Adam Swanson
West Fargo,ND
Summary
Hardworking and passionate job seeker with over 10 plus years experience in assisting employers and consultants in benefits administration. Eager to seek and maintain full-time position that offers professional challenges utilizing organizational skills, time management, and problem-solving skills. Ability to complete tasks at hand, with a high degree of accuracy, to help team achieve company goals and contribute to company success.
Overview
17
17
years of professional experience
Work History
Lead Senior Solution Specialist
WEX Health, Inc.
01.2018 - Current
- Assist and facilitate client relationships effectively, ensuring timely delivery of high-quality solutions that meet their specific needs
- Demonstrate subject matter expertise in IRS regulations pertaining to FSA (Flexible Spending Accounts), HRA (Health Reimbursement Arrangements), HSA (Health Savings Accounts), and Commuter Benefit Administration
- Proven experience in managing communication channels including phone calls, emails, and conference calls with clients managing approximately 20 cases per day and consistently exceeding daily quotas
- Handle client escalation requests to positively resolve issues
- Maintaining a track record of excellence in project execution by ensuring strict adherence to quality standards, HIPAA/PHI standards, and best practice standards in all engagements
- Mentor junior colleagues, providing guidance on best practices and industry standards to further enhance their skills
- Work within tight deadlines and a fast-paced environment
Benefit Account Specialist
Discovery Benefits
10.2016 - 12.2017
- Served as the direct point of contact for the day to day needs of the client account contacts and consultants for DBI products, system capabilities, routine processes, and compliance questions
- Served as a direct point of contact for several groups to provide a closer relationship with the client
- Managed and built positive relationships with client accounts to achieve reference status
- Recognized and defused client discrepancies in association with appropriate internal departments
- Responded to all requests made by consultant, broker and employer in a timely manner (within 24 hours or less)
- Assisted with working and maintaining renewal queues
CERT Coordinator
Noridian Healthcare Solutions
04.2015 - 08.2015
- Tracked and monitored CERT (Comprehensive Error Rate Testing) selected claims
- CERT A/B MAC Outreach & Education Task Force
- Communicated with NHS CMDs to create, review, and approved CERT related education articles and scenarios
- Worked with multiple contractors to provide consistent communication and education to reduce the Medicare Error Rate
- Presented CERT related provider education topics using Webex (web seminars)
- Updated and maintained databases to ensure accuracy of CERT reporting data
- Created numerous analysis and narratives regarding the CERT error rate
- Researched CERT feedback to create high level analysis
- Successfully coordinated travel and analysis relevant to provider education
- Consistently created and updated process guides
Operation Coordinator
Noridian Healthcare Solutions
09.2014 - 03.2015
- Reported and monitored reopenings workload for quality and accuracy
- Maintained and tracked timeliness and CMS standards
- Worked with CMS Corr daily
- Attended CMS Corr Meetings
- Researched audits/edits
- Monitored ageing claims
- Created and updated process documents
Customer Service Representative
Noridian Healthcare Solutions
07.2013 - 09.2014
- Responded to telephone and written inquiries
- Trained and mentored new hires
- Had thorough understanding of CMS and Medicare regulations
Grocery
Cash Wise Foods
07.2007 - 07.2013
- Supervised grocery department employees
- Trained in new employees
- Stocked and built displays
- Operated forklift and all power jacks
- Responded to telephone inquiries
- Cashiered upon request
Education
Bachelor Degree - Political Science, History
North Dakota State University
Fargo, ND01.2013
Skills
- Active Listening Skills
- Excellent Communication Skills
- Digital Literacy
- Customer Service Skills
- Team Collaboration
- Training and mentoring
- Problem-Solving
- Time Management
- Organizational Skills
- Multitasking Abilities
- Reliability
- Adaptability and Flexibility
- Self Motivation
Accomplishments
- Achieved high performance metrics by consistently exceeding company case load metrics, quality scores, and KPI (Key Performance Indicators) with accuracy and efficiency
- Received recognition from sales in keeping and expanding employer/consultant retention and growth on multiple occasions
Timeline
Lead Senior Solution Specialist
WEX Health, Inc.
01.2018 - Current
Benefit Account Specialist
Discovery Benefits
10.2016 - 12.2017
CERT Coordinator
Noridian Healthcare Solutions
04.2015 - 08.2015
Operation Coordinator
Noridian Healthcare Solutions
09.2014 - 03.2015
Customer Service Representative
Noridian Healthcare Solutions
07.2013 - 09.2014
Grocery
Cash Wise Foods
07.2007 - 07.2013
Bachelor Degree - Political Science, History
North Dakota State University
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