Benefit Consultant Resume Samples

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W Schmidt

Winifred

Schmidt

448 Marquardt Alley

Los Angeles

+1 (555) 204 5052

448 Marquardt Alley

Los Angeles

Phone

p +1 (555) 204 5052

Experience Experience

Dallas, TX

Benefit Consultant

Dallas, TX

Huels, Champlin and Schumm

Dallas, TX

Benefit Consultant

Reviews and quality checks enrollment paperwork before processing
Creates flyers, pamphlets and event material to support field based lead generation activities
Reviews, quality checks and accurately enters all data/enrollment paperwork into electronic application
Consult with and influence business unit representatives, HR partners, and other stakeholders on wellbeing and work life related offerings
Develop data driven, comprehensive and professional recommendations for HR Leadership and Principal's governing committees
Research, analyze, and design wellbeing and work life related benefit programs that are competitive to attract, retain, engage, and motivate employees
Responsible for the day-to-day account management for routine/ moderately complex client accounts

Houston, TX

Associate Benefit Consultant

Houston, TX

Reichel, Wolff and Hyatt

Houston, TX

Associate Benefit Consultant

Complete plan updates in order to meet turnaround times, quality measurements, and performance guarantees
Oversee design, development, and deployment of Client Benefit Plan Design parameters for new business
Provide consultative services pertaining to benefit set up, new implementations, and special projects
Specialize in claims processing system functionality, including analysis of new and changing system capabilities
Additional job duties and projects, as assigned
Travel and short - term out of town assignments may be necessary
Complete, maintain, and process pertinent documentation records

present

Philadelphia, PA

Lead Benefit Consultant

Philadelphia, PA

Kertzmann, Gerlach and McDermott

present

Philadelphia, PA

Lead Benefit Consultant

present

Creates configuration design documents (CDD). Complete proof of concept (POC) for designs, including testing and validation in dedicated environment, ensuring CDD, is
Responsible for defining the principles of Configuration Design for the KPCC platform to ensure accurate and timely claims payment consistent with the Regional and National artifacts (e.g. contractual arrangement(s) made with the Providers, Employer Groups, etc)
Creates and maintains National Configuration Design Templates as 'Build Artifacts' to be used by Configuration and Testing teams and provides Configuration Subject Matter Expertise throughout Definition, Analysis, Build, Test and Deployment phases
Ensures by working in a collaboration with other teams, that claim codes will inform providers and members as to how the claim was adjudicated (e.g. covered, non-covered/denied, apples to deductible, etc.), per National and Regional documented decisions
Works with the process analysis teams (e.g. BPOR) to define Configuration related business processes
Includes all responsibilities of the Configuration Analyst III and
Manages an assigned book of business and builds, expands, and solidifies relationships with existing clients

Education Education

Bachelor’s Degree in Information Systems

University of Arizona

Bachelor’s Degree in Information Systems

Skills Skills

Intermediate Other Ability to pay close attention to detail
Ability to pay close attention to detail
Ability to work independently
At least 5 years of experience in sales, service or administration of employee benefit plans and have a strong and sound expertise in self-funding
Knowledge of community, state and federal laws and resources
Ability to represent the company with external constituents
Intermediate Ability to work in a fast paced environment with changing priorities
Ability to multi-task
You will lead all deliverables for employee benefit meetings which may include year-end, mid-year projections, renewals and annual enrollment
Ability to effectively present information and respond to questions from families, members, and providers

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11 Benefit Consultant resume templates

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Senior Benefit Consultant / Account Manager Resume Examples & Samples

Advanced knowledge of: 1) insurance products, 2) bid preparation & analysis, and 3) problem claim resolution, specifically including
HMO, PPO, and Indemnity forms of Health, Dental, and Vision plans
Consumer-driven healthcare, wellness, disease management, and current trends
Regulatory environment of employee benefits plans

Benefit Consultant Resume Examples & Samples

May be asked to support and travel to other markets from time to time
High School or GED is required
2+ years of experience in sales is required
Event planning experience is required
Demonstrated organizational skills
Knowledge of healthcare delivery
Demonstrated negotiation skills
Knowledge of community, state and federal laws and resources
Ability to represent the company with external constituents
Demonstrated interpersonal/verbal communication skills
Demonstrated customer service skills
Ability to effectively present information and respond to questions from families, members, and providers
Demonstrated ability to deal with confidential information
Goal and result driven in sales
Medicare Sales Certification and Recertification is required
Licensed Health Insurance is required
Valid Driver's License is required
Microsoft Word is required
Microsoft Excel is required
Microsoft Outlook is preferred

