Andrea DeAlmeida

• Manage comprehensive benefits packages in the U.S. and Canada including 401K, RRSP and DPSP, medical, dental, vision, spending account and voluntary benefits.
• Evaluate different providers offering range of services, coverages and plan options to pick optimal choice.
• Keep programs in line with plan structure, company policy and legal requirements.
• Oversee open enrollment processes during 3rd and 4th quarters.
• Provide subject matter expertise on eligibility, coverage and other benefits matters.
• Resolve issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
• Act as primary benefit contact for over 4,000 employees.
• Ensure accuracy of benefit enrollment data in HRIS system.
• Provide feedback on vendor performance.
• Conduct census reports and execution of research.
• Provide information to State Agencies regarding Medical Support Orders.

• Managed all lines of insurance benefits including; Medical, Dental, Vision, 401k, Spending Accounts, and Voluntary Benefits.
• Kept programs in line with plan structure, company policy and legal requirements.
• Audit benefit programs to optimize service delivery.
• Oversaw all U.S. leaves of absence including FMLA, Short Term Disability, Long Term Disability and workers' compensation cases.
• Collaborated with business partners to review and update policies.
• Processed monthly invoices in D365 for the US and Canada.
• Funded HSA accounts with employee contributions and employer match for biweekly payrolls.
• Worked closely with Disability and Workers’ Compensation vendors, managers and payroll to ensure accurate coding for employees out on leave of absence.
• Prepared Medicare documentation for retiring employees and applicable family members.
• Observed strict procedures to maintain data and plan participant confidentiality.
• Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email and Skype interactions.
• Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
• Managed continuous enrollment processes, as well as yearly enrollment periods.
• Checked employees' benefits enrollment for accuracy and inputted all data into ADP Workforce Now when necessary.
• Planned annual Flu Clinic.

• Managed all lines of insurance benefits including; Medical, Dental, Vision, Life, Disability, COBRA, FSA's, Commuter, Tuition Reimbursement, 401k, Critical Illness, Voluntary Accident and AD&D.
• Kept programs in line with plan structure, company policy and legal requirements.
• Audited benefit programs to optimize service delivery.
• Oversaw all U.S. leaves of absence including FMLA, Short Term Disability, Long Term Disability and workers' compensation cases.
• Completed global payout calculations for merit increases and bonus programs.
• Collaborated with business partners to review and update policies.
• Worked with vendors to rectify enrollment and claims issues to improve service for plan participants.
• Processed monthly invoices in D365 for the US and Canada.
• Verified accuracy of invoices to ensure accurate payment processing.
• Oversaw continuous enrollment process in ADP.
• Fund HSA accounts with employee contributions and employer match for biweekly and semi-monthly payrolls.
• Work closely with Disability and Workers’ Compensation vendors, managers and payroll to ensure accurate coding for employees out on leave of absence.
• Properly completed RFP by collecting necessary data.
• Conducted census reports and execution of research.
• Provided information to State Agencies regarding Medical Support Orders.
• Prepared Medicare documentation for retiring employees and applicable family members.

• Resolved issues and inquiries from plan participants regarding health and welfare benefits through telephone, Skype and email.
• Managed benefit integration reports and rectify enrollment issues.
• Monitored Workday inbox for day-to-day benefit changes including qualifying life events.
• Reviewed and approve employees' enrollment in the U.S. and Canadian benefits plans in Workday.
• Processed monthly invoices in Oracle for the US, Canada, Mexico and Brazil.
• Ensured vendor data is accurate and up-to-date to expedite payment processing.
• Supported leaves of absence including short-term and long-term disability; parental leave; FMLA.
• Oversaw Open Enrollment and Qualifying Life Events.
• Provided remote assistance to employees.

Insurance Benefits Specialist

Jan 2015 - Mar 2018

• Educated and advised employees and retirees on group health plans and voluntary benefits.
• Facilitated all new-hire orientations.
• Provided instruction, coaching and motivation to employees.
• Acted as liaison between employees and insurance carriers to resolve problems and clarify benefits.
• Managed all lines of insurance benefits including; Medical, Prescription, Dental, Long Term Disability, Life, COBRA, FMLA, Health and Dependent Care FSA's.
• Oversaw all workers' compensation cases and served as liaison to Fairfield risk-management officials.
• Compiled financial reports detailing insurance benefits expenses for the Board of Education and the employees/retirees.
• Reconciled subsidy reports for the State Teachers' Retirement Board.
• Programmed system to establish the first district-wide electronic open enrollment for the 2017-18 fiscal year.
• Spearheaded fresh enrollment project for transition to new benefits plans with an estimated cost savings of $3.5 million for the 2016-17 fiscal year.

Insurance Benefits Clerk

Aug 2013 - Jan 2015

• Oversaw financial operations, producing invoices, processing payments and preparing deposits.
• Performed account reconciliations and resolved variances.
• Printed and reviewed monthly aging reports and solicited overdue payments.
• Gained management confidence by serving as liaison between customers, management and vendors.
• Established reputation as a valuable service provider with mastery in insurance products.
• Researched and resolved benefit questions and complaints in a timely and compassionate manner.

• Managed multiple long-term insurance contracts for more than 300 corporate accounts in accordance with various states' insurance-reporting requirements.
• Researched new regulatory standards and ensured compliance with market-conduct examinations.
• Served as point person for direct, presidential, and Department of Insurance complaints.
• Filed necessary reports, including lapse and replacement, denied claims, suitability, and rescission, with each state's Department of Insurance.
• Spearheaded office-wide file consolidation in preparation for relocation.
• Reduced operating expenses by 50% in 2012 by managing customer experiences on behalf of
  vendors.
• Trained staff effectively on contract requirements, business procedures, and systems.
• Oversaw contract documents and marketing materials for more than 120 corporate clients; created and customized, documents for specific target markets.
• Contributed to creation of promotional mailers for group long-term care and multi-life products.