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
2018.10 - 2023.10
- 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
2018.06 - 2018.10
- 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
2017.09 - 2018.04
- 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
2016.10 - 2017.06
- 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
2015.08 - 2016.09
- 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
2018.10 - 2023.10
Office Clerk
Elevance Health HQ formally known as Anthem BCBS
2018.06 - 2018.10
Eligibility Associate
Accredo Health Group
2017.09 - 2018.04
Customer Service Specialist I/Mentor
Republic Services
2016.10 - 2017.06
Customer Service Specialist II/Mentor
Carrington Mortgage Group LLC
2015.08 - 2016.09
High School Diploma -
Ben Davis High School
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