Benefit Consultant Resume Examples & Samples

Required 2+ years of experience in sales Medicare
Required Health, Life Insurance License
Intermediate Demonstrated organizational skills
Intermediate Ability to represent the company with external constituents
Intermediate Demonstrated interpersonal/verbal communication skills
Intermediate Demonstrated customer service skills
Intermediate Demonstrated ability to deal with confidential information
Intermediate Other Goal and result driven in sales
Required Other Licensed Health Insurance
Required Intermediate Microsoft Outlook

Benefit Consultant Resume Examples & Samples

Event planning experience
Microsoft Excel is preferred
Microsoft Outlook is required *LI-Post

Benefit Consultant Resume Examples & Samples

Market Medicaid products to all interested eligible candidates
Conducts individual presentations to perspective members
Provides ongoing assistance to Medicaid members, as necessary, answering questions and/or directing inquiries to Customer Service
Continually monitors activities of health industry competitors and provides information to management
Bachelor's degree or equivalent level of experience
Sales experience in HMO/Managed Healthcare or Insurance Industry
Appropriate Florida Department of Insurance license - No violations or disciplinary actions. 2-40 or 2-18
Oral communication skills sufficient to convey simple messages to co-workers, others in the organization and customers
Interpersonal skills required to work well with others
Computer functional

Licensed Benefit Consultant Resume Examples & Samples

Utilizes territorial model philosophy to maximize marketing efforts in attaining new enrollments
Generates referrals utilizing community resources, supplied company tools, event planning and community networking
Reviews, quality checks and accurately enters all data/enrollment paperwork into electronic application
Contacts approved leads by telephone to set appointments
Required 2+ years of experience in sales
Intermediate Knowledge of community, state and federal laws and resources
Intermediate Ability to multi-task
Required Intermediate Microsoft Word

Key Accounts Benefit Consultant Teams Telecommute Resume Examples & Samples

Manages and is accountable for professional employees and/or supervisors
Impact of work is most often at the local level
HS Diploma or GED
3+ years leadership experience (managing 5 + people who could be classified as Individual contributor)
5+ years’ experience in implementation/installation or business operations
3+ years’ experience within the health care/health insurance industry
Data Analytics – Experience in interpreting data and applying metrics and performance Measurements to identify process improvement opportunities and create mitigation plans
Experience using both written and verbal communication skills to present information to multiple levels of leadership
Ability to use Outlook (email, calendar functions) and Power Point (to create Presentations suitable to present data and information to upper management without editing)
Previous project management experience
Experience using Problem solving methodology such as six Sigma or other such tool
Previous experience within the medical benefits industry
Previous experience in a customer-facing role
Experience in Change management role as a change practitioner or change agent
Advanced Excel knowledge which included ability to create, edit spreadsheet and use formulas and pivot tables
Ability to use Sharepoint file sharing, document management system as administrator or Creator of file system
Strong demonstration of our cultural values and thought leadership
Strategic thinking and strong business acumen
Ability to work in a self-directed manner in a fast-paced environment
Highly flexible, open to change and leading change
Demonstrated leadership of team and development of bench strength
Ability to focus on key metrics and frame overall impact on the business
Demonstrates problem solving skills; ability to dig into details
High employee engagement/manager index/values
Strong analytical and negotiation skills with a proven track record for innovative successful outcomes

Benefit Consultant Resume Examples & Samples

Required Medicare Sales Certification and Recertification
Required Licensed Health Insurance
Required Valid Driver's License

Benefit Consultant Resume Examples & Samples

Manages an assigned book of business and builds, expands, and solidifies relationships with existing clients
May support an Account Executive or a Broker Producer and is the first line of contact when the Account Executive or Broker/Producer is not available
Responsible for the day-to-day account management for routine/ moderately complex client accounts

Benefit Consultant Resume Examples & Samples

Required Other Event planning experience is required
Required Other Medicare Sales Certification and Recertification is required
Required Other Licensed Health Insurance is required
Required Other Valid Driver's License is required
Required Intermediate Microsoft Word is required
Required Intermediate Microsoft Excel is required
Required Intermediate Microsoft Outlook is required *LI-RG1

Benefit Consultant Resume Examples & Samples

Research, analyze, and design wellbeing and work life related benefit programs that are competitive to attract, retain, engage, and motivate employees
Evaluate the company's competitive positioning through analysis of costs, employee needs, industry needs, and legislative requirements
Develop data driven, comprehensive and professional recommendations for HR Leadership and Principal's governing committees
Consult with and influence business unit representatives, HR partners, and other stakeholders on wellbeing and work life related offerings
Develop and maintain relationships with consultants and industry contacts

Benefit Consultant Resume Examples & Samples

Required Other Sales Experience
Preferred 2+ years of experience in Sales
Preferred Other Event planning experience
Required Other Medicare Sales Certification and Recertification OR
Required Other Medicare Sales Certification must be obtained within 90 days of hire

