Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tierani Breaux

Baton Rouge,LA

Summary

Experienced Benefits Manager with a proven track record of overseeing a wide range of plans, including retirement, medical, dental, vision, life, and disability. Skilled in handling company-wide maintenance needs and managing new hire and open enrollment processes. Possesses a highly analytical mindset and strong project management skills across strategy, capacity planning, and scheduling areas. Known for excellent communication and leadership skills, with a friendly and approachable demeanor.

Overview

26
26
years of professional experience

Work History

Social Service Analyst III

Louisiana Department of Children & Family Services
12.2019 - Current
  • Manages Child Welfare Social Security including assessments, applications, determinations, and determinations
  • Builds and maintains strong relationships with Social Security workers by successfully resolving issues and responding promptly to phone, email and official inquires
  • Works closely with public, child welfare staff, supervisors, and court personnel to identify and mitigate barriers to timely permanency
  • Participates in IV-E saturation rate improvement project resulting in 48% increase in benefits for child welfare reimbursements
  • Handles all delegated tasks, including case loads A-K and L-Z in determining eligibility for federal benefits and ensuring compliance requirements for all Title IV-E Programs
  • Assigns, administers and monitors IV-E cases for more than 600 claimants successfully
  • Performs ongoing monitoring of care plans to evaluate effectiveness, documenting interventions and goal achievements and suggesting changes accordingly
  • Saves DCFS funding by locating and implementing alternative social programs and government grants
  • Providing funds to children in paid placements to offset cost of care for child welfare participants
  • Answers questions and responds to inquiries to deliver high levels of service to IV-E analyst and supervisors
  • Maintains confidential client documents to prevent data compromise and comply with state and federal
  • HIPAA regulations
  • Mentors newly hired employees in federal benefits and provides information regarding DCFS and federal policies and procedures.
  • Provided support to social service clients in navigating available resources.
  • Assisted in conducting needs assessments to identify key areas of service needs.
  • Developed and maintained relationships with community organizations and agencies.
  • Implemented and developed programs to address poverty and inequality.
  • Coordinated with local government to provide resources to clients.
  • Monitored and evaluated impact of social services on community.
  • Monitored progress towards service plan goals.
  • Developed and implemented programs to engage and empower underserved populations.
  • Collaborated with various stakeholders to promote social services.
  • Cultivated and maintained relationships with community members to facilitate outreach activities.
  • Facilitated communication between clients and other service providers.
  • Spoke with senior citizen groups to expand community engagement and program outreach.
  • Developed and implemented strategies to enhance quality of social services.
  • Administered and tracked client service payments.
  • Determined needed and relevant interventions based on each client's cognitive abilities and current needs.
  • Developed and maintained accurate records of programs and services.
  • Facilitated outreach activities to build community awareness.
  • Improved clients' coping with routine life activities such as food budgeting and rental payments.
  • Participated in meetings with stakeholders to discuss program objectives and strategies.
  • Assisted in developing grant proposals to support social service initiatives.
  • Excellent communication skills, both verbal and written
  • Proved successful working within tight deadlines in fast-paced environments
  • Worked effectively in fast-paced environments
  • Gained extensive knowledge in data entry, analysis and reporting
  • Resolved problems, improved operations and provided exceptional service
  • Demonstrated respect, friendliness and willingness to help wherever needed
  • Strengthened communication skills through regular interactions with others
  • Identified issues, analyzed information and provided solutions to problems
  • Paid attention to detail while completing assignments
  • Provided professional services and support in dynamic work environments
  • Evaluated account and service histories to identify trends, using data to mitigate future issues.

