A Benefits Representative is responsible for managing the company’s employee benefits programs and processes. The most common work activities depicted on the Benefits Representative Resume include the following – conducting employee benefit meetings, oversee various benefit programs such as retirement, medical and disability; helping employees in resolving benefit-related issues; keeping employees updated on available benefit and wellness programs, issuing benefit materials to employees, assisting the company in initiating new employee recognition programs; and conducting benefit industry surveys.
Candidates interested in this line of activity should be well-equipped with the knowledge of various benefit programs including insurance coverage, pension programs, and retirement plans; they should have an immense understanding of human resources management and have experience in HR administration as well. While a high school diploma or GED is mandatory, employers prefer to hire those possessing a Bachelor’s degree in Human Resources or its equivalent.
Summary : Obtain a position as a team-player in a people-oriented organization where one can maximize their customer service experience in a challenging environment to achieve corporate goals. To work in an environment that stimulates the mind and challenges to develop and nurture the skills to the fullest while becoming an asset to the organization.
Skills : Microsoft Office Suite, Adobe Creative Suite, Apple iLife and Apple iWork, Windows, Mac, and Linksys
Description :
Processed refunds to terminated employees (approx. per month) and developing deferred employer and employee benefits.
Established and maintained individual files for former employees who left their contributions in the plan, as well as for those vested employees with deferred employer benefits.
Maintained members history record with the accurate entry of user information Developed retirement data for employees electing a retirement option.
Actively created solutions for day-to-day issues with other field representatives on national and international levels.
Performed document analysis for plan administrators, retired members, surviving spouses, and other members for processing and adjustment of records.
Issued certificates of retirement benefits, group life insurance, and health insurance to new retirees and their spouses.
Acted as point of contact with beneficiaries and attorneys in order to resolve problems accurately and quickly.
Experience
10+ Years
Level
Management
Education
High School Diploma
Senior Benefits Representative Resume
Summary : Senior Benefits Representative with excellent communication, logical & problem-solving skills and has the ability to work under pressure with strict deadlines. A quick learner with excellent interpersonal skills, dedication and eager to take responsibility. Committed to search the best results, working with standard turnaround time.
Skills : Management, Training, Communication, Customer Service
Description :
Process enrollment, changes, and terminations in SAP; request withdrawals, overpayments, benefits payments, and claim reimbursements.
Determine employee eligibility for benefit plan coverage.
Coordinate the scheduling of new employee benefits processing.
Provide information regarding provisions of plan documents, benefit coverage, options available and applicable flex tax rules and regulations to employees.
Identify and track employee accounts to ensure compliance with maximum limits and determine whether money is due to the health plan or to the employee.
Research and investigate claims to determine if expenses are eligible for reimbursement and status on pending claims.
Perform a variety of clerical accounting tasks to reconcile, balance, updating files and maintain records for the health plan and calculations to determine allowable maximum contributions.
Maintain manual and computer records and fiscal records subject to audit.
Experience
7-10 Years
Level
Senior
Education
Bachelor Of Science
HR Benefits Representative Resume
Headline : HR Benefits Representative with a unique blend of project management, business analysis, accounting, and technical skills to achieve desired outcomes. Proven success in the analysis of business processes and requirements to meet the needs of business and improve operational efficiency.
Skills : MS Windows 2007, MS Windows XP Professional, And Windows Novell Client; MS Office Suite, IBM Lotus Notes
Description :
Aided participants with sensitive financial transactions from DC and DB plans while maintaining security protocol and authenticity.
Conducted and researched complex, participant benefit issues utilizing Workflows and formulated resolution/recommendation applying plan provisions and best practices.
Proactively advocated for participants with external plan benefit providers, that included Towers Watson One Exchange, Express Scripts and multiple Medical providers.
Effectively processed and addressed inquiries from participants during Annual Enrollment with a call volume of 100+ daily enabling them to make informed enrollment decisions.
Successfully estimated pension benefits for retiring participants, including reduction factors and age interpolations.
Consistent metrics earned promotion to Ongoing Client Team.
Coached and assisted other associates on new processes to improve their skills and knowledge.