Benefit Consultant Resume Examples & Samples

Overall management and coordination of employer health plan benefits. The Benefit Consultant is responsible for accurately capturing benefit intent, educating the customer on UHC standards, and responding to benefit questions. The Benefit Consultant will document and maintain the customer’s benefit intent through completion of the Benefit Template Builder (BTB) and collaborate with internal and external business partners to ensure employer health plan benefits are set up accurately and expeditiously
Act as the primary point of contact, internally and externally, for all communication regarding benefit intent for self-funded new business, renewals, plan changes and customer funding changes sold by KA Sales
Detail and capture customer plan design requirements and provide proactive solutions to non-standard benefit requests while ensuring system compatibility
Audit Sales documents for adherence to quality measures and reporting standards. Request and follow up with all parties for documents required for the implementation
Facilitate a new business and/or renewal benefit intent meeting with the customer either via a face to face meeting or use of WebEx or other telephonic communication. This is a national position
Preparation of plan materials including the BTB and Benefit Summaries
Ability to independently research and resolve complex issues related to benefits, claim process, regulatory requirements, healthcare reform and State Mandates
Actively participate in or lead cross-functional teams or projects
Research installation issues and develop customer specific resolutions
Attend and participate in Finalist Presentations. May include representing the role of the Implementation Manager and Benefit Consultant. Preparing a PowerPoint presentation for sales approval to present during the Finalist Presentation
Represent and possibly attend in person an internal/external Benefit Intent Audit. Responsibility to professionally represent SGO and UHC, accurately update all documents where errors may have been discovered and expeditiously submit the corrected documents to our Business Partners for correction
Mentor new and existing Benefit Consultants
The ability to work several hours of overtime each week during open enrollment, while maintaining a book of business and traveling. Back-up to other team members and/or Business Manager for customer meetings, health plan meetings, Inventory Management calls, or Leadership calls
Maintain inventory reports and meet TAT requirements to meet department, team and individual MBO
Other duties as required to support the customer implementation process
3+ years of implementation management or customer service related experience in the insurance/healthcare industry
Proficient in use of Microsoft Word (create, edit, read, and write documents), Outlook (create, edit, read, and write email messages and calendar), Excel (create, edit, read, and write spreadsheets), and PowerPoint (create, edit, read, and write presentation slides)
Ability to work overtime during peak periods for several weeks at a time or when requested and to travel nationwide up to 35% of the time (majority in the third and fourth quarter each year)
Proficient understanding of Medical Benefits
Experience with alternative benefits available to educate the customer
Project Management experience or has participated on projects with specific assignments and timelines to meet
Claims processing experience
Medical Terminology
Strong face-out presentation and communication skills, written and verbal at all levels of management
Ability to Multi-task - this includes working in airport, hotel, etc. while traveling to stay current with book of business
Excellent Follow-up skills
Proven expertise with meeting quality

Benefit Consultant Resume Examples & Samples

You will manage an assigned book of business and seek out ways to grow our relationships in the marketplace
You will take a leadership role in maintaining client/carrier relationships
You will drive communication with carriers/vendors regarding group renewals, sales and customer service issues
You will consult on the evaluation and implementation of benefit programs, and provide creative solutions
You will lead all deliverables for employee benefit meetings which may include year-end, mid-year projections, renewals and annual enrollment
Your goals will revolve around account retention and you know what it means to focus and commit to getting the job done

Benefit Consultant Resume Examples & Samples

Markets Medicaid products to all interested eligible candidates
Reviews and quality checks enrollment paperwork before processing
When needed, assists in the creation of materials such as flyers, pamphlets, event material etc
May be asked to support and travel to other territories from time to time
Conducts new member orientations
Required to use personal transportation for appointment with prospective members and events
Required 1+ year of experience in sales in HMO/Managed healthcare, insurance industry and/or event planning
Intermediate Ability to work in a fast paced environment with changing priorities
Intermediate Demonstrated written communication skills
Required Other State required certification must be obtained within 90 days of hire

Benefit Consultant Resume Examples & Samples

Sales Experience is required
2+ years of experience in Sales is preferred
Event planning experience is preferred
Demonstrated customer service
Medicare Sales Certification and Recertification is required OR
Medicare Sales Certification must be obtained within 90 days of hire is required

