BRIDGET M. KEEP
Baldwinsville,NY
Summary
Experienced Benefits Specialist successful at managing a diverse range of benefits. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering over 17 years of experience and a willingness to take on any challenge in a collaborative team environment.
Overview
18
18
years of professional experience
Work History
Employee Benefits Specialist
County Of Onondaga
09.2021 - Current
- Determine eligibility for health, dental, vision and retiree plans; which include Medicare Advantage and employer's self insured health plan
- Interpret and comply with various union agreements relative to benefit programs
- Maintain retiree information in County's internal HRIS system
- Process documents for health benefits
- Review, evaluate and determine eligibility for disability waivers
- Assist and educate employees about their long term disability benefits
- Creation and implementation of in-house informational sessions for future retirees
- Collaborate with vendor to educate new and upcoming Medicare eligible retirees, via virtual or in-person, about Medicare and their Medicare Advantage plan
- Coordinate and conduct employee orientations to promote understanding of coverage and options.
- Observe strict procedures to maintain data and plan participant confidentiality.
- Build relationships with vendors to foster quality service delivery.
- Explain benefits to plan participants in easy to understand terms in order to educate each on available options.
- Check employees' benefits enrollment for accuracy and input all data into PeopleSoft.
- Resolve issues and inquiries from plan participants regarding health and retiree benefits and deductions through telephone, email, and in-person interactions
- Train new team members in policies and procedures and offering insight into the best ways to manage job tasks and duties
Senior Workers' Compensation Adjuster
NCA Comp, Inc
02.2018 - 09.2021
- Reviewed new files to determine current status of injury claim and to develop plan of action
- Reviewed questionable claims by conducting claimant and client interviews to correct omissions and errors
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information
- Analyzed information gathered by investigation and report findings and recommendations
- Maintained contact with claimants and attorneys to determine treatment status
- Conducted day-to-day administrative tasks to maintain information files and process paperwork
- Worked with private investigators and attorneys on preparation of evidence, witness statements and other documentation in preparation for trial
- Delivered exceptional customer service and claim management to clients
Workers' Compensation Claims Assistant
Triad Group LLC.
01.2016 - 01.2018
- Assistant to 3 senior adjusters
- Point of contact for various providers regarding claim status and WCB decisions
- Reviewed, calculated and paid claims according to the NYS fee schedule
- Claim review and set up of new NYS disability claims
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Maintained confidentiality of claimant's records and health statuses.
Disability Plan Administrator
Self Employed Life, Accident And Health Agent
10.2005 - 01.2016
- Long Term Disability plan serving 3,000+ employees
- Served as first point of contact for all questions regarding Unum long and short term disability
- Facilitated initial claim with employee
- Maintained all records and reports for insurance purposes, audits and review
- Monitored program performance and outcomes for successful delivery of services
- Developed and implemented cost effective procedures to keep premiums down
- Maintained employee database
- Worked with insurance company to ensure compliance with union contracts
- Determined eligibility for new hires in accordance with their union negotiated plan
- Expedited benefit delivery by establishing working relationship with Unum
- Reviewed and monitored eligibility for current employees
- Collaborated with departments on return to work or light duty positions
- Prepared all correspondence pertaining to new hires, change in benefit status, change in union and leave without pay billing
- Received and processed payments for long and short term disability premiums
- Reconciled and prepared billing for long and short term disability
- Maintained all correspondence and follow up with respect to payments, SSDI, Workers Compensation and the NYS Retirement System
- Initiated claim documents for insurance review
- Worked with various departments, medical providers, workers compensation carrier and other outside agencies to ensure accuracy and timely filing
- Held one on one as well as group informational sessions
- Prepared materials, and was onsite, for all open enrollment sessions for Onondaga County and Onondaga Community College
- Coordinated set up for Unum short term reps to be onsite for all open enrollment sessions
- Managed continuous enrollment processes, as well as yearly enrollment periods
- Skilled at working independently and collaboratively in a team environment
- Self-motivated, with a strong sense of personal responsibility
Education
Associate of Science - Paralegal Studies
New Hampshire Technical College
Concord, NH05.2004
Skills
- Health & Disability Insurance Industry Knowledge
- NYS Workers Compensation
- Claims Management
- Eligibility Determinations
- Microsoft Office, Excel, PowerPoint & Outlook
- Ability to learn quickly & adapt to new situations
- Maintain strict confidentiality of sensitive information
- Willingness & ability to work in a team oriented department with minimal supervision
Professional Licenses
NYS Independent Motor Vehicle, No Fault & Workers Compensation Health Services Adjuster
May 2017
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Employee Benefits Specialist
County Of Onondaga
09.2021 - Current
Senior Workers' Compensation Adjuster
NCA Comp, Inc
02.2018 - 09.2021
Workers' Compensation Claims Assistant
Triad Group LLC.
01.2016 - 01.2018
Disability Plan Administrator
Self Employed Life, Accident And Health Agent
10.2005 - 01.2016
Associate of Science - Paralegal Studies
New Hampshire Technical College
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