Summary:

• Makes recommendations for changes to Supervisor.
• Develop good working relationships with others, even over the phone. 
• Express clearly in conversations and interactions with others. 
• Respect and maintain confidentiality at all times. 
• Connect quickly and effectively with people and assist them while leaving them feeling the warm and fuzzies. 
• Continually looks for ways to improve associate services and enhancements to existing associate benefits programs
• Assists with the annual Open Enrollment process.
• Complies with all appropriate policies, procedures, safety rules and HIPAA regulations.
• Working knowledge of general accounting principles

Skills on Resume:

• Change Recommendation (Soft Skills)
• Relationship Building (Soft Skills)
• Clear Communication (Soft Skills)
• Confidentiality (Soft Skills)
• Customer Assistance (Soft Skills)
• Service Improvement (Soft Skills)
• Enrollment Support (Hard Skills)
• Policy Adherence (Hard Skills)

Job Summary:

• Assist with benefit reporting and data analytics
• Maintains the Benefits dashboard.
• Advises associates on eligibility, provisions and other matters related to life insurance.
• Enters data into the HR system related to associate life events.
• Investigates and promptly responds to requests from internal and external audit.
• Responsible for performing benefits-related tasks such as Short-Term Disability and FMLA requests, Medicare data matches, and student verifications.
• Follows up with non-warehouse associates (new hires) for the purpose of re-enrollment activities.
• Responds to employee benefits questions and issues in a timely, professional manner
• Works with carrier representatives to provide timely solutions to employee benefit problems and issues
• Assist with activities involved in annual renewals and Open Enrollment process

Skills on Resume:

• Analytics (Hard Skills)
• Dashboard Maintenance (Hard Skills)
• Benefits Advising (Soft Skills)
• Data Entry (Hard Skills)
• Audit Handling (Soft Skills)
• Benefit Task Management (Hard Skills)
• Enrollment Follow-up (Soft Skills)
• Employee Assistance (Soft Skills)

Job Summary:

• Assists employees in solving day to day claim problems, handles benefit questions
• Serves as liaison between insurance carriers and employees with benefit issues.
• Advises employees on proper procedures for filing benefit claims.
• Maintains a thorough knowledge of benefit regulations.
• Maintains all aspects of Wellness Program
• Ensures that all COBRA procedures are followed.
• Oversees the assembly of Life Insurance conversion packets for signature and mailings.
• Oversee the enrollment and terminations of employees in all benefit programs.
• Makes transmittal for any unusual payroll changes related to benefits.
• Verifying and processing monthly 401(k) eligibility report, weekly payroll changes

Skills on Resume:

• Benefits Admin (Hard Skills)
• Claim Resolution (Hard Skills)
• Procedure Guidance (Soft Skills)
• Wellness Management (Soft Skills)
• COBRA Compliance (Hard Skills)
• Insurance Coordination (Hard Skills)
• Enrollment Oversight (Soft Skills)
• Payroll Management (Hard Skills)

Job Summary:

• Update benefit documentations and Intranet 
• Assist with scholarship & education reimbursement processing.
• Perform audits to ensure data integrity and address discrepancies.
• Coordinate processing of benefit events both internally and externally 
• Review and approve monthly billing statements for all insurance plans. 
• Assisting employees with life events and other system processing in the HRIS.
• Update benefit orientation video and provide training and assistance on self-enrollment system.
• Coordinate any manual benefit processing of employee enrollments, COBRA, benefit terminations, qualifying life events changes, etc.
• Assist with annual projects including, but not limited to Total Reward Statements, Flu Shot Clinics, Open Enrollment
• Respond to employee benefit inquiries (Level 2) and assist with resolving coverage/claim issues.

Skills on Resume:

• Documentation Management (Hard Skills)
• Scholarship Processing (Hard Skills)
• Data Auditing (Hard Skills)
• Benefit Event Coordination (Soft Skills)
• Billing Statement Review (Hard Skills)
• HRIS Support (Hard Skills)
• Training Development (Soft Skills)
• Benefit Administration (Hard Skills)

Job Summary:

• Provide assistance to other HR functions
• Responsible for day-to-day administration of 401(K) Savings Plan 
• Updating employee deferral and loan elections, assisting in audits and weekly funding
• Updating the tracking log and creating metrics for senior leadership
• Responsible for administration of Leaves of Absence and Reasonable Accommodations, 
• Tracking leaves on the leave log, communicating and educating managers and employees
• Coordinating calls with Managers and HR team, and researching and communicating new state leaves
• Serve as primary point of contact for a wide range of employee questions and concerns related to benefits
• Act as a dispatcher for all HR Helpdesk calls and emails, managing and resolving the Benefits ticket requests
• Manage all Workers Compensation claims including reporting incidents, scheduling Safety Huddles

