Summary
Overview
Work History
Education
Skills
Timeline
Generic

Carmen Torres

Indianapolis,IN

Summary

Detail-oriented Human Resource Benefits Specialist with 5 years in benefits coordination. Advocates positive relationships between employees, employers and insurance companies. I am a self-motivated, enthusiastic, individual who thrives on developing myself and others. I am interested in a position that allows me the opportunity to pursue my interests and supports the functionalities of business and personal development. I work well individually or in a team environment. I am goal oriented and result driven.

Overview

8
8
years of professional experience

Work History

HR Benefits Coordinator/Specialist Representative

Elevance Health HQ formally known as Anthem BCBS
Indianapolis, IN
10.2018 - 10.2023
  • Responsible for processing transactional work within HR operations
  • Processes adjustments and changes in HRIS system
  • Performs balancing activities
  • Maintains records in case management system and assign or research cases as required
  • Supports system changes
  • Runs and analyzes reports and queries
  • Researches and resolves specific transactional inquiries and customer issues
  • Processes basic department specific transactional work
  • Point of contact for compliance inquires and escalates to the appropriate people or departments
  • Follows standard operating procedures and processing guidelines while maintaining attention to detail accuracy and timeliness.

Office Clerk

Elevance Health HQ formally known as Anthem BCBS
Indianapolis, IN
06.2018 - 10.2018
  • Entering information from an electronic fax into the company systems, and using another program to verify member information
  • Routinely files work, reports, etc
  • In case files and designated areas
  • Sorts, labels, alphabetizes documents/files, etc
  • For others to execute work effort
  • Extracts, sorts, preps, batches and routes documents within the company as needed
  • Operates camera/scanner and retrieves previously scanned information as needed
  • Copies incoming and outgoing correspondence.

Eligibility Associate

Accredo Health Group
Indianapolis, IN
09.2017 - 04.2018
  • Primarily responsible for verifying insurance benefits, obtaining prior authorizations and reauthorizations and validating accurate billing information to ensure claims are paid for drug shipment
  • Accurate documentation of payer information and patient status
  • Daily communication with patients, payers and physician offices regarding program status and financial responsibility.

Customer Service Specialist I/Mentor

Republic Services
Fishers, IN
10.2016 - 06.2017
  • Answering inbound and make outbound calls in a timely matter
  • Respond to customer requests within established timelines in order to maintain service level expectations and deliver quality service to customers
  • Multi-task between phone and computer work within an active call center environment, and work collaboratively amongst other team members to ensure excellent customer service
  • Responsible for assuring all regulatory requirements are met concerning customer interaction by explaining policies and procedures courteously and patiently
  • Provides information and knowledgeable assistance regarding trash service in area by retrieving account information and providing customers their information quickly and efficiently
  • Builds customer relationships by actively listening and resolving complaints quickly, efficiently, and accurately
  • Provides written and verbal responses to customer inquiries as needed.

Customer Service Specialist II/Mentor

Carrington Mortgage Group LLC
Westfield, IN
08.2015 - 09.2016
  • Answering numerous inbound and outbound calls daily
  • Assisting with various customer questions or concerns
  • Identify problems and provide solutions that best meet the needs of Carrington and customers
  • Took payments for current and bankruptcy accounts
  • Explained escrow, payoff, claims, mortgage lending, bankruptcy, waterfall process to customers
  • Worked mandatory overtime on the first, middle and end of the month
  • Trained new employees (side by sides before placing them on the floor on their own).

Education

High School Diploma -

Ben Davis High School
06.2011

Skills

  • Human Resources
  • HRIS
  • Benefits Administration
  • Retirement Benefits
  • Medicare
  • HIPPA
  • Analytics
  • Open Enrollment
  • Benefits Explanation
  • Verbal and Written Communication
  • Employee Benefits Practices
  • Documentation and Reporting
  • Special Projects
  • Benefits Interpretation
  • Policy Interpretation
  • Mentoring
  • Microsoft Office (Word, Excel, PowerPoint, Outlook, Teams)
  • Workday
  • PeopleSoft

Timeline

HR Benefits Coordinator/Specialist Representative

Elevance Health HQ formally known as Anthem BCBS
10.2018 - 10.2023

Office Clerk

Elevance Health HQ formally known as Anthem BCBS
06.2018 - 10.2018

Eligibility Associate

Accredo Health Group
09.2017 - 04.2018

Customer Service Specialist I/Mentor

Republic Services
10.2016 - 06.2017

Customer Service Specialist II/Mentor

Carrington Mortgage Group LLC
08.2015 - 09.2016

High School Diploma -

Ben Davis High School
Carmen Torres