Benefits Representative Resume Sample

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Reva Johnson
8925 Elliott Loaf,  Houston, TX
+1 (555) 818 3524

Work Experience

Senior Benefits Representative
08/2017 - PRESENT
Houston, TX
  • Maintain excellent attendance and punctuality according to the department standards
  • Client Experience - Provides benefits information, service & communication to assigned client departments
  • For individual employee customers
  • Responds to, and facilitates resolution of inquiries received via Case Mgt, HR InBox, e-mail, phone, etc. (e.g. enrollment/coverage issues, family status changes, insurance carrier claims/service issues; premium deduction discrepancies; etc) for both active employees and retirees
  • Investigates and facilitates resolution of prior state service and direct transfer issues; interfacing with other state institutions
  • Initiates/facilitates STD/LTD claims, working with the employee, the disability carrier, and the employees department
  • Counsels employee and retiree families/beneficiaries, in the event of employee death, to help ensure fluid education and initiation of survivor benefit processing. Counsels terminally ill employees to ensure they understand benefits and resources available to their beneficiaries. Researches whether premiums were current, and/or whether refunds are due
  • Reviews, researches and processes various benefits forms such as: vesting termination and transfer verification letters, and Medicare information requests
Benefits Representative
12/2010 - 03/2017
Houston, TX
  • For institutional programs/customers
  • Conducting educational workshops, communication events
  • Managing AE exception requests
  • Plans, supports on-going benefits events such as retirement workshops, TRS presentations, etc
  • Provides outreach consultation to individual assigned client group regarding health and financial resources and issues to expand their knowledge and use of available resources and services
  • Delivers timely, appropriate guidance and communication on benefits-related issues.)
  • Conducts all retiree enrollment in PeopleSoft (initial retiree enrollment, deferred vested enrollment, family status changes, annual enrollment)
  • Identifies and facilitates resolution of retiree benefit-related problems in PeopleSoft, SGELIG and/or respective vendors
Employee Benefits Representative / Trainee
01/2007 - 10/2010
Houston, TX
  • Identifies, facilitates and collaborates premium billing issues as provided by Payroll Services as part of the Benefits Billing function
  • Coordinates with the Project Coordinator, Benefits regarding retirement readiness seminars and retirement forms
  • Provides client management for retirees, dependents and survivors
  • Proactively revolves client issues though self-resolution, collaboration with a Sr. Benefits Representative, Benefits leadership, and/or the Office of Employee Benefits
  • Investigates and provides guidance on complex as well as routine benefits-related issues
  • Partners with Sr. Benefits representatives and leadership with interpreting and administering benefits policies based on UT policy; Texas Government code; State and Federal law; and MD Anderson policies, procedures, and plan documents
  • Conducts research to ensure the appropriate action is taken
  • Collaborates with benefits staff and OEB on complex issues and potentially precedent-setting issues
  • Runs and compiles queries to identify eligible individuals who have lost group insurance coverage, and produces COBRA/HIPAA reports


Western Carolina University - Asheville
2002 - 2007
Bachelor's Degree in Human Resources

Professional Skills

  • Strong collaboration skills and able to work in a team environment
  • Possess critical skills including Consultative / Value Selling, Presentation and Negotiation
  • Two (2) year of prior benefits administration/support experience required
  • Contribute as a collaborative team member with excellent attention to detail and strong sense of urgency and follow through
  • Experience in Benefits/Pension management and administration, or HR related experience is desirable
  • O Prior to a patient receiving treatment
  • Three to five years of related clinical experience working with physicians and/or benefits/human resources

How to write Benefits Representative Resume

Benefits Representative role is responsible for training, microsoft, administration, payroll, benefits, customer, workday, hris, finance, database.
To write great resume for benefits representative job, your resume must include:

  • Your contact information
  • Work experience
  • Education
  • Skill listing

Contact Information For Benefits Representative Resume

The section contact information is important in your benefits representative resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:

  • First and last name
  • Email
  • Telephone number

Work Experience in Your Benefits Representative Resume

The section work experience is an essential part of your benefits representative resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous benefits representative responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular benefits representative position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions.

Representative Benefits Representative resume experience can include:

  • Strong computer skills including MicrosoftOffice (Excel, PowerPoint, Word)
  • Quickly assess current state issues and formulate a response/resolution using analytical and problem solving skills
  • Able to work effectively in an open, highlyenergetic environment
  • Effectively interprets FMLA and ADA implications as they relate to leaves of absences/disabilities
  • Act as an effective, committed and high performing rep
  • Performing annual open enrollment process, training, support, communications, reporting, etc

Education on a Benefits Representative Resume

Make sure to make education a priority on your benefits representative resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your benefits representative experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.