Skills on Resume:

• HR Support (Soft Skills)
• Retirement Plan Administration (Hard Skills)
• Financial Management (Hard Skills)
• Data Analysis (Hard Skills)
• Leave Coordination (Hard Skills)
• Communication Management (Soft Skills)
• Employee Relations (Soft Skills)
• Helpdesk Management (Soft Skills)

Job Summary:

• Filing disability claims for short and long term disability
• Managing the Employee Assistance Program
• Facilitating the 4-month review process
• Managing employee requests for accommodations
• Assisting with new hire onboarding
• Assisting employees with insurance questions
• Filing workers compensation claims
• Managing the relationship with the FMLA vendor
• Process and reconcile monthly vendor invoices including monthly audits to Payroll
• Assisting employees with leaves of absence, to include FMLA, Military Leave, Company Approved leave

Skills on Resume:

• Disability Claims Management (Hard Skills)
• Employee Assistance Coordination (Hard Skills)
• Performance Review Facilitation (Soft Skills)
• Accommodation Handling (Hard Skills)
• Onboarding Support (Soft Skills)
• Insurance Assistance (Soft Skills)
• Workers Comp Administration (Hard Skills)
• FMLA Relations (Soft Skills)

Job Summary:

• Administer monthly global insurance enrollment process
• Support other Compensation & Benefits projects administrations. 
• Ensure monthly benefits operations are delivered on time, accurately and efficiently
• Address employees’ day-to-day queries on benefits programs
• Coordinate with different internal and external stakeholders e.g., employees, finance team, payroll team, vendors
• Support the implementation of an innovative and expanding benefits program worldwide that meets the needs of different employee groups
• Administer various health & welfare, disability leave, FMLA/FCRA, wellness program and company policies          
• Process benefits documentation, respond to issues, handle enrollments/changes and compliance.
• Administer monthly provident fund process: review eligibility, complete provident fund enrollment and resignation processes

Skills on Resume:

• Insurance Enrollment Management (Hard Skills)
• Project Support (Hard Skills)
• Timely Benefits Operations (Hard Skills)
• Employee Query Resolution (Soft Skills)
• Stakeholder Coordination (Soft Skills)
• Benefits Program Development (Soft Skills)
• Policy Administration (Hard Skills)
• Provident Fund Administration (Hard Skills)

Job Summary:

• Verifies communication content for accuracy.
• Ensure appropriate deductions and allocation of costs.
• Notifying employees and retirees of required documentation
• Responsible for the administration of various benefits programs 
• Generates and reviews the eligibility and termination reports
• Investigating discrepancies between the Manulife and PeopleSoft systems
• Updating PeopleSoft and/or notifying Manulife of changes where appropriate.
• Collects the necessary benefits related employee data for accurate and timely input of benefit transactions into the PeopleSoft system 
• Liaising with Manulife and the employee/retiree to assist in resolving benefits related issues and escalating concerns 
• Inform them of approvals, denials, or requests for additional information with respect to medical underwriting.

Skills on Resume:

• Communication Verification (Hard Skills)
• Cost Allocation Management (Hard Skills)
• Documentation Notification (Soft Skills)
• Benefits Administration (Hard Skills)
• Eligibility Review (Hard Skills)
• System Discrepancy Investigation (Hard Skills)
• System Update Coordination (Hard Skills)
• Benefits Data Collection (Hard Skills)

Job Summary:

• Oversees employee benefits eligibility and enrollment in HRIS
• Reconciles process, submits, and audits monthly invoices
• Oversees the approval and tracking of new hire benefit elections
• Assists and supports 403(b) and 457(b) plan administration
• Processing rollover requests and confirmation of deferral and loan changes
• Manages employee communications regarding benefits
• Handles benefits inquiries to ensure quick, equitable, courteous resolution
• Ensures coordination and accuracy of information provided to employees by benefits providers
• Prepares paperwork and track enrollment for COBRA
• Oversees the full life cycle of Leaves of Absence including: FMLA, STD, LTD, paid/unpaid personal leaves as well as ADA accommodation requests

Skills on Resume:

• Benefits Enrollment Oversight (Hard Skills)
• Invoice Management (Hard Skills)
• New Hire Benefit Tracking (Hard Skills)
• Retirement Plan Support (Hard Skills)
• Retirement Plan Assistance (Hard Skills)
• Rollover Processing (Hard Skills)
• Employee Communication (Soft Skills)
• Benefits Inquiry Resolution (Soft Skills)