Group Benefit Analyst III

Office Of Group Benefits
10.2017 - 07.2019
  • Guided managers and supervisors on methods for conducting accurate job evaluations.
  • Assisted with design and implementation of various employee benefits programs.
  • Conducted wage and salary surveys to build competitive compensation plans.
  • Researched and analyzed wage, salary and other industry trends.
  • Help create and optimize salary structures and bonus programs.
  • Developed and maintained comprehensive job evaluation system for equitable compensation.
  • Created detailed job description library for organization and maintained relevance with regular updates..
  • Gathered information about each position and related occupation with employee interviews, field observations, and industry research.
  • Administered performance-based incentive and bonus plans, encouraging employee excellence.
  • Analyzed and evaluated existing compensation and benefits programs and recommended improvements.
  • Worked well in team settings, providing support and guidance.
  • Developed and maintained courteous and effective working relationships.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Acted as team leader in group projects, delegating tasks and providing feedback.
  • Passionate about learning and committed to continual improvement.
  • Demonstrated strong organizational and time management skills while managing multiple projects.
  • Participated in team projects, demonstrating abilities to work collaboratively and effectively.
  • Adaptable and proficient in learning new concepts quickly and efficiently.
  • Developed strong organizational and communication skills through coursework and volunteer activities.
  • Worked effectively in fast-paced environments.
  • Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
  • Observed strict procedures to maintain data and plan participant confidentiality.
  • Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
  • Collaborated with HR to develop and maintain up-to-date benefits manual.
  • Coordinated and conducted employee orientations to promote understanding of coverage and options.
  • Implemented open enrollment system to streamline benefits processes for employees.
  • Built relationships with vendors to foster quality service delivery.

Administrative Assistant V

Office of Finance and Support Services
01.2017 - 09.2017
  • Louisiana Resolved routine and complex issues by performing detailed research
  • Addressed customer inquiries and concerns to facilitate decision-making and minimize anxiety or hesitation
  • Collaborated with carriers to resolve discrepancies in insurance payments
  • Documented and tracked customer account details using Impact
  • Analyzed insurance organizational structures, business and intermediaries; studied basic documents, including common clauses, policies and insurance contracts
  • Managed denials, late payments, extensions and other special circumstances by following up with relevant parties
  • Followed specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information
  • Retained strong medical terminology understanding in effort to better comprehend what was involved in procedures
  • Ensured that all patient and insurance data was updated regularly and carefully inputted into company's computer system
  • Worked in professional and respectful manner to handle all client, vendor and public guest requirements
  • Processed financial documents including contracts, expense reports and invoices
  • Answered inquiries concerning standardized policies, procedures and regulations
  • Reviewed incoming correspondence and determined priority and required action
  • Established and maintained positive and productive working relationship with management
  • Aided senior leadership during executive decision-making process, generating customer and performance data reports to recommend corrective actions and improvements
  • Created weekly and monthly reports and presentations
  • Received and screened high volume of internal and external communications, including email and mail
  • Identified and solved complex problems impacting operations management and business direction
  • Managed all automated office operations, as well as client correspondence, record tracking and data communications
  • Sorted and distributed business correspondence to correct department or staff member
  • Trained junior team members on administrative processes, company requirements and performance strategies
  • Supported organizational activities effectively by managing executive travel itineraries and organizing events
  • Requisitioned office supplies, assisted in payroll, performed record-keeper and tracked time cards for all departmental office employees
  • Managed and controlled office supply inventory to ensure timely ordering or requisition of depleted or low-level stock
  • Served as central point of contact for all outside vendors needing to gain access into building
  • Communicated with contractors and vendors to place and receive orders, request maintenance services and deliver instruction on behalf of office management
  • Pleasantly welcomed visitors, answered phone calls and maintained reception desk in most professional manner
  • Returned all emails and calls within 24 hours of receipt
  • Dispersed incoming mail to correct recipients throughout office
  • Met incoming customers with professional approach and provided friendly, knowledgeable assistance.
  • Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
  • Maintained inventory of office supplies and placed orders.
  • Opened and properly distributed incoming mail to promote quicker response to client inquiries.
  • Managed filing system, entered data and completed other clerical tasks.
  • Managed paper and electronic filing systems by routing various documents, taking messages and managing incoming and outgoing mail.
  • Liaised between clients and vendors and maintained effective lines of communication.
  • Supported company leaders by managing budgets, scheduling appointments and organizing itinerary.
  • Built and maintained excellent customer relationships through timely response to inquiries and going above and beyond to accommodate unusual requests.
  • Surpassed team goals by partnering with colleagues to implement best practices and protocols.
  • Assisted coworkers and staff members with special tasks on daily basis.
  • Created and maintained detailed administrative processes and procedures to drive efficiency and accuracy.
  • Established administrative work procedures to track staff's daily tasks.
  • Completed forms, reports, logs, and records to quickly handle all documentation for human resources.
  • Organized logistics and materials for each meeting and took detailed notes for later dissemination to key stakeholders.