Additional details to include:

  • School you graduated from
  • Major/ minor
  • Year of graduation
  • Location of school

These are the four additional pieces of information you should mention when listing your education on your resume.

Professional Skills in Benefits Representative Resume

When listing skills on your benefits representative resume, remember always to be honest about your level of ability. Include the Skills section after experience.

Present the most important skills in your resume, there's a list of typical benefits representative skills:

  • Excellent customer service skills are required as well as excellent oral and written communication skills
  • Detail-oriented, strong problem-solving and decision making skills while working with little supervision and follow up
  • Effective oral andwritten communication skills
  • Critical Skills include Consultative / Value Selling; Presentation; Negotiation; Analytical / Problem Solving
  • Effectively work with other people and be collaborative, cross-functional and diplomatic
  • Excellent work ethic Strong attention to detail

List of Typical Experience For a Benefits Representative Resume


Experience For Senior Benefits Representative Resume

  • Excellent organizational, multi-tasking, andtime-management skills
  • Strong Excel skills (vlookups, pivot tables, etc.)
  • Experience working in an HR environment with direct exposure to employee support and benefit plans administration
  • Reviewing billing system (SPARCS) to verify patient’s eligibility to receive medication and updating necessary information
  • Securing and verifying a method of payment (MOP) for patient’s financial responsibility to prevent company bad debt
  • Aiding in the coordination and monitoring of new hire enrollment processes, life event changes and benefit payments

Experience For Benefits Representative, Leave Administration Resume

  • Assisting in ensuring compliance with local, state and federal legislation related to benefits
  • Processing of all Life Insurance and Accidental Death and Dismemberment claims, including interactions with beneficiaries, payees, and carriers
  • Troubleshooting issues with data/eligibility files
  • Contacting insurance carriers to resolve Electronic Claim Submission (ECS) rejections and major medical coverage issues
  • Serves as the COBRA regulatory resource, recommending updates and changes to the documentation and processing as indicated by current research
  • Generate and process weekly Flexible Spending Reports and Flexible Spending Audit
  • Responsible for purchasing supplies as needed
  • Problem solving with employees and Third Party Administrators
  • Detail oriented and easily adaptable to change with a rapidly growing environment

Experience For Employee Benefits Representative / Trainee Resume

  • Maintains established service levels for handling calls, emails, and transactions
  • Generates and mails COBRA statements to terminated employees within the statutory timeframe
  • Fields phone calls from termed employees and explains enrollee rights and obligations
  • Processes special dependent applications and court-ordered demands for dependent medical support (MSO) coverage. Updates the court systems, performs record research, PeopleSoft system updates, employee notifications and creation of reports. Contacts employee as needed
  • Runs monthly queries to identify employees who have gone out on Leave without Pay (LWOP) during the previous month, and works with Treasury to establish an account record for each employee. Partners with the Sr. HR Data Analyst regarding notification, collection, and cancellation of coverage
  • Triages and resolves incoming employee benefit issues from the HRSC online or calls, department email box, mail and phone calls; forwarding more complex issues to benefits representatives
  • Uses excellent front-line customer service skills to accurately respond to calls and walk-ins

Experience For Patient Benefits Representative Resume

  • Researches, resolves and responds directly to issues related to eligibility and access to health, welfare and leave benefits
  • Ensures questions for benefits representatives and/or other areas of HR are referred appropriately, courteously and promptly
  • Sets up and maintains files, calendars and meetings for management and the department as requested
  • Serves as timekeeper for the department
  • Faxes and copies both individual and plan documentation related to benefit plans as needed
  • Arranges conference rooms and set ups for meetings and annual vendor fair, including sending and receiving information on timing and supplies, merging presentations and catering

Experience For National Accounts Employee Benefits Representative Resume

  • Picks up and distributes mail
  • Gathers information for analysis such as monthly activity reports, NEOP lists, vendor summaries etc
  • Educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses
  • Accurately documents and/or communicates balances due for appropriate collection by front desk staff
  • Verifies and updates demographics and insurance coverage in computer system
  • Stays current on available financial aide by developing professional relationships with financial aide providers and networking with financial aide providers to obtain leads to other aide programs
  • Able to demonstrate complete discretion andconfidentiality