Job Summary:

• Maintains benefits plan compliance documents and procedures
• Keeps benefits content current on company intranet page, works with IT team
• Additional ad-hoc work as business and regulatory needs arise
• Identify procedural gaps and make continuous improvement recommendations for benefit administration processes 
• Corresponds benefit information through media such as email, letters, forms, reports and spreadsheets. 
• Responsible for the coordination and communication of the annual Benefits Positive Re-enrolment process. 
• Input data into PeopleSoft system to ensure that the information the Benefits section has on file is current and accurate.
• Works in accordance with the provisions of applicable Health and Safety legislation 
• Works with all City of Corporate and Departmental policies and procedures related to Occupational Health and Safety.

Skills on Resume:

• Compliance Management (Hard Skills)
• Intranet Maintenance (Hard Skills)
• Regulatory Adaptability (Hard Skills)
• Process Improvement (Hard Skills)
• Communication Management (Soft Skills)
• Re-enrollment Coordination (Soft Skills)
• Data Entry (Hard Skills)
• Policy Adherence (Soft Skills)

Job Summary:

• Drafts internal and external correspondence.
• Prepares and submits up to 30 monthly invoices 
• Tracking signatures and payment to ensure timely processing.
• Administratively supports and receive direction from the Total Rewards team.
• Coordinates presentations for monthly board and advisory committee meetings.
• Coordinates internal and external meetings which includes planning, scheduling, ordering food
• Preparing meetings rooms, setting up technology, preparing documents and taking minutes 
• Track vendor payments for performance guarantees, rebates, audit reimbursements, statement credits
• Maintains benefits contracts and submits annual renewals according to system office procedures and state procurement rules.
• Submits contracts and ad hoc statements of work through procurement system and track all signatures.

Skills on Resume:

• Correspondence Drafting (Hard Skills)
• Invoice Preparation (Hard Skills)
• Payment Tracking (Hard Skills)
• Administrative Support (Soft Skills)
• Presentation Coordination (Soft Skills)
• Meeting Coordination (Soft Skills)
• Vendor Payment Tracking (Hard Skills)
• Contract Maintenance (Hard Skills)

Job Summary:

• Assist in preparation of the Association Services labor budget and projections.
• Perform accounts payable function on a daily basis.
• Support financial closing process through payroll and account reconciliations.
• Train managers and supervisors on all aspects of payroll procedures for organization
• Ongoing support when payroll and HR issues arise.
• Ensure new employees are correctly on-boarded through proper procedures 
• Updated paperwork, including Criminal Record Checks.
• Work with the HR Manager, People & Culture to deal with confidential staff issues 
• Maintain employee payroll database, processing payroll and benefits for employees
• Remittance of deductions and employee pension amounts, and employment program clients.
• Manage the Association benefit plan and provide information and guidance to employees.
• Work with the HR Manager about special considerations related to payroll, banked time, and benefit coverage.

Skills on Resume:

• Budget Preparation Support (Hard Skills)
• Accounts Payable Management (Hard Skills)
• Financial Reconciliation (Hard Skills)
• Payroll Training (Soft Skills)
• HR Support (Soft Skills)
• Onboarding Procedures (Hard Skills)
• Documentation Management (Hard Skills)
• Confidential Issue Handling (Soft Skills)

Job Summary:

• Coordinates with administrative contacts at system office.
• Maintains benefits files, listservs and access to secured sites.
• Serves as back-up contact for Board meetings preparation
• Enter payroll data for all hourly and salary employees
• Perform audits on payroll data & benefit elections procedures and records
• Assist with processing and dispersing W-2 forms annually
• Send benefit enrollment and I-9 communications to all new hires
• Update payroll and HR systems for promotions, transfers, terminations, and new hires
• Create Purchase Orders and process all payroll and benefits invoices
• Create and maintain employee files to ensure compliance of personnel recordkeeping and accuracy of payroll and HR systems
• Research and resolve employee and system issues to ensure accurate payroll reports

Skills on Resume:

• Administrative Coordination (Soft Skills)
• Benefits File Management (Hard Skills)
• Board Meeting Support (Soft Skills)
• Payroll Data Entry (Hard Skills)
• Audit Execution (Hard Skills)
• W-2 Processing (Hard Skills)
• New Hire Communication (Soft Skills)
• HR System Updating (Hard Skills)

Job Summary:

• Routinely monitor incoming benefit and leave related questions 
• Provide responses to the proper team member who can assist.
• Assist with tuition reimbursement reviews and approvals.
• Assist with reviewing and approving bereavement requests.
• Assist with obtaining proper approval for daily benefit plan fundings. 
• Routinely monitor incoming team member support tickets
• Provide responses, or assign to the appropriate member of team who can assist.
• Review and provide timely, accurate responses to Team Member COVID-related inquiries and tracking.
• Assist with document management and retention of benefit & leave related documents in electronic team member file system.