Medicaid Program Specialist II

Louisiana Department of Health
01.2013 - 01.2017
  • Respond to inquiries, requests or complaints received through Medicaid's Customer Service Hotline
  • Timely respond to verbal and written inquiries from supervisors, clients, staff, state office, and providers
  • Interview benefits recipients at specified intervals to certify their eligibility for continuing benefits
  • Initiate procedures to grant, modify, deny, or terminate assistance, or refer applicants to other agencies for assistance
  • Compile, record, and evaluate personal and financial data in order to verify completeness and accuracy, and to determine eligibility status
  • Interview and investigate applicants for public assistance to gather information pertinent to their applications
  • Keep records of assigned cases, and prepare required reports
  • Prepare applications and forms for applicants for such purposes as school enrollment, employment verification, and medical services
  • Enhanced customer satisfaction with fast, knowledgeable Medicaid and ACA policy to improve customer service.
  • Resolved problems, improved operations and provided exceptional service
  • Excellent communication skills, both verbal and written
  • Skilled at working independently and collaboratively in team environment

Medicaid Analyst II

Louisiana Department of Health
01.2012 - 01.2013
  • Interview benefit recipients at specified intervals to certify their eligibility for continuing benefits
  • Interpret and explain information such as eligibility requirements, application details, payment methods, and applicants' legal rights
  • Compile, record, and evaluate personal and financial data in order to verify completeness and accuracy, and to determine eligibility status
  • Interview and investigate applicants for public assistance to gather information pertinent to their applications
  • Inquire with employers and other references to verify answers and obtain further information
  • Keep records of assigned cases, and prepare required reports
  • Prepare applications and forms for applicants for such purposes as school enrollment, employment, and medical services.
  • Assisted with day-to-day operations, working efficiently and productively with all team members
  • Identified issues, analyzed information and provided solutions to problems
  • Demonstrated high level of initiative and creativity while tackling difficult tasks
  • Strengthened communication skills through regular interactions with others
  • Provided professional services and support in dynamic work environment
  • Developed strong communication and organizational skills through working on group projects
  • Worked effectively in fast-paced environments
  • Delivered services to customer locations within specific timeframes
  • Used critical thinking to break down problems, evaluate solutions and make decisions
  • Demonstrated respect, friendliness and willingness to help wherever needed
  • Paid attention to detail while completing assignments
  • Acted as team leader in group projects, delegating tasks and providing feedback
  • Applied effective time management techniques to meet tight deadlines
  • Manage time efficiently in order to complete all tasks within deadlines
  • Worked flexible hours across night, weekend and holiday shifts
  • Organized and detail-oriented with strong work ethic
  • Gained strong leadership skills by managing projects from start to finish
  • Demonstrated creativity and resourcefulness through development of innovative solutions
  • Developed and maintained courteous and effective working relationships
  • Gained extensive knowledge in data entry, analysis and reporting
  • Used strong analytical and problem-solving skills to develop effective solutions for challenging situations
  • Self-motivated, with strong sense of personal responsibility
  • Completed paperwork, recognizing discrepancies and promptly addressing for resolution

State Risk Adjuster

Louisiana Patients Compensation Fund
11.2007 - 03.2012
  • Resolve complex, severe exposure claims, using high service oriented file handling
  • Pay and process claims within designated authority level
  • Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments
  • Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures
  • Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation
  • Confer with legal counsel on claims requiring litigation
  • Contact or interview claimants, doctors, medical specialists, or employers to get additional information
  • Maintain claim files such as records of settled claims and inventory of claims requiring detailed analysis
  • Present cases and participate in their discussion at claim committee meetings
  • Conduct detailed bill reviews to implement sound litigation management and expense control
  • Report overpayment, underpayments, and other irregularities
  • Communicate with insurance brokers to obtain information necessary for processing claims
  • Prepare reports to be submitted to company's data processing department.
  • Analyzed information gathered by investigations to report findings and recommendations.
  • Examined claims forms and other records to determine insurance coverage.
  • Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
  • Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Analyzed information gathered by investigation and reported findings and recommendations.
  • Visited customer locations to evaluate damage and provided cost estimates for remediation.

