MARI FERNAU
Lake Jackson,TX
Summary
Personable and professional Benefits Consultant with over 18 years of experience in the insurance industry. Motivated to helping change the healthcare landscape for the better. Demonstrated history of building and sustaining formidable relationships across business lines. Committed to the highest ethical, moral, and personal standards.
Overview
20
20
years of professional experience
Work History
Benefits Consultant
Insgroup/Baldwin Risk Partners (BRP)
02.2022 - Current
- Manage over 50 accounts
- Zywave/Brokerage Builder testing/data entry
- Generate and analyze reports
- Secure client relationships
- Conduct open enrollment meetings
- Attend health fairs
- Assist with HRIS/payroll system set-up
- Eligibility file testing and implementation
- Create custom benefit guides, and other group specific documents
- Create and maintain master templates
- Research carrier/vendor options
- Ensure legislative compliance.
Sr. Supervisor Marketing Operations/Lead Account Manager
Blue Cross Blue Shield of Texas (BCBSTX)
03.2015 - 08.2020
- Managed team of 8-10 Account Managers
- Hired, trained, and promoted staff
- Managed daily workflow
- Managed 25 group accounts
- Resolved escalations
- Generated reports
- Tested new programs and system updates
- Created guidelines and workflow best practices
Customer Consultant (Account Management)
Blue Cross Blue Shield of Texas (BCBSTX)
06.2012 - 03.2015
- Managed over 40 accounts
- Submitted group renewal cases
- Resolved escalated service issues
- Managed high call/email volumes
- Assisted in developing training materials
- Reviewed paperwork
- Mentored peers
- Attended external client events and meetings.
New Business Coordinator (Sales)
Blue Cross Blue Shield of Texas (BCBSTX)
03.2010 - 06.2012
- Provided sales support
- Submitted Request for Proposal (RFP) & Request for Information (RFI) cases
- Assembled welcome packets for clients
- Attended finalist presentations
- Reviewed paperwork with brokers/clients
- Attended open enrollment meetings and health fairs when needed.
Claims Technician
Blue Cross Blue Shield of Texas (BCBSTX)
06.2007 - 03.2010
- Investigated, paid, or routed most complex claims
- Managed inquiries for assigned team of 6-10 claim processors and examiners
- Created reference materials for processing claims
- Coordinated high dollar claim processing with upper management and Sales and Marketing teams throughout Texas division.
Claims Examiner
Blue Cross Blue Shield of Texas (BCBSTX)
08.2005 - 06.2007
- Paid/routed more complex claims
- Investigated medical policy
- Coordinated medical record submissions
- Claim verification
- Assisted with creating best practices
- Maintained 98-100% financial and claim accuracy
- Tested new program(s)
Claims Processor
Blue Cross Blue Shield of Texas (BCBSTX)
06.2004 - 08.2005
- Paid/routed claims per guidelines
- HIPAA certified
- Maintained 98-100% financial and claim accuracy
- Performed claim verification
- Assisted with testing new program(s)
- Coordinated request/receipt of medical records from physicians and hospitals.
Education
AA Degree Liberal Arts -
Santiago Canyon College
Anaheim Hills, CA01.2002
HS Diploma -
Magnolia High School
Anaheim, CA01.1992
Skills
- Employee Benefits Expertise
- Self-Funded, Level-Funded, and Fully Insured
- Interpersonal Communication
- Attention to Detail
- Documentation And Reporting
- Verbal and written communication
- Relationship Building
- Records Maintenance
Websites
License
General Lines Life, Health, and HMO #1627154, Effective 06/02/2010, Renewal Date 03/31/2025
References
Available upon request
Timeline
Benefits Consultant
Insgroup/Baldwin Risk Partners (BRP)
02.2022 - Current
Sr. Supervisor Marketing Operations/Lead Account Manager
Blue Cross Blue Shield of Texas (BCBSTX)
03.2015 - 08.2020
Customer Consultant (Account Management)
Blue Cross Blue Shield of Texas (BCBSTX)
06.2012 - 03.2015
New Business Coordinator (Sales)
Blue Cross Blue Shield of Texas (BCBSTX)
03.2010 - 06.2012
Claims Technician
Blue Cross Blue Shield of Texas (BCBSTX)
06.2007 - 03.2010
Claims Examiner
Blue Cross Blue Shield of Texas (BCBSTX)
08.2005 - 06.2007
Claims Processor
Blue Cross Blue Shield of Texas (BCBSTX)
06.2004 - 08.2005
AA Degree Liberal Arts -
Santiago Canyon College
HS Diploma -
Magnolia High School
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