A customer service professional with over 10 years experience managing benefits plans for medical, dental, vision, life, and other areas of care. Resourceful and proactive with a strong attention to detail and flexible approach to solving routine and complex problems.
Overview
25
25
years of professional experience
Work History
Techinian Repair
General Motors, GM
Romulus, MI
09.2010 - Current
Repaired malfunctioning systems by replacing defective components or making necessary adjustments.
Read and understood diagrams and schematics to accurately perform repairs.
Diagnosed system malfunctions and identified solutions to resolve technical issues.
Benefits Coordinator
BENESYS INC
TROY, MI
01.2007 - 01.2008
Determined health care eligibility for union members and staff
Updated Blue Cross system and communicate with representatives to update retro requests and recent requests
Processed month end reports to ensure eligibility information is correct
Post payments to members account and balanced checks for accounting.
Membership Operations Specialist
TRINITY HEALTH PLANS (CARE CHOICES HMO)
Farmington Hills, MI
01.2005 - 01.2007
Analyze, process, and review all routine and complex member information, new enrollments, primary care assignments, and termination of contracts
Resolve eligibility discrepancies found on an assigned employer groups EDI eligibility file Reconcile cash spreadsheet to general ledger to ensure accurate posting
Responsible for the monthly premium revenue reconciliation of employer group balances
Play key role in determining collect ability of revenues.
Life Claims Specialist
METLIFE
Southfield, MI
01.2004 - 01.2005
Administered GM life insurance benefits for deceased employees and retirees
Evaluated employees data and audit benefit information
Confirmed and ensured correct life insurance amounts
Conducted problem resolution with use of electronic system.
Benefits Administrator
METLIFE
Southfield, MI
01.1999 - 01.2004
Answered and documented 60 to 80 phone inquires for GM retirees regarding Health and Life insurance concerns
Established and determined eligibility for Surviving spouse health and life benefits
Processed and prepared life insurance assignment documentation for salaried retirees
Mentored six to 12 new hires within a six month time frame supporting the GM population of 80,000 employees / retirees
Composed and drafted a health care investigation saving GM over $20,000 dollars.