Administrative Coordinator IV

Louisiana Department of Health
11.2009 - 12.2009
  • Managed and maintained electronic and paper-based filing systems to keep essential documents and information easily accessible and organized.
  • Answered phone calls and responded to inquiries from customers, vendors and other external contacts.
  • Greeted visitors with professionalism and enthusiasm to provide support and direct guests to appropriate department.
  • Monitored front areas so that questions could be promptly addressed.
  • Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
  • Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
  • Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
  • Improved office operations by automating client correspondence, record tracking and data communications.
  • Organized meetings for executives and coordinated availability of conference rooms for participants.
  • Organized spaces, materials and catering support for internal and client-focused meetings.
  • Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
  • Managed supervisor itinerary and appointments and streamlined scheduling procedures.
  • Delegated tasks to administrative support staff to organize and improve office efficiency.
  • Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.

Social Service Analyst I

Louisiana Department of Children & Family Services
09.2007 - 10.2007
  • Answer applicants' questions about benefits and claim procedures
  • Advised clients on supplementary services such as food stamps and child care assistance
  • Detailed client visits with thorough documentation and official reports
  • Helped clients obtain social services by assisting with forms and coordinating referral processes
  • Interview benefits recipients at specified intervals to certify their eligibility for continuing benefits
  • Initiate procedures to grant, modify, deny, or terminate assistance, or refer applicants to other agencies for assistance
  • Keep records of assigned cases, and prepare required reports
  • Prepare applications and forms for applicants for such purposes as school enrollment, employment, and medical services
  • Compute and authorize amounts of assistance for programs such as grants, monetary payments, and food stamps
  • Monitor payments of benefits throughout duration of claim.
  • Strengthened communication skills through regular interactions with others.

ORS Specialist I

Louisiana Workforce Commission
09.2007 - 10.2007
  • Ensure company compliance with federal and state laws, including reporting requirements
  • Evaluate job positions, determining classification, exempt or non-exempt status, and salary
  • Advise applicants and claimants of state and federal employment regulations, collective agreements, benefit and compensation policies, personnel procedures and classification programs
  • Respond to inquiries, requests or complaints received through the Louisiana Unemployment Customer
  • Service Hot line
  • Complete telephone applications
  • Generally polite, patient, competent and professional with every caller
  • Timely respond to verbal and written inquiries from supervisors, clients, staff, state office, and providers.
  • Worked effectively in fast-paced environments
  • Used critical thinking to break down problems, evaluate solutions and make decisions
  • Assisted with day-to-day operations, working efficiently and productively with all team members

Medicaid Analyst I

Louisiana Department of Health
10.2006 - 08.2007
  • Answer applicants' questions about benefits and claim procedures
  • Interview benefits recipients at specified intervals to certify their eligibility for continuing benefits
  • Interpret and explain information such as eligibility requirements, application details, payment methods, and applicants' legal rights
  • Initiate procedures to grant, modify, deny, or terminate assistance, or refer applicants to other agencies for assistance
  • Compile, record, and evaluate personal and financial data in order to verify completeness and accuracy, and to determine eligibility status
  • Interview and investigate applicants for public assistance to gather information pertinent to their applications
  • Confirm with employers or other references to verify answers and obtain further information
  • Keep records of assigned cases, and prepare required reports
  • Schedule benefits claimants for adjudication interviews to address questions of eligibility
  • Prepare applications and forms for applicants for such purposes as school enrollment, employment, and medical services.
  • Assisted clients with completion of applications and paperwork.
  • Communicated with people from various cultures and backgrounds on application process.

