JENNIFER TRIM
Sunrise,FL
Summary
Experienced professional with a strong background in quality control in the healthcare and financial industries. Maintains high standards, ensuring accuracy and efficiency in all operations. Proven ability to solve complex problems analytically, meeting tight deadlines in fast-paced environments. Recognized for expertise in compiling, analyzing, and conducting thorough claims investigations and audits.
Overview
10
10
years of professional experience
Work History
Benefit Manager
Broadspire Services, Inc.
01.2020 - Current
- Communicates with claimants, employers, and various medical professionals to gather information regarding eligibility, benefit authorization, and ongoing management of STD or LTD benefits
- Provides superior customer service by rendering benefit determinations within expected timeframes and quickly responding to all inquiries.
- Accomplished multiple tasks within established timeframes.
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
STD / LOA Benefit Manager
Aetna
01.2016 - 01.2020
- Demonstrate a strong attention to detail while thoroughly reviewing information to determine short-term disability coverage and FMLA / LOA eligibility
- Leverage excellent leadership skills to ensure quality control throughout daily operations, as well as on-time completion of all tasks
- Maintain adherence to all state laws and regulations throughout administration of FMLA / LOA
- Properly set expectations amongst employees and employers; use strong communication skills to educate individuals on various details
- Compiled necessary medical information from providers / specialists; accurately record claim information.
Tax Auditor II
Department of Business & Professional Regulation
01.2015 - 01.2016
- Enhanced tax compliance by conducting thorough audits and identifying discrepancies in financial records.
- Made on-site visits to inspect business operations, activities and validity of business tax records, examining and assessing alcohol and tobacco licenses.
- Prepared audit appointment letters, written audit findings and reports with recommendations.
- Scheduled follow-up audit appointments and prepared amended audit schedules and other supporting documents upon petition for re-determination or other appeal.
Education
Master of Business Administration -
Ashford University
Clinton, IA01.2015
Bachelor of Arts - Business Administration
Ashford University
Clinton, IA01.2013
Skills
- HIPAA Compliance
- FMLA Administration
- ERISA Compliance
- Leave of Absence Management
Timeline
Benefit Manager
Broadspire Services, Inc.
01.2020 - Current
STD / LOA Benefit Manager
Aetna
01.2016 - 01.2020
Tax Auditor II
Department of Business & Professional Regulation
01.2015 - 01.2016
Master of Business Administration -
Ashford University
Bachelor of Arts - Business Administration
Ashford University
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