JESSICA WILLIAMS

• Resolved issues and inquiries from plan participants regarding health and Dental benefits and deductions through telephone, & email Interactions
• Explained benefits to plan participants in easy to understand terms in order to educate each on available options
• Conducted benefits presentations for new hires, individuals and groups of employees
• Facilitated open enrollment processes and coordinated paperwork to to assist employees with benefit options
• Facilitated corporate FMLA, employee group health, flexible spending accounts, dental and vision, accident and disability, life insurance and wellness benefits.
• Coordinated and conducted employee orientations to promote understanding of coverage and options.
• Negotiated and managed contracts with health insurance providers to secure cost-effective employee coverage.

• Followed up with customers sometimes on unresolved claim issues.

• Meeting and maintaining quality and production standards through use of Management Operating Systems (MOS) tools

• Reviewed claim submissions to confirm if documents that were required have been received and verified.

• Verified customer account benefit plans, eligibility, authorizations, medical codes, other insurance, and account benefit plans.

• Maintained confidentiality of patient finances, records and health statuses.

• Escalated files with significant indemnity exposure to supervisor for further investigation.

• Processed and recorded new policies and claims.