Experience
5-7 Years
Level
Executive
Education
Master Of Business Administration
Health And Welfare Benefits Representative Resume
Objective : A trained active listener, with exceptional fact-finding ability to assess customer needs and utilize problem-solving skills. To apply the knowledge that one has incorporated from the experience and training offered, to achieve precocious skills and to promote knowledge about the position to be applied for.
Skills : IBM Lotus Notes Sametime 8, Proprietary Hewitt Tools MS Lync 2010, Internet Explorer
Description :
Examine claims forms and other records to determine insurance coverage.
Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.
Interview prospective clients to obtain data about their financial resources and needs, the physical condition of the person or property to be insured, and to discuss any existing coverage.
Call on policyholders to deliver and explain policy, to analyze insurance program and suggest additions or changes, or to change beneficiaries.
Seek out new clients and develop clientele by networking to find new customers and generate lists of prospective clients.
Customize insurance programs to suit individual customers, often covering a variety of risks.
Calculate premiums and establish payment methods.
Explain features, advantages and disadvantages of various policies to promote sale of insurance plans.
Experience
2-5 Years
Level
Junior
Education
Bachelors of Science
Health And Benefits Representative Resume
Summary : To seek a position in an esteemed organization where one can work in an environment, which provides a challenging career, scope for continuous learning and where career growth is commensurate to one's effort and performance. To work in a dynamic organization that can provide opportunities for growth and learning.
Skills : 70 Wpm, Computer Skills, Word, Epic, ORSOS, Mede Analytics, IMF, EMR, Citrix Training
Description :
Communicates with insurance companies to verify eligibility and benefits with insurance companies for inpatient, outpatient and emergency services.
Pre-admitted patients with complete accurate demographic and insurance information.
Informed patients of insurance benefits including co-payments, deductibles, and prior balances.
Performed multiple functions with a high level of productivity.
Responsible for working insurance denials queues to increase revenue and decrease denials due to insurance errors of lack of pre-certification.
Communicate with physician offices to obtain Medicaid Referrals.
Contact employers, insurance companies, and state-federal agencies regarding work-related injuries to verify worker's compensation benefits and eligibility.
Experience
7-10 Years
Level
Senior
Education
Bachelor Of Science
Benefits Representative - Intern Resume
Objective : Enthusiastic Benefits Representative, interested to use the education, experience and communication skills offering creativity and critical thinking skills to help generate innovative ideas and gain industry experience. Looking to implement exceptional communication and troubleshooting skills.
Skills : Microsoft Office Suite, Adobe Creative Suite, Apple iLife and Apple iWork, Windows, Mac, and Linksys
Description :
Answered phone calls about billing inquiries. Submitted new resident applications for dental policy within the nursing home.
Approved residents in HSP when Medicaid approved them.
Canceled and Terminated Residents when they moved facilities, passed away or zero liability.
Called resident's families about invoices due for collections reporting.
Called Nursing Home Facilities to gather information on residents representative (if applicable).
Responded to general phone, mail and e-mail inquiries from members and employers regarding employer-sponsored Pension Funds and Health Benefits.
Advised members and employers on policies, eligibility criteria, and the enrollment process Enrolled new members, and processed terminations to member's benefits due to change in circumstance; death, disability, retirement or severance of employment.
Experience
0-2 Years
Level
Entry Level
Education
Masters of Science
Junior Benefits Representative Resume
Objective : Junior Benefits Representative with substantial hands-on experience working with various web-based applications, enterprise/business software, and medical software; as well as database, network, and cloud technology. Excellent customer service and interpersonal skills. Routinely demonstrates patience and diligence while operating within stressful business situations.
Skills : MS Office Suite, IBM Lotus Notes, CITRIX, IBM Lotus Notes
Description :
Work closely with various benefits service providers to resolve eligibility concerns.
Perform quality assurance procedures per the parameters specified within ADP guidelines.
Utilize Seibel to log incoming calls and track escalations.
Collaborate with coworkers to complete special projects.
Comply with all HIPAA patient privacy laws while accessing healthcare information.
Handled incoming customer service inquiries, provided helpful benefit account details, and improved the employee satisfaction results by quickly resolving any benefits issues.
Coordinated claim information with employees, dependents, and third party administrators and properly navigate the member's plan of benefits, policies, and procedures.
