RESUME
MARY E. ROBLES
Home 510. 828. 2235
Email: merobles11@aol.com
OBJECTIVE
I am seeking employment at a progressive company that offers a stimulating/friendly work environment, growth opportunities and aggressive compensation to match my professional experience, analytical abilities and up beat/friendly personality. I would welcome the opportunity to learn other facets of the Human Resources tasks.
QUALIFICATIONS
Specialty:
Experience in the follow: benefits administration, Carrier billing reconciliation, payment posting, collections, reporting, quality assurance, team player, great customer service skills.
Technical:
Windows98/00/XP, MS Word, Excel and PeopleSoft & PeopleSoft HRIS, Benefit Connect(main record keeping database), GIBS (billing/premium), Internet, MS Outlook mail. Vitech Production (main record keeping database)
Administrative:
46 WPM, 10-key (touch), Keyboard typing Alpha 8100 keystrokes with 80% accuracy, Numerical -9240 keystrokes with 99% accuracy. Copy/Scan documents. Project and account management, multi-tasking
Personal:
Extremely bright and capable with a great attitude and a friendly/upbeat personality. Capable of producing accurate work while working in a fast/ demanding work environment. Great work attendance and self- motivated. team player.
Accomplishments:
• Implemented a “Medicare Eligibility” process in bring EBS (Employee Benefits Specialists) in compliance.
• Established a reputation for being highly reliable and personalized service to the “Retiree” population for Mervyns & EBS.
EMPLOYMENT
Randstad Agency
(Ross Corporate) Pleasanton. CA 8/2010 - to current Temp Assignment/Benefits
• Responsible for taking the calls via the “Benefits hotline”. Answer the phone and resolving issues. Investigate, respond and find solutions to all associate complaints in a timely manner.
• Process any premium adjustments to insure accurate collection of outstanding premiums for retroactive enrollment for Non exempt and Exempt associates.
• Process court documents to insure coverage requirements as indicated and respond to subpoenas Processing of verifications.
• Sort and distribute incoming mail.
• Provide support and consultations to District HR staff and or store Managers regarding eligibility issues.
• Custodial of personnel records. Created labels for folders to be filed in High Density files.
Rose International Agency
(Kaiser Permanente HR Service Center) Alameda, CA 8/09 - 4/2010
Temporary Assignment-completed/Benefits Analyst
• Call center handling inbound calls (45 or more calls per day)
• Quoted Employees' various benefits according to their specialized Benefits by designs or Summary Plan Descriptions.
• Resolved eligibility issues.
• Routed eligibility issues, researching of employees’ files, etc to the proper department(s).
• Documenting with details of the conversations for each Employee’s files.
• Reviewing and searching for Employee's paperwork received by Kaiser pertaining to the Employees' benefits to determine validity of paperwork and for benefits to be processed.
Nelson Staffing Agency
(Blackhawk Network) Pleasanton, CA 11/08 - 12/08 Temp. assignment-completed
Customer Service and Collections
• Retrieved phone messages, logged messages into an Excel spreadsheet and returned phone calls regarding updating customers gift card supplies.
• Collections of unpaid invoices 90 days and older.
Provided missing invoices to the clients
Resolved billing issues.
Credit/Collections Analyst (Permanent Employee)
Westaff Staffing, Walnut Creek, CA 7/07 - 8/08
• Collections of unpaid invoices beginning at 30 days and beyond.
• Run queries, aging reports, credit reports.
• Responsible for credit analysis of customers accounts to lower/raise their credit limits.
• Provide customer service.
• Provide missing, skipped invoicing/time cards.
• Liaison for the branch office and the customer. Also for payroll, A/R departments.
• Duties included making necessary adjustments to billings statements generated in error.
• Heavy phone, email correspondence.
• Special projects as needed by management
Members Service Rep.(Permanent Employee)
UFCW Employers Benefit Plans Trust Fund, Walnut Creek, CA 10/2006 – 7/07
• Inbound/Outbound call center, handled and conducted an average of 90-100 calls per day.
