Bilingual professional currently in a benefit specialist/leave admin role helping administer benefits for a sizable complex workforce across multiple states. Proven ability with navigating Workday HRIS system and vendor specific portals to administer medical, dental, vision, retirement & life insurance benefits. Strongly skilled in leave administration including FMLA, ADA, and internal company leaves as well as state regulated paid family leave programs. Dedicated to providing excellent communication to employees regarding benefit questions while identifying areas of improvement.
Responsibilities include but not limited to providing front line assistance to employees regarding medical, dental , vision , retirement and life insurance benefits. Assist with enrolling employees in benefits during open enrollment and qualifying life events in Workday HRIS system. Efficiently manage internal systems as well as Workday HRIS system and outside vendor portals to assist employees. Currently sole leave administrator for our largest company under the corporation. Managing high volume of FMLA and ADA leaves as well as internal company leave and coordinating with state paid family leave programs in CA, WA, OR & CO.
Full remote-Bilingual telephonic outreach care specialist providing initial screening of member’s needs and assisting with complex issues through care coordination of Medicaid health insurance benefits. Working with internal departments, providers, and outside agencies. Managing high volume of calls, emails and internal Microsoft Teams meetings and team chats. Working multiple computer systems and Microsoft Office programs. Completing appropriate case documentation while maintaining HIPAA and state law compliance. Identifying need for proper escalation of cases to appropriate level of assistance. Contribute to multiple projects to assist company with cost of care initiatives. Assisted in pilot and growth of local housing stability program, managing additional case load for specific program. High stress environment with continuous follow up on cases to work toward company goal.
Bilingual - English Spanish with professional interpretation and translation experience
Detail oriented
Ability to quickly learn new systems working out of multiple systems and applications on a daily basis
Technical troubleshooting skills with office equipment due to working remotely/hybrid for several years
Highly experienced in managing high volume of emails/calls with employee inquiries
Works well under pressure and high stress environment