|From The Blog|
Objective A position that will allow me to use my extensive benefits background in a human resources environment.
· Experience in Health & Welfare benefit programs (PPO,POS,HMO & self-insured plans)
· Knowledgeable of both Federal and State Employment Laws
· Presentations at Benefit Fairs
· Expert resolution of claim and policy discrepancies with vendors and employees
Accreditations & Education
2005 Enrolled in the B.S. Business Administration – Human Resource Management Emphasis,
2005 SHRM HR Generalist Certificate Program,
2004 Human Resource Certificate Program,
2001 Washington State Life & Disability Agent’s License (expiration 12/07)
2000 HIAA, Managed Healthcare Professional designation (MHP)
January 2005 – Present Life and Health Customer Service Agent/Human Resource Generalist
The Customer Service Agent (CSR) for the alphabetical split of M-Z. Responsible for the general customer service to the group administrators as well as assisting with administrative issues, claims questions and/or issues, and general customer service to group administrators. Sell individual medical, life and dental policies to the individual market place. Act as consultant to key employees and brokers on all benefit issues. Analyze and research details of benefit plans and contracts, COBRA administration, administration of medical insurance (including PPO, POS, HMO, and Self-Insured Plans). Negotiate and resolve claim and policy discrepancies between insurance carriers and health providers.
Create the benefits to be posted on our internal intranet, ongoing revision of the employee manual and answering any other questions related to our company benefits.
September 2004 – January 2005 Customer Service Representative - Retail Clerks Welfare Trust
Responsible for providing health claims customer service to participants, union locals and providers regarding eligibility, benefits and claim status. Provided telephone customer service support by responding to and documenting telephone and written inquiries. Set up claims to be re-opened; process check tracers, stop payments, and claim audits.
BenefitPort Northwest (formerly The Reppond Company),
July 2003 – May 2004 Account Coordinator (Small Group)
July 2002 – July 2003 Acc