Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
25
25
years of professional experience
Work History
Implementation Specialist
ADP
01.2020 - Current
Analyze existing systems, interface requirements and business processes
Setup new Electronic Data Interchange between ADP and insurance carriers
Partner with client and insurance carriers to validate data transmission
Excellent Analytical and time management skills
Excellent critical thinking skills
Knowledge of benefit plans and guideline
Received Certified Healthcare Reform Specialist Certification (CHRS)
Benefit Services Specialist
ADP
02.2018 - 01.2020
Manage benefits plans daily
Project Manager for Annual Enrollment for GES Clients and Non-Core Clients
Partners with back office team to coordinate audits and other deliverables
Review, modify and maintain standard operating procedures for benefits
Monitor data flow and integration to ensure timely reporting
Escalate failures regarding connection files to appropriate teams in a timely manner
Works with team members to resolve errors timely and accurately
Makes recommendations to management and teammates
Communicate benefit changes and policy to clients
Works with benefit carriers to support client administration
Resolve eligibility and vendor invoicing errors
Performs Quality Assurance procedures as specified in Client Procedures document
Acts as a Liaison between the solution center, relationship manager and client to explain benefit related processes
Assists in reviewing benefit plans and service requirements for the solution cents in transitioning client to service from implementation
Review system configuration, standards, client operating procedures and knowledge base are accurate and complete.
Benefit Rep/Benefit Services Specialist
ADP
02.2011 - 02.2018
Daily interaction with major accounts’ clients
Partners with various team members to coordinate and execute Annual Enrollment process for clients
Assist with self-service logins
Generate and assign client specific cases in Siebel
Provide comprehensive detailed explanations of medical, dental, vision, and flexible medical reimbursement spending accounts
Process pending enrollments through HRB/WFN v7
Prepare full enrollment reports
Troubleshoot (basic) WFN related issues to include carrier connections, plan set-up, participant information, administrative practices, and plan compliance
Partner with the Service Support Specialists regarding technical issues such as; Adding locations to benefits plan structures, importing client data and updating contingencies rules for benefit plans
Recently I worked with teammates to outline competencies for training new benefit representatives.
Contact Center Supervisor/Call Center Email Support
08.2005 - 05.2010
Updated and posted operational key codes to intranet site
Responsible for updating incoming call report for proxy group
Prepared weekly forecast projection
Distributed Catalog drops and source codes to Corporate personnel and Proxy
Prepared and presented annual evaluations
Mentored and coached Representatives regarding proper call handling
Participated in Work Environment Improvement
Created Semi Annual Newsletter
Reported discrepancies on website to the appropriate department
Work with Brands to resolve customer complaints
Screened potential applicants for employment
Held monthly incentive contests to achieve team participation
Manager
Sitel Corporation
04.2000 - 08.2005
Responsible for managing technical support representatives
Monitor and maintain problematic areas for optimal level of customer service
Received customer service awards on various occasions
Handled escalated calls as necessary
Reviewed hourly employees time sheet to ensure proper time reports
Motivate reps to provide excellent customer service
Provided Annual evaluations
Arranged daily conference calls with Work Force Management Corporate personnel
Scheduled weekly calibration calls between clients and quality control managers
Medical Social Services Office Manager
09.1998 - 04.2000
Managed office personnel
Confirmed weekly payroll submission
Managed day to day operation of Child Care Center
Submitted and received approval from Georgia Department of Human Resources for Child Care Center
Maintained supplies for Child Care Center
Maintained records for review by GA Department of Human Resources
Organized annual enrollment fairs
Screened employees and sent fingerprints to GBI for background checks of Child care workers
Education
Bachelor Of Science - Psychology
Troy University
Troy, AL
Medical Secretarial
Augusta Technical College
Augusta, GA
Bachelor Of Science - Psychology
University of Phoenix
Tempe, AZ
Skills
Microsoft Word, Microsoft EXCEL, Microsoft PowerPoint, AS400 based programs, and Siebel
Type 55 words a minute, Experience operating FAX, Copy, and Scanner
Customer Support
Customer Implementation
Production Work
Critical Thinking
Telephone Etiquette
Project Management
Organizational Skills
Friendly and Patient
Customer Communication and Empathy
Collaborative Team Player
Benefits Implementation
Additional Information
Awards
, Received Bravo awards for assisting my peers.
Received Stellar Award nomination from ASO Manager
Timeline
Implementation Specialist
ADP
01.2020 - Current
Benefit Services Specialist
ADP
02.2018 - 01.2020
Benefit Rep/Benefit Services Specialist
ADP
02.2011 - 02.2018
Contact Center Supervisor/Call Center Email Support