Dynamic professional with extensive experience in human resources administration, claims processing and data entry. Proven ability to enhance operational efficiency through effective problem resolution. Proficient in Microsoft Office and detail-oriented, excelling in policy interpretation and support delivery. Committed to ensuring high employee satisfaction and streamlined processes.
Overview
10
10
years of professional experience
Work History
Care Team Representative- Casualty Intake
Sedgwick
Remote
11.2024 - Current
Delivered exceptional service while demonstrating empathy to callers regarding new claims.
Managed initial data entry across multiple business lines, enhancing claims processing efficiency.
Ensured comprehensive documentation of all calls to maintain accurate claim notes.
Resolved issues in a single call, improving customer satisfaction and reducing follow-ups.
AE Client Service Rep/ Client Service Representative
Empyrean Benefits Solutions
Remote
09.2022 - 02.2023
Delivered expert assistance in Health and Group Benefits for multiple Fortune 500 companies.
Collaborated with human resources to research and resolve complex employee issues.
Coordinated vendor relationships to ensure timely processing of employment verifications.
Managed enrollment forms, claim forms, and reimbursement claims to enhance operational efficiency.
Processed life insurance claims for employees, retirees, and their dependents effectively.
Sr. Benefits Specialist
Texas Southern University
Houston
11.2019 - 05.2021
Counseled employees on benefits, including retirement plans and group insurance options.
Interpreted policies while advising on state and federal laws affecting employee rights.
Created informative publications such as benefits newsletters and retirement handbooks.
Served as University Wellness Coordinator, implementing health-promoting initiatives.
Managed family and medical leave applications along with workers' compensation claims.
Benefits Representative
Metropolitan Transit Authority
Houston
03.2019 - 11.2019
Coordinated annual enrollment and new hire orientation to optimize onboarding processes.
Assisted employees in completing benefits, flexible spending, and family status change forms.
Processed check requests and reconciled payroll data for benefit adjustments.
Facilitated retiree applications for retirement, pension, and health benefits consultations.
Managed medical support orders and refunds for retiree health premiums.
Liaised with funeral homes and life insurance providers for death claims processing.
Administered leave of absence types, including short-term disability, long-term disability, and workers compensation.
Organized wellness programs and events to promote employee health.
Sr. Benefits Representative
Houston Community College
Houston
12.2016 - 03.2019
Facilitated benefits enrollment processes, managing employee status changes efficiently.
Assisted new hires with benefits forms via Taleo, ensuring prompt follow-up on outstanding items.
Maintained accurate records of benefits coverage, monitoring enrollments and deductions.
Reviewed entries for ERS Health and Welfare benefits, addressing status changes for new hires and families.
Coordinated TRS and ORP participant enrollment efforts to improve participant experience.
Organized benefit fairs and wellness initiatives to promote health resources for faculty and staff.
Processed bereavement requests while handling part-time retirement plan data entry effectively.
Specialist IV (Human Resources)
Lone Star College
The Woodlands
06.2015 - 11.2016
Addressed associate inquiries regarding HR policies, procedures, and practices.
Tracked customer service and onboarding calls for quality assurance.
Prepared analytical reports on trends for Human Resources team review.
Supported investigations, information gathering, and problem-solving initiatives for Executive Directors.
Coordinated campus wellness events and annual enrollment fairs.
Facilitated new hire orientation and processed data for ERS health benefits.
Managed initial processes for FMLA, STD, and LTD claims.
Reviewed job requisitions and scheduled interviews in coordination with recruiters.
Education
Associates - Management
Lone Star College North Harris
Houston, TX
12.2012
Skills
Microsoft Office
Human Resources
Data Entry
Claims processing
Policy interpretation
Benefits administration
Customer service
Problem resolution
Detail orientation
Analytical thinking
Timeline
Care Team Representative- Casualty Intake
Sedgwick
11.2024 - Current
AE Client Service Rep/ Client Service Representative