Experience For Lead Benefits Representative Resume

  • Meet and/or exceed activity goals as it relates to number of new clients, quote activity, broker relationships, and sold premium. LI-BD1
  • Monitor waiting periods for benefit eligibility, initiate employee notification and distribute benefit material. Familiar with plan documents, carriers and coverage’s provided
  • Work with vendors and/or EBD staff to research and resolve complex and/or high profile workers’ compensation or health benefits issues that are referred by other EBD staff, GOER and union representatives; prepare written responses summarizing findings and resolution; answer calls in EBD call center, as needed
  • Work with Counsel’s office to develop contract language and negotiate satisfactory terms with vendors; analyze financial impact of proposed contract amendments; prepare responses to inquiries from OSC as part of the contract approval process
  • Secure and verify a method of payment (MOP) for patient’s financial responsibility to prevent company bad debt

Experience For Employee Benefits Representative Resume

  • Confirm final outcome with the patient in a timely and professional manner
  • Review patient account balance and notify front desk of patients to meet with
  • Stays current on available financial aide. Develops professional relationships with financial aide providers. Networks with financial aide providers to obtain leads to other aide programs
  • Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient s records
  • Plans, develops and directs Corporate and Organizational Wellness initiatives and provides data analysis and reporting on Wellness efforts and its’ impact on the Company’s Health and Welfare costs

Experience For Woksite Employee Benefits Representative Resume

  • Handling complex/escalated employee concerns, eligibility and transaction issues; escalating issues to supervisors when appropriate
  • Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient s records
  • Interfacing with internal contacts and external service providers to establish and maintain systems, services and administrative controls to support all benefit plans
  • Auditing various plans/programs such as the EOI process for Life Insurance and LTD, Participant Initiated Status Changes, and Dependent Audits
  • Coordinating health & wellness events
  • Assisting with Annual Open Enrollment and Monthly Enrollment activities including systems testing, employee presentations, and HR Business Partner communications

Experience For Patient Benefits Representative Code Resume

  • Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form. Completes appropriate reimbursement and liability forms for patient’s review and signature. Forwards appropriate information and forms to billing office
  • Process Health, Life, LTD, and Flexible Spending benefits
  • Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient’s records
  • Review and approve employee benefit enrollment and change information in the benefit enrollment system and make necessary updates with a high level of accuracy and timeliness
  • Review documentation for dependent verification and qualified life events for approval and follow-up with employees as needed
  • Perform audits and research error reports as necessary
  • Responsible for administration of Health and Welfare benefits within applicable regulations (ERISA, Section 125, COBRA, HIPAA, FMLA, ADA, ACA, etc.) and company policies including managing enrollments, changes and terminations, employee and administration problem resolution, and payment of carrier premiums

Experience For Worksite Employee Benefits Representative Resume

  • Responsible for day to day administration of employee 403(b) Plan including primary contact with retirement vendor for data interfaces, issues/updates, data reconciliation, annual testing and compliance, regular employee education, plan changes and compliance with regulatory filings and employee notifications
  • Ensure all staff understand and are appropriately enrolled in welfare and pension plans in a timely manner; coordinate benefit administration software to update benefit enrollment changes into HRIS and Payroll
  • Good analytical, project management and organizational skills: Demonstrates strong organizational and time management abilities
  • Three years or more benefit and retirement plan management experience, preferably in a health care environment
  • Ensure proper calculation and processing of company 403(b) contributions and health & welfare benefit premiums

List of Typical Skills For a Benefits Representative Resume


Skills For Senior Benefits Representative Resume

  • Project and team management/leadership skills and experience. Proven ability to work effectively in a team environment with associates
  • Experience interacting with all levels of staff, including resolution of inquiries and efficient performance during high-volume timeframes
  • Understanding of the theories and principles of customer service
  • Working knowledge of Microsoft Office Word, Excel and Outlook
  • Ensuring accurate and timely payments
  • Processing information with confidentiality and with a high level of accuracy

Skills For Benefits Representative, Leave Administration Resume

  • Monitoring benefit questions emailed to general HR inbox
  • Working knowledge of PeopleSoft or other HRIS systems
  • Understanding of internal and external controls to ensure compliance with established programs, polices, and regulatory requirements
  • Marketplace Awareness; Building, maintaining and leveraging of local network
  • Assist with weekly new employee orientation to include collecting and distributing required paperwork
  • Assist with ask-insurance email alias, answering inquiries and providing prompt and accurate responses
  • Provide quality consulting and support for all assigned HR inquiries regarding Benefits en Pension programs, typically on a regional level
  • Engages in maintaining (compliance of) documentation of operating policies, guidelines, and procedures

