Anita Donahue
Sandusky,OH
Summary
Collaborative individual with expertise in providing exemplary service regarding benefits support. Multitasking Benefits Specialist knowledgeable in state and federal regulations and maintaining employee confidentiality. Self-motivated individual demonstrating superior understanding of employee benefits laws and human resource software systems. Astute professional providing benefits support in fast-paced corporate settings.
Willing to explore new opportunities outside of comfort level.
Overview
16
16
years of professional experience
Work History
Benefits Specialist
Firelands Regional Medical Center
Sandusky, OH
06.2018 - Current
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email and in-person interactions.
- Trained new team members in policies and procedures and offered insight into best ways to manage job tasks and duties.
- Observed strict procedures to maintain data and plan participant confidentiality.
- Checked employees' benefits enrollment for accuracy and inputted all data into UKG/UltiPro.
- Coordinated submission and processing of life insurance claims.
- Processed monthly remittance and reconciliation for various benefit plans.
- Directed and controlled 401K, medical, dental and vision benefit packages.
- Updated benefit cost summaries for employer cost tracking.
- Updated personnel handbooks and individual records to keep filed accurate and detailed.
Human Resources Generalist
Firelands Regional Medical Center
Sandusky, OH
05.2014 - 06.2018
- Liaised with HR and payroll to coordinate and manage employee leaves of absence.
- Coordinated and managed work related injuries under BWC regulations with self-insured plan
- Coordinated employee wellness program for over 2300 employees
- Assisted in the benefits management and orchestrated the benefits & wellness annual fair
Case Manager/Utilization Review Coordinator
Firelands Regional Medical Center
Sandusky, OH
09.2006 - 05.2014
- Managed day to day care transitions for inpatient setting of healthcare facility
- Focused on safe discharge planning, team concepts for continuity of care, and utilization of services.
- Reviewed criteria based on CMS and private commercial insurance carriers, ensuring care is appropriate and necessary for inpatient setting
- Obtained payor approval from commercial insurance carriers by providing day to day clinical review updates
- Managed schedule of staff over 15 + employees
- Fluent with Midas review system
Education
Bachelor of Science - Human Resources Management
The University of Findlay
Findlay, OH12.2017
Associate of Science - Health Administration
San Joaquin Valley College
Visalia, CA05.2007
Skills
- Employee Benefits Laws
- Employee Performance Management System
- Health Saving Accounts
- New Employee Enrollment
- Compensation and Benefits
- Technological Knowledge
- Open Enrollment
- Benefits Explanations
- Eligibility Determinations
- Employee Guidance
- Job and Task Observation
- Payroll and Benefits Administration
- Electronic Filing System
- Vision and Dental Insurance
- Microsoft Office Suite
- Verbal and Written Communication
- Workflow Processes
- Claims Adjustments
- Tuition Assistance
- Confidential Records Management
- Benefits explanation
Timeline
Benefits Specialist
Firelands Regional Medical Center
06.2018 - Current
Human Resources Generalist
Firelands Regional Medical Center
05.2014 - 06.2018
Case Manager/Utilization Review Coordinator
Firelands Regional Medical Center
09.2006 - 05.2014
Bachelor of Science - Human Resources Management
The University of Findlay
Associate of Science - Health Administration
San Joaquin Valley College
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