Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Riddhi Darji

1180 Kaye Court Burlington

Summary

Self-motivated Benefits Administrator/Specialist demonstrating superior understanding of employee benefits laws and human resource software systems. Astute professional providing benefits support in fast-paced corporate settings.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Medicare Benefits Administrator

RetireeFirst
07.2022 - Current
  • Managed relationships with insurance carriers, ensuring prompt resolution of claims and issues.
  • Improved employee understanding of benefit offerings through informative presentations and workshops.
  • Conducted annual open enrollment sessions, providing clear guidance to employees on plan changes and updates.
  • Advised employees on their eligibility for various benefit programs, assisting them in making informed decisions.
  • Developed customized resources and tools to help employees better understand their benefit options and make informed choices.
  • Ensured full compliance with government regulations such as HIPAA, FMLA, COBRA by following proper protocols.
  • Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
  • Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
  • Trained new team members in policies and procedures and offered insight into best ways to manage job tasks and duties.
  • Built relationships with vendors to foster quality service delivery.
  • Researched and evaluated new benefits programs to select cost-effective providers and coverage levels.
  • Improved call center performance by consistently maintaining a high level of professionalism and productivity.
  • Facilitated timely issue resolution, coordinating with diverse departments and healthcare providers as needed.
  • Maintained strong working knowledge of Medicare regulations, ensuring accurate information dissemination to clients.
  • Ensured compliance with all applicable laws and regulations, staying up to date with changes in policy and reporting requirements.
  • Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
  • Investigated and resolved customer inquiries and complaints quickly.
  • Exhibited high energy and professionalism when dealing with clients and staff.
  • Followed up with customers about resolved issues to maintain high standards of customer service.

Customer Service Representative/Compounding Pharmacy Technician

CareFirst Specialty Pharmacy
10.2019 - 07.2022
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
  • Streamlined call center processes for improved efficiency and reduced wait times.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Assisted customers in navigating company website and placing online orders, improving overall user experience.
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Provided comprehensive training for new team members, resulting in faster onboarding and better overall performance.
  • Handled complex billing issues, ensuring accurate invoicing and prompt resolution of discrepancies.
  • Answered product and service questions, suggesting other offerings to attract potential customers.
  • Updated account information to maintain customer records.
  • Clarified customer issues and determined root cause of problems to resolve product or service complaints.
  • Participated in team meetings and training sessions to stay informed about product updates and changes.
  • Processed customer service orders promptly to increase customer satisfaction.
  • Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
  • Proactively identified potential issues or discrepancies in medication orders, collaborating closely with pharmacists to resolve them quickly.
  • Provided exceptional customer service, fostering positive relationships with both new and returning patients at the pharmacy counter.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
  • Entered and processed patients' prescriptions into internal system.
  • Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.

Pharmacy technician

St Lawrence Rehab Center
11.2015 - 11.2016
  • Improved patient satisfaction by efficiently processing prescriptions and managing inventory in a timely manner.
  • Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
  • Streamlined prescription processing with accurate data entry and verification of patient information.
  • Reduced medication errors by diligently cross-checking medications against patients'' profiles before dispensing.
  • Maximized pharmacy efficiency through effective communication with staff members and adherence to procedures.
  • Assisted in maintaining a clean and organized work environment, ensuring compliance with safety regulations.
  • Aided pharmacists in preparing sterile compounding products for IV administration using aseptic techniques.
  • Increased overall pharmacy productivity by restocking supplies, organizing shelves, and maintaining cleanliness according to standards.
  • Facilitated seamless transitions between shifts by thoroughly documenting all relevant information for coworkers during handoffs.
  • Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
  • Ensured patient safety by strictly following drug storage guidelines, including proper temperature and light exposure control.
  • Collaborated with interdisciplinary healthcare teams to provide comprehensive care for patients, addressing complex medication needs.
  • Stocked, labeled, and inventoried medication to keep accurate records.
  • Counted and labeled prescriptions with correct item and quantity.
  • Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.

Pharmacy technician

Rite Aid Pharmacy
08.2013 - 10.2015
  • Contributed to the reduction of prescription wait times by promptly addressing refill requests and insurance authorizations.
  • Increased overall pharmacy productivity by restocking supplies, organizing shelves, and maintaining cleanliness according to standards.
  • Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
  • Provided exceptional customer service, fostering positive relationships with both new and returning patients at the pharmacy counter.
  • Assisted in training new team members on standard operating procedures to ensure consistent quality of service across the entire team.
  • Ensured patient safety by strictly following drug storage guidelines, including proper temperature and light exposure control.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
  • Stocked, labeled, and inventoried medication to keep accurate records.
  • Counted and labeled prescriptions with correct item and quantity.
  • Entered and processed patients' prescriptions into internal system.
  • Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
  • Collected co-payments or full payments from customers.
  • Welcomed customers to pharmacy and answered questions relating to prescriptions and over-the-counter products.
  • Set up and modified patient profiles to include current medications and insurance details.
  • Managed opening and closing duties for pharmacy.

Education

Bachelor's of Science Degree in Health Science -

Wilmington University
New Castle, DE
05.2021

Associate's Degree in Science -

Rowan County College
Mt. Laurel, NJ
12.2016

Skills

  • Enrollment Procedures
  • HIPAA compliant
  • Customer Service
  • Problem Solving Aptitude
  • Teamwork and Collaboration
  • Benefits Program Management
  • Time Management Proficiency
  • Benefits Administration Expertise
  • First Aid/CPR
  • Organizational Skills
  • Telephone Etiquette
  • Call Center Experience
  • Computer Proficiency
  • Policies and Procedures Adherence
  • Salesforce CRM
  • MS Office/ Outlook
  • Microsoft Teams

Certification

  • Registered and Certified Pharmacy Technician
  • Certified- CPR/AED/First-Aid
  • Working on state insurance Life and Health licensing

Timeline

Medicare Benefits Administrator

RetireeFirst
07.2022 - Current

Customer Service Representative/Compounding Pharmacy Technician

CareFirst Specialty Pharmacy
10.2019 - 07.2022

Pharmacy technician

St Lawrence Rehab Center
11.2015 - 11.2016

Pharmacy technician

Rite Aid Pharmacy
08.2013 - 10.2015

Bachelor's of Science Degree in Health Science -

Wilmington University

Associate's Degree in Science -

Rowan County College

Similar Profiles

CREATE PROFILE
Riddhi Darji