Skills For Employee Benefits Representative / Trainee Resume

  • Perform activities according to the Dow internal control & compliance framework including internal and external audits in line with SOX controls
  • Provide consultation to management regarding compliance matters such as non-discrimination testing, Form 5500 filings, SPD and SAR updates and distribution
  • Work together with other areas of Human Resources when resolving faculty and staff related questions, and when interpreting policies and procedures
  • Assist with the development of written policies regarding benefit programs and ensure updates are timely and within legal compliance
  • Administer COBRA processing via third party administrator
  • Make new hire packets and handling mail outs as needed
  • Relationship / team building
  • Highly motivated, reflecting positive attitude at all times
  • Proficient in the use of the Microsoft Office Suite, including PowerPoint

Skills For Patient Benefits Representative Resume

  • Work in a high pressure setting and under strict deadlines
  • Provide credible Benefits information to departments, faculty/staff members and candidates being recruited; support the administration of surveys and RFP's
  • Create communication tools to enhance the understanding of the various benefit packages
  • Provide feedback regarding current communications methods, analyze feedback and provide recommendations for improvement
  • Build successful relationships and thrive in diverse networks and working team

Skills For National Accounts Employee Benefits Representative Resume

  • Provide assistance in managing the data to and from the (pension) providers/authorities for the supported EMEAI countries
  • Provide assistance for benefits and pension reporting
  • Assistance with administering short-term disability and leave of absence plans
  • Create and conduct benefit related trainings and communication tools, to enhance the understanding of the benefit packages
  • Establish a mechanism for regular updates to support ongoing education
  • Review billing system (SPARCS) to verify patient’s eligibility to receive medication and update necessary information
  • Contact assistance foundations to secure funding
  • Sixty (60) of college coursework in business, human resources, or a related subject

Skills For Lead Benefits Representative Resume

  • Improve account identification on Medicaid
  • Works through Issues – It isn’t about the people, it’s about the outcome. If things aren’t going well, outcomes suffer. Be willing to have crucial conversations if things aren’t going well. Doesn’t just complain to management . . . does everything possible to remedy the situation directly first
  • Believes– Believes in the work being done and in the mission of the organization
  • Knowledge of various insurance plans and programs
  • Works closely with Westbury home office, DCs and ESIS to support consistency in all issues related with all leaves inclusive of worker’s compensation cases
  • Assist in onboarding, mentoring and training new sales reps
  • Build and establish relationships with key sources to market our portfolio of products (Group Life, Short Term Disability, Long Term Disability, Dental, Vision etc.) to some of the nation's leading employers
  • Share knowledge with other reps

Skills For Employee Benefits Representative Resume

  • Embody the Sun Life Financial identity
  • Act as deal maker/closer in sales execution & negotiation
  • Plan business development and use time strategically
  • Research: Conduct research related to latest developments in health insurance industry, with particular emphasis on efforts on other large public employers’ health insurance policies and industry-wide efforts to reduce health care spending
  • Responsible for overall management of company Leave of Absence program via our third party provider
  • Administer, implement, and maintain company benefit programs for the USA
  • Coordinate the USA benefit program enrollment process
  • Serve as subject matter expert in regards to Short Term Disability (STD) program, Long Term Disability (LTD) program, Family Medical Leave Act (FMLA) and Americans with Disabilities Act (ADA)

Skills For Woksite Employee Benefits Representative Resume

  • Responsible for analyzing, amending, and implementing existing and proposed programs, procedures, and plans related to Leave of Absence administration
  • Ensure compliance with ADA, FMLA and all other applicable federal and state laws in accordance with the Leave of Absence program
  • Perform staff support activities and complex analysis to provide on-going development of the Leave of Absence program to ensure consistent application and practice
  • Communicate human resource practices to professionals within other functions and to high-level management
  • Identify new areas of necessary involvement for human resources in business practices and make recommendations as they relate to Leave of Absence administration
  • Create and implement communication and education materials to increase employee awareness
  • Monitor service levels with external providers and third party administrators
  • All other tasks as assigned to include special projects as requested
  • File, scan, attach and review documents in SAP