Experience
2-5 Years
Level
Junior
Education
Bachelor Of Science
Benefits Representative - Entry Level Resume
Objective : A consistent, highly reliable Benefits Representative who can take stress with a smile and maintain a positive upbeat demeanor. Known as a resource does what is promised, and follows through until the problem is resolved. Adaptive and flexible
Skills : Electronic Medical Records, Quickbooks, Marketing, Medical Terminology, Claims Processing, Medical Billing, Medical Office Procedures, Sales Management.
Description :
Operated successfully as the liaison between 15,500 employees and the insurance companies.
Accepted a Leader role in organizing the annual Employee Benefits Fair for new hires in the Charlotte Mecklenburg School System.
Circulated information via mail correspondence to principals, teachers, and employees of CMS regarding the various health benefits available.
Retained and processed employee's benefits enrollment applications.
Persevered and administered employees FMLA, Disability and vacation paperwork.
Knowledgeable of the state and national laws regarding benefits administration.
Processed various leaves to ensure timely payments to employees' accounts.
Executed teamwork and flexibility in coverage of front desk in the absence of Administrative Assistant.
Experience
0-2 Years
Level
Entry Level
Education
Masters Of Business Administration
Benefits Representative - Contract Resume
Headline : Benefits Representative with strong skills and experience in Coordinating team activities, Benefits Administration, Payroll and multiple HR databases and computer applications. Quick to pivot when priorities change, and always looking for the opportunity to do something better, more perfectly, or more completely than it has ever been done before.
Skills : Autobene/IPA System, MS Word, Excel, PowerPoint, MS Office Suites, PeopleSoft 9., SAP, Siebel, TBA, Quick Base, Vantive.
Description :
Utilized Vantive, a database tracking system, and HRIS to maintain and update associate payroll deductions for healthcare, disability, and life insurance programs.
Responsible for maintaining and tracking the leave of absence programs.
Prepared and processed written correspondence regarding benefit enrollment procedures and guidelines.
Responsible for call/service center inbound calls to maintain benefit changes and resolve issues presented by associates, vendors, and providers.
Assisted with the Ben Hill group to resolve complaints/issues between homeowners and contractors.
Trained incoming representatives on the Vantive system and as Benefits call center representative.
Effectively used inventory planning in Retirement planning to increase productivity.
Experience
5-7 Years
Level
Executive
Education
Bachelors of Science
Benefits Representative - Full Time Resume
Objective : To associate with an esteemed organization that provides me an opportunity to show the skills & improve knowledge with the latest trends and to be a part of a team that works dynamically the growth of the organization. Knowledgeable Benefits Representative with a proven track record of exceeding client expectations.
Skills : Microsoft Word, Excel, Typing WPM 30, and Switchboard.
Description :
Assisting customers with picking out the best medical insurance plan for their family.
Verifying what medical plan is of interest to the customer and explaining the benefits of that plan.
Helping the clients figure out how much their prescription cost will be when they go to the pharmacy.
Also counseling them on how much their premiums will be per pay period as well as the annual amount of their insurance plan.
In addition, issuing out medical forms for participants to sign to ensure they stay in their medical plan.
Advising them on any discrepancies they might have had on documents that were sent out.
Also assisting them with password resets on their accounts and any ongoing issues they are having regarding their medical carrier.
Experience
2-5 Years
Level
Junior
Education
Bachelor Of Science
Benefits Representative Resume
Objective : Benefits Representative with experience working with multiple departments that require excellent multi-tasking and interpersonal skills Excellent verbal and written communication skills. Proficient in PeopleSoft and SAP. To succeed in an environment of growth and excellence and earn a job which provides satisfaction, self-development and helps to achieve organizational goal.
Skills : 70 Wpm, Computer Skills, Word, Epic, ORSOS, Mede Analytics, IMF, EMR, Citrix Training
Description :
Answered incoming calls to the Team Member Service Center hourly line.
Utilized multiple systems including MAX HR, Payroll, and Call Tracking to research questions.
Escalated calls to the appropriate departments when necessary for further research and follow-up.
Received and processed incoming team member paperwork including I9 documentation and indexing those documents.
Provide consistent feedback and suggestions to improve the process and on-line training manuals.
Trained as temporary Leave of Absence Team Clerical.
Generate and print all letters related to all Leave of Absences types.
Utilize necessary HR Resources and Partners to clarify information as needed prior to processing documents.
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