Benefits Administrator - Insurance Resume Search
Benefits Administrator - Insurance Resume Search
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Benefits Administrator Resume


Desired Industry: Insurance SpiderID: 4832
Desired Job Location: Southfield, Michigan Date Posted: 1/16/2006
Type of Position: Full-Time Permanent Availability Date: 01-23-2006
Desired Wage: 33,000
U.S. Work Authorization: Other
Job Level: Experienced with over 2 years experience Willing to Travel: Yes, 25-50%
Highest Degree Attained: High School/Equivalent Willing to Relocate: No


Objective:
CAREER SUMMARY

• 10 years of experience in benefits administration and customer service focused primarily on group health and life insurance and customer service.
• Coordinated healthcare procedures for the department and evaluated and streamlined processes as necessary.
• Vast Human Resources experience in relation to employee benefits and compensation.
• Consistently acted as point of contact to assist coworkers in complex problem resolution, and accepted responsibility for resolving escalated issues.
• Three years of experience processing life insurance claims.
• Awarded for strengthening customer relations through the delivery of exceptional customer service.
• Received Award of Appreciation for dedication and work ethic.
• Recognized for consistently providing superior customer service while exceeding performance expectations.


Experience:
The KPM Group, Southfield, MI
August 2005 - Present

HUMAN RESOURCE SPECIALIST
• Respond to employee’ inquiries in relation to a full range of HR topics including but not limited to benefits, record status, Short Term Disability, Long Term Disability, health insurance policy clarification, life insurance, pension, and 401K.
• Process and audit HR transactions concerning employee records including new hires, status changes, exit process, benefits enrollment, benefits administration, salary changes, bonus programs, and service awards.
• Support local and regional HR Business Partners by supplying HR information and reports.
• Work closely with vendors on data interface management.

MetLife – General Motors National Benefit Center, Southfield, MI
October 1994 – December 2004

BENEFITS ADMINISTRATOR
• Responded to up to 100 phone calls per day, regarding General Motors group health and life insurance benefits from GM employees, retirees, representatives thereof, health care carriers and providers.
• Answered 80% of calls in 30 seconds or less in a call center environment.
• Resolved health insurance enrollment issues with various insurance carriers and providers, including HMO, PPO, POS, and traditional health care plans.
• Responded to written correspondence regarding group health and life insurance benefits.
• Maintained frequent contact with account executives regarding resolution of employees’ group health insurance eligibility and enrollment inquiries.

MEDICARE HMO SPECIALIST
• Audited and analyzed reports and account reconciliation from HMOs, correcting errors and making necessary system adjustments.
• Responded to phone calls, written correspondence, and reports from HMO Account Executives and representatives regarding complex Medicare HMO inquiries.
• Acted as a technical advisor and sole contact person to assist coworkers, carriers, GM Administrators, and HMO representatives in the resolution of more complicated Medicare HMO enrollment and claims issues.

LIFE INSURANCE CLAIMS SPECIALIST
• Administered General Motors life insurance benefits as a result of death of General Motors employees, retirees, surviving spouses, and dependents in accordance with the various GM group plan provisions.
• Evaluated surviving spouse eligibility for health care and pensions benefits that were impacted by the death of the employee or retiree.
• Calculated life insurance coverage amounts and determined the appropriate schedule, eligibility, and payment amounts.
• Confirmed and ensured that the correct life insurance amounts were paid to the designated beneficiary of record.
• Responded to and investigated daily written and verbal inquiries from enrollees, their family members, salaried personnel contacts, union benefit representatives, attorneys, and GM corporate benefit staff.


Education:
EDUCATION
University of Phoenix; Southfield, MI
Business Management Major
72 Credits earned toward B.A. Degree
Presently Enrolled; 3.89 GPA


Skills:
• Communicates clearly and effectively, verbally and written.
• Consistently maintains positive, professional attitude and functions as a team player.
• Solid organizational, analytical, and time management skills.
• Ability to identify and solve problems quickly and under pressure.
• Strong initiative to take on additional responsibilities.
• Dedicated, dependable, and self-directed.
• Demonstrates a continuous effort to exceed performance expectations.
• Proficient in Microsoft Word, Excel, Access, and PowerPoint


Candidate Contact Information:
Name: Victoria Eaton
Street:    - Phone: 248-910-9095
City:    - Fax:    -
State:    -
Zip:    -
Web Site:


    



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