Skills on Resume:

• Inquiry Monitoring (Soft Skills)
• Support Assistance (Soft Skills)
• Tuition Reimbursement Review (Hard Skills)
• Bereavement Handling (Hard Skills)
• Funding Approval Support (Hard Skills)
• Ticket Monitoring (Soft Skills)
• Crisis Communication (Soft Skills)
• Document Management (Hard Skills)

Job Summary:

• Promote philanthropy and volunteerism.
• Provides administrative support to the Leave of Absence / ADA team
• Assist with some case management with guidance.
• Assist with routine billing reconciliation and payment processing.
• Run routine reports and analytics for Benefit, Wellness, and Leave purposes.
• Orders supplies, maintains purchase orders and coordinates with accounts receivable for payment.
• Responsible for management of COVID-related tracking, including reporting of positive cases, vaccination status, testing, and test results.
• Respond to team member questions regarding COVID protocol and provide direction to relevant resources.
• Provide accurate and timely responses to inquiries in a friendly, compassionate, and customer-focused manner.

Skills on Resume:

• Philanthropy Promotion (Soft Skills)
• Leave Support (Hard Skills)
• Case Assistance (Soft Skills)
• Billing Reconciliation (Hard Skills)
• Reporting and Analytics (Hard Skills)
• Supply Management (Hard Skills)
• Health Monitoring (Hard Skills)
• Customer Response (Soft Skills)

Job Summary:

• Checking iSolved, making sure everything is in order for feed
• Enrolling in provider online system, troubleshooting basic issues 
• Audit benefits prior to open enrollment beginning 
• Possibly help with unemployment claims if the volume stays high
• Assist in answering general questions about leaves of absence -collect information from field
• Help track leaves/track paperwork, due dates, follow up on outstanding deadlines, etc.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Benefit terminations, determine Cobra eligibility and amount of FSA, enter information into Cobra point
• Filing WC claims and help with answering basic questions from adjusters/getting information from field
• Make sure all eligible employees have basic life insurance, correct plans in HPCH, fix any discrepancies, etc.
• Getting doctor notes into digital format to store medical documents electronically, getting paper files in order downstairs, finish I-9 project, etc.

Skills on Resume:

• System Monitoring (Hard Skills)
• Enrollment Support (Hard Skills)
• Benefits Audit (Hard Skills)
• Claims Assistance (Hard Skills)
• Absence Support (Soft Skills)
• Leave Tracking (Hard Skills)
• Disability Accommodation (Soft Skills)
• Termination Management (Hard Skills)

Job Summary:

• Assist in the renewal/marketing process
• Gathering information from vendor and client.
• Preparing RFPs and following through with involved parties.
• Preparing proposals for client presentations.
• Successfully onboard new clients and/or new lines of coverage, owning processes end-to-end.
• Resolve day-to-day service issues, including eligibility, billing and claim issues.
• Enter and maintain client information into Agency Management System.
• Report and monitor activities and other key processes, and ensure stakeholders are informed and aligned.
• Submit enrollments to carriers, and troubleshoot any enrollment issues at submission.
• Coordinate open enrollment activities, including Open Enrollment presentation.

Skills on Resume:

• Renewal Assistance (Hard Skills)
• Information Gathering (Soft Skills)
• RFP Preparation (Hard Skills)
• Proposal Creation (Hard Skills)
• Client Onboarding (Hard Skills)
• Issue Resolution (Soft Skills)
• Data Management (Hard Skills)
• Activity Reporting (Soft Skills)

Job Summary:

• Verifies eligibility and benefits accurately and in a timely manner in accordance with Company policies.
• Obtains initial authorizations following Company policy and maintains authorizations extension for all patients as appropriate.
• Processes all required paperwork according to established procedures. 
• Ensures all documentation needed for billing.
• Work with the Intake Coordinators to educate patients upon admission of their financial obligation 
• Review payment options for ongoing treatment within their financial means.
• Contact existing patients regarding their benefits and financial obligations due to changes in their insurance that have been communicated 
• Assist in appeals process to prevent potential reimbursement errors.
• Communicates with various payors, clinicians, Physicians, Administrative staff, and patients 
• Remain current with company required OTP trainings and In-Services following operational policies and procedures