Administrative Coordinator IV

Louisiana Department of Health
04.2005 - 10.2006
  • Resolve customer complaints or answer customers' questions regarding policies and procedures
  • Collaborated with team members to meet daily demands and handle challenging projects
  • Helped team handle high-volume work by prioritizing tasks and organizing supplies
  • Review records or reports pertaining to activities such as production, payroll, or shipping to verify details, monitor work activities, or evaluate performance
  • Interpret and communicate work procedures and company policies to staff
  • Research, compile, and prepare reports, manuals, correspondence, or other information required by management or governmental agencies
  • Maintain records pertaining to inventory, personnel, orders, supplies, or machine maintenance
  • Coordinate activities with other supervisory personnel or with other work units or departments
  • Monitor inventory levels and requisition or purchase supplies as needed
  • Participate in the work of subordinates to facilitate productivity or to overcome difficult aspects of work.

Customer Service Assistant Manager

Albertsons
04.1999 - 07.2005
  • Provide customer service by greeting and assisting customers, and responding to customer inquiries and complaints
  • Direct and supervise employees engaged in sales, inventory-taking, reconciling cash receipts, or in performing services for customers
  • Monitor sales activities to ensure that customers receive satisfactory service and quality goods
  • Inventory stock and reorder when inventory drops to specified level.
  • Instruct staff on how to handle difficult and complicated customers
  • Hire, train, and evaluate personnel in sales or marketing establishments, promoting or firing workers when appropriate
  • Assign employees to specific special projects
  • Enforce safety, health, and security rules
  • Examine merchandise to ensure that it is correctly priced and displayed and that it functions as advertised
  • Plan budgets and authorize payments and merchandise returns
  • Perform work activities of subordinates, such as cleaning and organizing shelves and displays and selling merchandise
  • Plan and prepare work schedules and keep records of employees' work schedules and time cards
  • Assists store managers with various duties in employee shortages.
  • Conducted training and mentored team members to promote productivity and commitment to friendly service
  • Answered customer questions about product availability and shipment times.
  • Built strong relationships with customers and colleagues by providing friendly and personable service.
  • Refunded money and adjusted bills to resolve customer service or billing complaints.
  • Maintained clean and organized work environment to maintain customer safety.
  • Collaborated with other departments to guarantee customer satisfaction.
  • Liaised with sales, marketing, and management teams to develop solutions and accomplish shared objectives.
  • Trained staff on operating procedures and company services.
  • Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
  • Sought ways to improve processes and services provided.
  • Identified and resolved discrepancies and errors in customer accounts.

Education

Some College (No Degree) - Criminal Justice/Sociology

Southern University And A & M College
Baton Rouge, LA

Some College (No Degree) - Micro Computer Literacy

Baton Rouge School of Computers
Baton Rouge, LA

Skills

  • Social services knowledge
  • Service contract negotiation
  • Insurance coverage verification
  • Claims reporting systems
  • Client needs analysis
  • Risk mitigation
  • Negotiation
  • Collaborative relationships
  • Problem-Solving
  • Training and Development
  • Excellent Communication
  • Cross-functional coordination
  • Business analysis
  • Incident management
  • Service management
  • Complaint resolution
  • Report preparation
  • Disaster recovery planning
  • Requirements gathering
  • Account management

Timeline

Social Service Analyst III

Louisiana Department of Children & Family Services
12.2019 - Current

Group Benefit Analyst III

Office Of Group Benefits
10.2017 - 07.2019

Administrative Assistant V

Office of Finance and Support Services
01.2017 - 09.2017

Medicaid Program Specialist II

Louisiana Department of Health
01.2013 - 01.2017

Medicaid Analyst II

Louisiana Department of Health
01.2012 - 01.2013

Administrative Coordinator IV

Louisiana Department of Health
11.2009 - 12.2009

State Risk Adjuster

Louisiana Patients Compensation Fund
11.2007 - 03.2012

Social Service Analyst I

Louisiana Department of Children & Family Services
09.2007 - 10.2007

ORS Specialist I

Louisiana Workforce Commission
09.2007 - 10.2007

Medicaid Analyst I

Louisiana Department of Health
10.2006 - 08.2007

Administrative Coordinator IV

Louisiana Department of Health
04.2005 - 10.2006

Customer Service Assistant Manager

Albertsons
04.1999 - 07.2005

Some College (No Degree) - Criminal Justice/Sociology

Southern University And A & M College

Some College (No Degree) - Micro Computer Literacy

Baton Rouge School of Computers

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Tierani Breaux