Skills For Patient Benefits Representative Code Resume

  • Pull terminated benefit file project which is a 8 month project, as needed
  • Provide orientation for hourly employees
  • Participate with Benefit Fairs and Open Enrollment
  • Collaborates with corporate teams on health and wealth key programs and projects such as engagement and educational opportunities – i.e., For Your Benefit events, biometric health program, retirement planning and information sessions/seminars, etc
  • Provide overall support for HR policies on severance, vacation, leaves of absence, etc
  • Coordinates complex benefits inquiries regarding plan provisions, benefit enrollments, status changes, leaves of absence, etc. Escalates issues to appropriate subject matter experts/vendor partners and facilitate closure
  • Resolves issues, provides advice and counsel related to the vacation benefit, including vacation accrual, vacation donation, hardship withdrawals and service date issues

Skills For Worksite Employee Benefits Representative Resume

  • Group Sales Industry experience required
  • Assists in the administration of all policies and procedures relating to the medical, dental, prescription drug, vision, life, long-term disability, long-term care, EAP, FSA, and retirement and savings plans. Coordinates and processes death claims and statement of health applications
  • Manage the employment verification process with external financial institutions for employees company-wide, both verbal and written, to include mortgage verifications, letters of employment for various entities, adhering to compliance regarding information provided, completion and timeliness
  • Creates and maintains administrative records and communicates with Human Resources, Legal, Health Services, Workers Compensation, third party consultants/administrators, and applicants/recipients on all Health & Welfare and Disability plans
  • Excellent phone etiquette and oral communication skills
  • Prior experience in Human Resources and/or Corporate Benefits required
  • Related experience in benefits administration
  • Experience in Benefit Plans or HR Programs with emphasis on regulatory, design and administration
  • Demonstrated ability to get to the root cause of problems/issues

List of Typical Responsibilities For a Benefits Representative Resume


Responsibilities For Senior Benefits Representative Resume

  • Strong written and verbal communication skills and interpersonal skills. Ability to work with employees at all levels of the organization
  • Prior exempt level Human Resources experience or 4-6 years administrative level Human Resources experience
  • Strong PC skills (MS Office products)
  • Proven ability to meet deadlines, while delivering quality results
  • Multi-task with awareness of priorities
  • One year of related human resources experience requires OR completion of UPMC Summer Associates/Pittsburgh Fellows program required
  • Coordinates annual benefits fairs including scheduling vendors and distributing communication materials

Responsibilities For Benefits Representative, Leave Administration Resume

  • Processes qualified status changes by sending updated information to the applicable carriers and updating applicable benefits administration systems
  • Work on Medicaid Pending reports from i-Astral and the operating system to ensure timely application of Medicaid coverage
  • Processes termination of benefits, including notification of carriers, COBRA log, and notification to physician of portability/conversion opportunities
  • Esure that census paperwork is received from the Nursing facility
  • Participate in training session or conference calls to further C2W ADT management knowledge
  • Participate in projects and/or meeting as designated by management

Responsibilities For Employee Benefits Representative / Trainee Resume

  • Escalate issues of increased complexity, according to the C3 department standards, to the applicable internal client service contact
  • Document member and client communications in the client management services tool according to the department standards
  • Call on existing and potential brokers to prospect new clients and develop a book of business
  • Responsible for the completing benefits enrollments in the HRIS; audit of benefits information
  • Communicates with and educates employees and employers to set appropriate expectations both verbally and in writing
  • Engage in training session or conference calls to further C2W ADT management knowledge
  • Responsible for obtaining referrals and insurance pre-authorization
  • Create/run reports as needed and audit plan information on a continuous basis to ensure data integrity

Responsibilities For Patient Benefits Representative Resume

  • Responsible for the coordination and delivery of the annual open enrollment
  • Provide guidance to site Human Resources Business Partners, HR Generalists and management staff on benefit and pension related issues
  • Coordinates and/or assists with corporate events such as the benefits seminars, 403(b) Education Meetings, job fairs, etc
  • Follows organization standards and adheres to departmental and state guidelines to maintain quality service
  • Proficiency in Microsoft Office: Excel, Word, Access; Outlook; HRIS; PeopleSoft
  • Handles benefit inquiries from start to resolution. Interacts with employees, field management, vendors, and vendor partnerships in the facilitation of inquiry/problem resolution
  • Dependent eligibility verification - Mails verification forms, processes received forms and uploads them into company system for later retrieval. When documentation is received, determines whether or not the documentation is sufficient and if the dependent qualifies

