Lisa Ayling
Mt Pleasant
Summary
Benefits Specialist with extensive experience at Saginaw Chippewa Indian Tribe, adept at managing tribal member/associate benefits enrollment and optimizing healthcare services. Proven analytical skills led to enhanced program efficiency, and communication fostered collaboration with Tribal leadership. Successfully advocated for members, ensuring compliance and improving service delivery in a culturally sensitive environment.
Overview
23
23
years of professional experience
Work History
Benefits Specialist/Tribal Member
Saginaw Chippewa Indian Tribe
10.2018 - Current
- Managed employee benefits enrollment processes, ensuring compliance with tribal policies and regulations.
- Coordinate Medicaid and Medicare for Tribal Members/associates.
- coordinate Marketplace coverage for Tribal Members/associates
- Collaborated with Tribal Teams to streamline benefits administration, improving efficiency and accuracy in processing claims.
- Analyzed benefit utilization data to recommend enhancements that align with employee needs and organizational goals.
- Interact with and advise Tribal Members/Associates concerning benefits and medical,dental and vision coverages.
- Evaluated vendor performance for benefits services, negotiating contracts to optimize service delivery and cost-effectiveness.
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
- Processed employee life event changes, ensuring timely updates to benefits and coverage for qualifying events such as marriage or the birth of a child.
- Observed strict procedures to maintain data and plan participant confidentiality.
- Enhanced understanding of benefit offerings with effective communication materials and presentations with Tribal Council
- Performed benefits audits to identify discrepancies and opportunities for improvement in plan design or administration.
- Participated in annual benefit plan review meetings with senior leadership and Tribal Council to, provide data-driven insights and recommendations for future plan design adjustments.
At Large Elders Advocate
Saginaw Chippewa Indian Tribe
03.2003 - 09.2018
- Advocated for Tribal membership and assist with resources
- Facilitated communication between community members and tribal leadership to address concerns.
- Developed educational materials to enhance understanding of tribal policies and services.
- Organize programing for Tribal Elders: Educational and cultural. Including budgets
- Plan, Execute and Manage programs targetted to tribal members and community. Saganing Powwow, Elders Homecoming Trip
- Assist in the day-to-day operations of the Tribal Member healthcare program: health, vision, and dental.
- Assist tribal members/associates with Medicare, Medicaid, and Marketplace coverages.
- manage and assist with selection of vendors for company healthcare
- Managed complex caseloads with diligence, prioritizing tasks to ensure timely resolution of cases.
Skills
- New employee enrollment Benefits
- Healthcare benefits Tribal member/associate
- Records maintenance
- Teamwork and collaboration
- Analytical skills
- Benefits explanation
- Written and oral communication
Timeline
Benefits Specialist/Tribal Member
Saginaw Chippewa Indian Tribe
10.2018 - Current
At Large Elders Advocate
Saginaw Chippewa Indian Tribe
03.2003 - 09.2018