• Quoted the members benefits to inquiring Physicians, members, medical assistants.
• Problem solving for medical claims as to why a claim on a pending status. Determining if a claim is needed COB/Accident inquiry information/medical notes/student certification/eligibility, etc.
• Explaining the inquiries to vendors/Doctor office/members on how a claim has processed/paid.
• Liaison for the caller to the various departments (sick leave/medical claims/RX eligibility/accounting.
• Quoting eligibility.
• Documenting all member’s files after each call.
• Critiquing/Generating various types of letters by mail to Doctor office/billing departments/members, etc
• Verified Prescription eligibility via Prescription Solutions website.
Retiree Administrator (Permanent Employee)
Employee Benefits Specialist, Pleasanton, CA 4/2005 - 7/2006
EBS is a TPA to County/City/School District/Municipality employers. Administrating the “Retiree” benefits.
• My primary duties are and not limited to: processing the employer’s unique/special/standard retiree benefit elections/changes.
• Create/maintain/calculate various combinations of benefits that are critiqued to a premium and billing.
• Creating/maintaining/set-up of benefit plans/attach the premium to various combinations of plans/various levels of special benefit plans for the main record keeping database/billing system.
• Resolving retiree/vendor/employer related issues.
Reconciled carrier invoice reconciliation.
• Liaison for the retiree to their employer/vendor/broker.
• Heavy correspondence.
• Monitor/reporting of eligibility for Medicare aged of retiree/or spouse.
Generate queries for various, “as needed/regular reports for my auditing purposes on a daily/weekly/monthly basis as well as run special reports for the employers.
• Handled high volume of calls.
• Handled special projects/assignments as needed.
• Training of new employees.
Collections Rep (Permanent Employee)
Westaff Corporate, Walnut Creek, CA 1/2005 – 3/2005
• Aging reports for 30-120 days.
• Maintained/contacted branch personnel in regards to payment discrepancies.
• Account adjustments.
• Pulled/faxed invoices to clients/branch personnel.
• Followed up with branch personnel and clients.
• Critiquing demand letters to delinquent accounts.
• Handled calls on delinquent accounts that were 45-120 or more days delinquent
• Reviewed/evaluated any credit limits on accounts.
• Handled the Mid-West/East Coast/West Coast branches.
Retiree Specialist (Permanent Employee)
Mervyns, Hayward CA 9/2000 - 12/2004
• Primary functions are delivering benefit administration services for the Retirees’. Responsible for both delivering standardizing services and responding to and meet retirees’ unique benefit plan support needs.
• Processed adds, deletes and billing adjustments; eligibility and premium reporting;
• Resolved vendor/retiree related issues.
• Data entry with accuracy.
• Payment posting; benefit payments ($20,000 - $70,000 weekly).
• Reconciled all HMO invoice reconciliation.
• Heavy computer and telephone interface.
• Responsible for auditing of a quarterly report that involved in identifying TM’s which were claimed an “exempt or “10 or more dependents’ on their W’4 status. Provided the information to the IRS.
• Provide policy interpretation.
• Handled various monthly/quarterly and “as needed’ special assignments as required by management.
Lead Health Insurance Analyst (Permanent Employee)
American Protective Services, Inc., Oakland CA 10/88 - 8/00
• Maintained and determine client eligibility. Research and maintain client account history.
• Resolved payroll issues.
• Run statistical reports.
• Process employee status changes.
• Provide policy interpretation.
• Distribute insurance correspondence.
• Reconciled monthly carrier's invoice reconciliation.
• Training of new employees.
• Coordinate yearly open enrollment.
• Handled special assignments as needed.
Payroll Representative (Permanent Employee)
American Protective Services, Oakland, CA (1988- 1992)
• Time keeping
• Issued corrected/special checks (daily).
• Issued corrected W2’s
• Research and resolved payroll discrepancies.
• Audited employee personnel files for accuracy and completeness.
• Customer service liaison to branch office personnel, security officers and administrative employees.
• Handled special assignments as required.
No comments:
Post a Comment