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
Syracuse, NY
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
Syracuse, NY
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.
Syracuse, NY
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
Syracuse, NY
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