Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Work Availability
Work Preference
Quote
Software
Languages
Interests
Websites
Timeline
SeniorSoftwareEngineer
Rachale Ramos Roach

Rachale Ramos Roach

Dallas / Fort Worth Area,TX

Summary

PHR certified professional with a solid background in Life & Health licensing across 13 states, including California and Texas. Combines teaching expertise with robust project management skills to lead teams effectively. Proven track record in auditing benefit programs and optimizing offerings for diverse employee needs. Dedicated to achieving results through proactive and disciplined approaches.

Overview

25
25
years of professional experience
16
16
Certification

Work History

Benefits Manager

Eduro Healthcare, LLC
06.2022 - 03.2025
  • Managed all aspects of HR benefit program initiatives.
  • Oversaw benefits, leaves, and customer service operations.
  • Developed strategies to promote critical features and benefits of services offered by Eduro Healthcare.
  • Created engaging and balanced employee benefit programs.
  • Develop detailed financial plans for employee benefits.
  • Liaised with benefits vendors.
  • Provide guidance on superior employee benefits packages.
  • Coordinated with vendors to ensure accurate and prompt payment.
  • Guarantee compliance of benefits programs with legal standards.
  • Structured a benefit plan aimed at attracting quality employees.
  • Conducted research on employee satisfaction, tailored responses based on findings.
  • Plan employee benefits fair connecting staff and vendors.

Benefits Manager

Novinium Underground
02.2021 - 05.2022
  • Managed all aspects of planning and rolling out HR benefit initiatives.
  • Ensure smooth operations through effective management of benefits and worker-related processes.
  • Managed comprehensive administration of corporate benefits programs spanning medical, dental, vision, 401(k), life insurance, STD, LTD, HSA, and FSA.
  • Conduct new employee orientations to outline benefits.
  • Directed operations of the Workers' Compensation system.
  • Oversaw administration of FMLA and other leave policies.
  • Monitor ongoing changes to state and federal benefits regulations.
  • Collaborated with benefits vendors to ensure effective service delivery.
  • Reconciled monthly insurance billings to verify deduction accuracy.
  • Oversee COBRA procedures.
  • Designed and implemented strategies for annual Open Enrollment process.
  • Produced required data extracts from HR system.
  • Handled various designated special initiatives.
  • Developed comprehensive communication strategies to inform employees about benefits.

Benefits Administrator

Reliable Parts Ltd.
Dallas/Fort Worth Area
11.2019 - 02.2021
  • Directed and planned daily operations of the group’s partially self-funded benefit programs (health, dental, vision, short- and long-term disability, life insurance, and 401(k)).
  • Worked directly with insurance broker for annual benefits update.
  • Executed the distribution of crucial plan documents in adherence to DOL and IRS regulations.
  • Addressed questions from staff on policy coverage specifics.
  • Resolved arising discrepancies in billing and payroll.
  • Act as primary contact for employees, plan vendors, and third-party administrators.
  • Ensured all administrative procedures were accurately documented.
  • Consistently ensured regulatory requirements were met.
  • Coordinated COBRA documentation and payment processing.

Human Resource Consultant

Platinum Avenue Properties
Las Vegas, Nevada Area
01.2017 - 11.2019
  • Guided management on proper administration of HR policies and procedures.
  • Functioned as internal consultant to assess HR programs and suggest improvements.
  • Streamline development, revision, and enforcement of HR procedures.
  • Guaranteed conformity of HR activities with organizational policies, legislative measures and regulatory frameworks.
  • Generated and updated reports on various HR initiatives.
  • Executed development and coordination of workflow improvements.
  • Created processes for compiling and analyzing data for reports.
  • Performed audits of HR activities to maintain compliance.
  • Conducted training sessions focused on HR-related programs.

Human Resources Benefits Manager

TLC Casino Enterprises, INC.
Las Vegas, Nevada Area
01.2016 - 01.2017
  • Managed employee benefit programs, including 401k, medical, dental, life insurance, and supplemental insurances.
  • Developed and optimized current workflows by leveraging available resources.
  • Managed benefit enrollment processes on a regular basis.
  • Streamline HR procedures to enhance overall efficiency.
  • Upheld regulatory standards outlined in ERISA and ACA.
  • Oversaw the compilation of legally mandated reports.
  • Analyzed legal modifications affecting employee benefits and advised necessary adjustments.
  • Manage premium payments with detailed eligibility reports for vendors.
  • Developed and updated documentation for benefit plans.

Group Benefits Specialist

IIS Benefits Administrators
07.2015 - 01.2016
  • Developed comprehensive benefits initiatives.
  • Evaluated various programs to find the best fit for different company structures and functions.
  • Evaluated intricate benefit plans.
  • Managed strategic discussions to finalize impactful programs.
  • Created comprehensive programs that include medical, dental, and vision insurance.
  • Monitored evolving Federal and State regulations impacting employee benefits.