Skills on Resume:

• Eligibility Verification (Hard Skills)
• Authorization Management (Hard Skills)
• Paperwork Processing (Hard Skills)
• Billing Documentation (Hard Skills)
• Financial Education (Soft Skills)
• Payment Planning (Soft Skills)
• Benefit Communication (Soft Skills)
• Appeals Assistance (Hard Skills)

Job Summary:

• Manage escalation issues resolving escalated employee or client issues referencing the various HRIS databases 
• Utilize various HRIS systems and tools to manage cases and resolve issues raised by the client.
• Process changes to employee data that impacts HR, payroll, organizational management changes
• Attend and participate in relevant continuing education, in-service training to improve professional competency and monthly staff meetings.
• Maintain professional work conduct and ethical confidentiality.
• Answers incoming phone calls and emails from Benefit and Billing Coordinators regarding benefit administration, eligibility, billing, and any other questions regarding employee benefits
• Enters changes and terminations of employee and dependent benefits including life insurance coverage, demographics, beneficiary information, Section 125 or CDHP changes
• Guide and mentor Benefit Coordinators regarding TML Health benefit administration processes, policies, and procedures.
• Proactively reach out to Benefit Coordinators to discuss ongoing benefits trends related to individual group benefit administration challenges.

Skills on Resume:

• Issue Resolution (Hard Skills)
• HRIS Utilization (Hard Skills)
• Data Processing (Hard Skills)
• Professional Development (Soft Skills)
• Confidentiality Maintenance (Soft Skills)
• Communication Management (Soft Skills)
• Benefits Management (Hard Skills)
• Mentorship (Soft Skills)

Job Summary:

• Responsible for training CSRs to handle customer service inquiries with autonomy.
• Develop policies and procedures to support customer service agents.
• Respond to all escalations in a timely manner in order to meet Service level agreements.
• Meet the customer service expectations, including internal communication with internal departments in a courteous and professional manner.
• Pioneer a best-in-class client experience by customizing and tailoring client communications.
• Responsible for implementing white glove customer service expectations for the PBM.
• Assist Pharmacy Benefit Plan Designer with day to day tasks. 
• Act as a back-up to this role when the Plan Designer is not available.
• Customize Plan Benefit Designs and implement them for clients.
• Drive planning and organizing plan design projects.

Skills on Resume:

• Training Management (Soft Skills)
• Policy Development (Hard Skills)
• Escalation Handling (Soft Skills)
• Service Level Adherence (Soft Skills)
• Customer Experience Enhancement (Soft Skills)
• White Glove Service Implementation (Soft Skills)
• Plan Design Support (Hard Skills)
• Project Planning (Hard Skills)

Job Summary:

• Approve all required employee notices before distribution.
• Maintains medical files for employees.
• Scanning, and emailing confidential documentation.
• Assists conducting surveys and tracking information.
• Maintaining personal networks, participating in professional organizations.
• Provides administrative support in the preparation of correspondence, reports, confidential materials and various employee issues.
• Maintains all confidential HR filing systems, and keep current on both paper and computer.
• Assists with decorating and posting all the necessary information on the bulletin boards and monthly newsletter.
• Updates job knowledge by participating in educational opportunities, reading professional publications

Skills on Resume:

• Notice Approval (Hard Skills)
• Medical File Management (Hard Skills)
• Document Handling (Hard Skills)
• Survey Assistance (Soft Skills)
• Networking (Soft Skills)
• Administrative Support (Hard Skills)
• Filing System Maintenance (Hard Skills)
• Information Updating (Hard Skills)

Job Summary:

• Act in an advisory role with managers and internal partners
• Possess knowledge of best practices in the management claim management industry
• Ensure detailed documentation of ongoing claim activities
• Ability to prioritize and manage a high volume of work
• Liaise with internal and external stakeholders
• Ability to identify opportunities for improvements
• Remain up to date on any changes in regulations and laws that may affect disability case management
• Assist in Development of early intervention strategies and return to work (RTW) plans for disability claims
• Work in collaboration with the team to identify improvement opportunities and contribute to the implementation of various projects

Skills on Resume:

• Advisory Support (Soft Skills)
• Industry Knowledge (Hard Skills)
• Documentation Proficiency (Hard Skills)
• Prioritization (Soft Skills)
• Stakeholder Liaison (Soft Skills)
• Continuous Improvement (Soft Skills)
• Regulatory Awareness (Hard Skills)
• Intervention Strategy Development (Hard Skills)