Summary
Overview
Work History
Education
Skills
Certification
Awards
Timeline
Generic

Enedelia Ortiz

Odessa,TX

Summary

Highly motivated, self-driven individual with solid work ethic with 30 years of experience and eager to advance my experience in HR Operations. Proficiency in the management of technical issues, specifically in the field of medical benefits, liability, safety, worker's compensation and loss control.

Overview

19
19
years of professional experience
1
1
Certification

Work History

HR Generalist/Chief Assistant/Benefits Coordinator

Ector County
09.2023 - Current
  • Implemented open enrollment changes within 3 days of hire
  • Brough all vendor payments into compliance within 30 days
  • Verified and updated eligibility for all Ector County benefit programs
  • Oversaw the ACA reporting
  • Implemented the new Medicare Advantage program
  • Re-initiated the monthly new employee orientation
  • Responsible for administration of Worker's Comp, FMLA and ADA
  • Oversaw the Worker's comp renewal and annual audit
  • Promoted to HR Generalist/Chief Assistant within 3 months
  • Trained new benefits coordinator
  • Assist in the supervision of employees
  • Assist HR Director with any issues as assigned
  • Review, research and recommend changes to policies
  • Coordinated HIPAA training for department

Interim and Director of Risk Managment

City of Odessa
08.2022 - 09.2024
  • Responsible for 5 division, Benefits, Health & Wellness, Worker's Compensation, Safety and Health Clinic
  • Secured worker's compensation re-insurance through new vendor with no rate increase
  • Secured medical stop-loss coverage with no rate increase
  • Oversaw the re-opening of Health Clinic, hired nurse practitioner and medical support staff
  • In conjunction with other departments, created and implemented the ELDT program as required with CDL regulations
  • Reviewed and approved insurance requirements of all city contracts and special events
  • Oversee and approve litigation settlements
  • Continued to manage the day-to-day operations of the Benefits division as well as the Risk Management department
  • Supervise and direct a team of 13

Benefits Manager

City of Odessa
02.2020 - 08.2023
  • Serve as the Third-Party administrator for the benefits program
  • Ensure compliance with federal and state laws and regulations such as HIPAA, COBRA, ACA
  • Interpret policies and procedures governing records management, claims audit, payment and data records
  • Meet government requirements such as ACA (1095's), Medicare Secondary Payor (MSP), and IRS vendor payments
  • Procure and administer medical stop-loss, life insurance, and voluntary benefits
  • Create and monitor annual Risk Management budget
  • Supervise and train a team of 5
  • Administrative coordination of the employee health clinic

Benefits Supervisor

City of Odessa
06.2005 - 02.2020
  • Implemented an in-house Third-Party Administration for the City of Odessa's health Plan
  • Hired Staff, coordinated training, hardware and software set up
  • Implement and oversee vendor contracts
  • Managed the day-to-day operations of the employee health benefits program
  • Plan and oversee the administration of assigned benefit projects and programs
  • Ensured benefits management and processing policies were followed
  • Ensured that accuracy and security standards were met
  • Addressed and resolved administrative issues
  • Complied with federal, state, and local regulatory guidelines

Education

Master's degree - Public Administration

UT Permian Basin
Odessa, TX
12.2018

Bachelor of Arts - Sociology

UT Permian Basin
Odessa, TX
05.2016

Skills

  • Analytical and statistical
  • Critical thinking
  • Complex problem solving
  • Strong interpersonal skills
  • Documentation and reporting
  • Effective management skills
  • Employee Orientation

Certification

  • Associate in Risk Management (ARM), 03/01/24, Present
  • Certified Government Benefits Administrator (CGBA), 2009, Present, Eastern Kentucky University

Awards

  • Management Skills Certificate, 2016, Odessa College
  • Odessa Leadership, 2000, Chamber of Commerce
  • Project Blueprint, 1999, United Way of Odessa

Timeline

HR Generalist/Chief Assistant/Benefits Coordinator

Ector County
09.2023 - Current

Interim and Director of Risk Managment

City of Odessa
08.2022 - 09.2024

Benefits Manager

City of Odessa
02.2020 - 08.2023

Benefits Supervisor

City of Odessa
06.2005 - 02.2020

Master's degree - Public Administration

UT Permian Basin

Bachelor of Arts - Sociology

UT Permian Basin
Enedelia Ortiz