Responsibilities For National Accounts Employee Benefits Representative Resume

  • Handles the collection process for missed benefit deductions by notifying and working with employees. Creates memos and provides an accounting of benefit balances due. Distributes 2nd and 3rd notices when needed and works with finance and payroll to process payments received
  • Process Change in Status and Special Enrollment Events for benefits
  • Assist with Online Enrollment System design and audits
  • Assist and respond to Life Insurance and LTD claim inquiries
  • Process and pay Life Insurance and LTD bills
  • Process and respond to Qualified Medical Child Support Orders
  • Assist with 401(k) and Non-Qualified Deferred Compensation (NQDC) Plan enrollments
  • Coordinate deposits for the 401(k), NQDC, and IRA account
  • Conduct Monthly and Quarterly audits for the Health Plan

Responsibilities For Lead Benefits Representative Resume

  • Understand and Interpret Plan Documents
  • Schedules and conducts new orientation sessions in both group and individual settings. Advises caregivers of benefit options. Responsible for follow up and coordination with all other departments who contribute to on-boarding. Ensures all data is complete and accurate
  • Serves as the primary contact for caregivers, department administrators and support personnel on a wide variety of complex benefits issues on multiple plans, including health and welfare and retirement plans
  • Identifies issues and resolves and/or corrects them in a timely fashion. Communicates and provides feedback promptly. Recommends changes as needed to further support the ongoing smooth and accurate administration of this program. Recommends communication material, process and/or guidelines changes etc
  • Ensures enrollments and terminations of benefits are processed in a timely and accurate manner. Is responsible for the timeliness of the new hire/termination paperwork to the HRIS staff and conducts weekly audits of all data entry to ensure accuracy
  • Coordinates with insurance companies, vendors, brokers and payroll to resolve problems of incorrect billing, cancellation, or change of coverage, as well as any other operational problems
  • Works closely with Payroll on a variety of issues to ensure correct deductions, salary and record keeping is accurate for all benefit plans

Responsibilities For Employee Benefits Representative Resume

  • Partners with the Leave of Absence team to process leave of absence requests, disability claims and death claims
  • Processes and reconciles vendor invoices as needed
  • C2W ADT Workflow grid is cleared daily for all assigned facilities
  • Act as a liaison between the member, client, service provider and the healthcare organization when necessary
  • Assist members by helping them decipher benefit plan documents, explaining their benefits, explaining the applicable benefit plan policies and/or procedures, and referring them to the appropriate service representatives

Responsibilities For Woksite Employee Benefits Representative Resume

  • Assist members with benefit claims resolution by coordinating with the carrier or with the assigned benefits administration team member to escalate the claim for further research and completion
  • Sell employee benefits products through an established network of insurance brokers, third party administrators, and National Account consulting firms. Provide expertise in absence management and finalist presentations
  • Maintaining vendor contact to investigate discrepancies and provide information in non-routine situations to ensure compliance and accuracy on the usage of benefit programs
  • Guiding and educating plan participants on related health and welfare plan issues/resources (e.g. new hire process, plan rules and applicable regulations, enrollment/coverage issues, family status changes, insurance carrier claims/service issues; premium deduction discrepancies, COBRA and other post employment and retirement benefits; etc.)
  • Initiating/facilitating STD/LTD claims, working with the employee, the disability carrier, and the employee’s department

Responsibilities For Patient Benefits Representative Code Resume

  • Supporting pension and/or 401k plan administrative processes. Coordinate and perform individual pension calculations
  • Assisting in the design, development and implementation of employee communications, educational efforts, benefit enrollment events, and management of electronic information
  • Communicating as appropriate with internal departments, employee, client and vendors to avoid gaps in process
  • Reviewing monthly benefit invoices for accuracy
  • Preparing reports to meet weekly, monthly, and annual requirement

Responsibilities For Worksite Employee Benefits Representative Resume

  • Demonstrated understanding of the basics of HR administration including employee master data, life events, benefits, HR policies and procedures, compensation, organization structure, tax, garnishments, and employment law, and the impact of data on the payroll process
  • Ensure that the census is entered into the operating
  • Ensure that census paperwork is received from the
  • Provide a high level of customer service support when handling customers questions/complaints in respect to defined benefit pension and/or health and welfare plans
  • Read and understand client’s plan documents, amendments or online knowledgebase tools, etc. Collect relevant information, determine immediate requests/questions and also anticipate the future needs of the member
  • Demonstrate knowledge, understanding and compliance with company and client procedures and guidelines providing appropriate and accurate information

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