Operations Manager

Omega Financial & Insurance Solutions
07.2014 - 07.2015
  • Expanded and strengthened sales teams using five key principles: Recruiting, Direct Sales, New Leader Development, Account Management, Broker Sales.
  • Developed and implemented strategies to improve comprehension of employee benefits within district offices.
  • Oversaw enforcement of legal standards pertaining to employee benefits under Federal and Florida guidelines.
  • Overseeing staff performance.
  • Assigned priorities and established deadlines.
  • Developed specialized documentation.
  • Designed and implemented guidelines for effective administration of employee fringe benefits.
  • Facilitated acquisition of medical, dental and vision insurance coverage.
  • Functioned as a liaison between health plan representatives and employee benefits.
  • Created informative resources explaining benefits for employees.
  • Contributed to designing programs focused on employee benefits.
  • Gained expertise in understanding complexities and risks within the healthcare insurance industry.
  • Shared expertise with clients at Omega Financial & Insurance Solutions.

Benefits Specialist

Univers Workplace Benefits
08.2013 - 07.2014
  • Completed tasks related to the employee benefits system including development, maintenance and updates.
  • Designed procedures to administer employee benefits.
  • Ensured accurate and timely updates to employee benefits information via computerized entry.
  • Designed and implemented yearly premium remittance reduction plans.
  • Developed and managed group health, life, dental, and vision activities.
  • Monitored and evaluated personnel performance.
  • Assisted with recommendations for personnel employment and assignment.
  • Managed priorities with strict deadlines.
  • Compiled detailed special reports.
  • Streamlined work processes between Employee Benefits and other departments.
  • Functioned as bridge between Employee Benefits and other departments.
  • Managed procurement of insurance coverage in medical, dental, vision areas.
  • Served as liaison between health plan representatives and employee benefits.
  • Created and designed informational materials on employee benefits package.
  • Analyzed and evaluated service agreements of medical plan providers.
  • Supervised reconciliation of monthly health plan eligibility reports.

Account Manager / Producer

The Laughton Company
10.2011 - 02.2013
  • Acted as key advisor on group insurance matters.
  • Developed annual service plans for all clients.
  • Spearheaded decision-making in identifying appropriate carriers and policies.
  • Oversee renewals, new policy implementations, and enrollments.
  • Identified and analyzed emerging patterns in the insurance industry.
  • Led discussions about employee benefits within an educational framework.

Insurance Agent

Blue Cross Blue Shield
11.2007 - 08.2011
  • Facilitated informed decisions by explaining various insurance policy benefits.
  • Generated reports detailing sales activities, client interactions, and progress towards goals.
  • Gathered detailed information from customers prior to offering quotes or making recommendations.
  • Explained complex technical terms related to insurance plans in simple language for easy understanding.

Education

Bachelor of Arts - Business Management

The University of Texas

Skills

  • HR Project Management
  • Negotiation
  • Client relationship management
  • Benefits administration
  • Employee benefits design
  • Vendor management
  • Financial planning
  • Regulatory compliance
  • Open enrollment management
  • Employee training
  • Data analysis
  • HR policy development
  • Employee engagement
  • Employment law compliance
  • Cost analysis and control
  • Account reconciliation
  • Vendor relationship management
  • 401K experience
  • FMLA administration

Certification

  • Licensed Insurance professional in 13 states ; Texas, California, Idaho, Michigan, Montana, North Dakota, New Mexico,Nevada, Ohio, South Carolina, South Dakota, Utah, and Vergina.
  • PMP Certification Training Course
  • Microsoft Excel Master Class
  • QuickBooks

Accomplishments

  • Supervised team of 12 staff members.
  • conducted a compliance initiative on medical plan and saved Eduro Healthcare 3.7 million.
  • Maximized the value of employee benefit package by negotiating competitive pricing and improved otions with benefit suppliers.
  • Established and enforced compliance with all legistations and regulations concerning compensation and benefits, including ERISA and ACA, thorugh policy reviews. audits, and updating.
  • Devised and implemented employee communication methods to effectivly explain benefits, policies, and changes at all firm levels.

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference

Work Type

Full TimeContract Work

Work Location

Remote

Important To Me

Career advancementWork-life balanceCompany CultureWork from home optionHealthcare benefitsPersonal development programs

Quote

If you take care of youe employees, your employees will take care of your business.
JW Marriott

Software

Microsoft Excel

Excel Piviot Tables

Excel V-Lookup

Google Drive

Google Docs

Google forms

Languages

English
Native language

Interests

Theater

Fine Art

Music

Timeline

Benefits Manager

Eduro Healthcare, LLC
06.2022 - 03.2025

Benefits Manager

Novinium Underground
02.2021 - 05.2022

Benefits Administrator

Reliable Parts Ltd.
11.2019 - 02.2021

Human Resource Consultant

Platinum Avenue Properties
01.2017 - 11.2019

Human Resources Benefits Manager

TLC Casino Enterprises, INC.
01.2016 - 01.2017

Group Benefits Specialist

IIS Benefits Administrators
07.2015 - 01.2016

Operations Manager

Omega Financial & Insurance Solutions
07.2014 - 07.2015

Benefits Specialist

Univers Workplace Benefits
08.2013 - 07.2014

Account Manager / Producer

The Laughton Company
10.2011 - 02.2013

Insurance Agent

Blue Cross Blue Shield
11.2007 - 08.2011

Bachelor of Arts - Business Management

The University of Texas
Rachale Ramos Roach