April Simmons
Smyrna,DE
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
28
28
years of professional experience
Work History
Senior Accounts Manager
Board Of Pensions Of The Presbyterian Church USA
Philadelphia, PA
05.2000 - Current
- Developed and implemented employee benefit plans that meet the needs of both employers and employees.
- Monitored trends in employee benefits to ensure competitive programs are offered.
- Conducted meetings with employees to explain benefit options, eligibility requirements and enrollment procedures.
- Researched and evaluated current benefit plans, including medical, dental, vision, disability and life insurance plans.
- Provided technical advice to internal departments regarding the interpretation of employee benefits policies and regulations.
- Assisted with the preparation of cost analyses for new or revised benefits programs.
- Coordinated annual open enrollment periods for all benefit plans.
- Managed vendor relationships related to employee benefits administration activities.
- Resolved discrepancies between vendors' invoices and purchase orders from HR department records.
- Identified areas where improvements could be made to enhance the efficiency of processes related to administering employee benefits.
Provider Relations Representative
Blue Cross and Blue Shield
Philadelphia, PA
01.1996 - 05.2000
- Developed and maintained strong relationships with providers by responding promptly to inquiries, resolving issues and providing ongoing support.
- Provided guidance on contract language, policy interpretation and reimbursement procedures to providers.
- Assisted providers in understanding their contractual obligations and ensured timely resolution of any discrepancies or disputes.
- Collaborated with other departments within the organization to resolve complex issues related to provider relations activities.
Education
High School Diploma -
West Philadelphia High School
Philadelphia, PA05-1986
Skills
- Proficient in Salesforce, Teams, Benefits Connect, Microsoft Word, Excel, MemberNet
- Benefits Explanation
- Verbal and Written Communication
- ACA Standards Knowledge
- New Employee Orientations
- Policy Interpretation
- Open Enrollment
- Relationship Building
- Benefits Administration
- Business Development
- Attention to Detail
- Deadline Management
Timeline
Senior Accounts Manager
Board Of Pensions Of The Presbyterian Church USA
05.2000 - Current
Provider Relations Representative
Blue Cross and Blue Shield
01.1996 - 05.2000
High School Diploma -
West Philadelphia High School
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