Lead Benefit Consultant Resume Examples & Samples

Includes all responsibilities of the Configuration Analyst III and
Responsible for defining the principles of Configuration Design for the KPCC platform to ensure accurate and timely claims payment consistent with the Regional and National artifacts (e.g. contractual arrangement(s) made with the Providers, Employer Groups, etc)
Creates and maintains National Configuration Design Templates as 'Build Artifacts' to be used by Configuration and Testing teams and provides Configuration Subject Matter Expertise throughout Definition, Analysis, Build, Test and Deployment phases
Works closely with Claims, Provider Contracting and Benefit Administration teams for interpretation/clarity of Regional and National contracts, benefits sold and approved benefit policies and ensure consistency and compliance to design definitions across applications and informs them of benefits or provider contracts that are not configurable and may require manual processing
Works with the process analysis teams (e.g. BPOR) to define Configuration related business processes
Ensures by working in a collaboration with other teams, that claim codes will inform providers and members as to how the claim was adjudicated (e.g. covered, non-covered/denied, apples to deductible, etc.), per National and Regional documented decisions
Evaluates how all users of the KPCC Platform may be impacted by Provider or Benefit configuration (e.g. Utilization Management and Benefits and Membership Systems) teams and act as a Configuration Design Subject Matter Expert to others within Claims, Contracting, Benefits Administration or Customer Service, as needed
Understands 'shared platform data' (e.g. Master Files used to support Provider and Benefit configuration, Reason/Hold Codes, Fee Schedules, etc.) and makes recommended changes that are needed to have accurate and full configuration build as well optimal Platform Design while working with KPIT and HealthConnect teams
Creates configuration design documents (CDD). Complete proof of concept (POC) for designs, including testing and validation in dedicated environment, ensuring CDD, is
Lead areas of configuration designs for one or more areas, including areas outside of Claims, within ClaimsConnect Platform
Complete POC in sandbox environment
Complete Cross Functional Analysis, which involves reaching out to additional team members or customers to understand cross-functional needs
Performs Root Cause Analysis of defects, categorizing and assigning defects to correct areas, possibly re-designing configuration
Working closely with regional stakeholders to ensure designs meet business requirements
Travels for team meetings up 25% of the time
Owns SBAR (Situation, Background, Alternative, Recommendation) process and presents results to Sr. Leaders
Certification in 3 Tapestry modules
Medical and billing coding certification
Certification requires a minimum of 80% exam score with a 100% score on the associated projects
Knowledge of Kaiser Permanente Internal processes
Knowledge of Epic Tapestry Modules

Associate Benefit Consultant Resume Examples & Samples

Oversee design, development, and deployment of Client Benefit Plan Design parameters for new business
Provide consultative services pertaining to benefit set up, new implementations, and special projects
Complete, maintain, and process pertinent documentation records
Complete plan updates in order to meet turnaround times, quality measurements, and performance guarantees
Work with other corporate departments, clients, and third - parties to solve benefit plan issues as needed
Specialize in claims processing system functionality, including analysis of new and changing system capabilities
Monitor and expedite resolution of escalated point of sale issues
Work with Lead Benefit Consultants to problem - solve complex custom plan design set up and utilize RxClaim functionality to meet client business needs
Travel and short - term out of town assignments may be necessary
Additional job duties and projects, as assigned
Ability to develop and process documentation
Ability to read, analyze, and interpret general business and / or technical procedures
Ability to multitask and meet deadlines in a fast-paced business environment and adapt to a changing work environment
Ability to define and document detailed client benefit designs
Client - facing skills and the ability to effectively present information and respond to questions from managers, clients, and customers
Previous experience being self- directed, prioritizing caseloads based on business and customer needs

Senior Client Benefit Consultant Resume Examples & Samples

Provide operational support for assigned benefit implementation, on-going plan changes and renewal activity. Configure client requirements directly into Foundation 14 (real-time)
Review, analyze and verify intent of assigned benefit set ups as they relate to products and programs. Identify and communicate need for customization to support client benefit requirements; attend client calls/meetings as needed; attend internal validation /CLASS meetings; identify interdependencies with cross-functional programs; run customized/scheduled reports, manage performance guarantee tracking and report distribution for internal/external customers as requested
Adhere to all organizational SOPs and Compliance standards; provide subject matter input as it relates to checklists and SOPs; comply with CBA CEM document and retention requirements
Assist with operation input related to new product development; identification, research and resolution of operational issues; provide training and mentoring for new team members, off-shore and contingent employee resources
Provide assistance to team members with issues needing technical expertise and client specific requirements interpretation. Provide on-the-job training for new or existing team members
Bachelor’s degree or 8 – 11 years of equivalent work experience
2-5 years relevant experience or Master’s degree and 0-2 years of relevant experience; Preferred experience in PBM and benefit set up knowledge
Strong PC skills and knowledge of Microsoft Office Suite and SharePoint
Excellent written and oral communication skills along with demonstrated presentation skills; Detailed oriented with strong analytical and problem solving skills; Ability to work collaboratively with other departments to resolve complex issues with innovative solutions; Ability to manage timelines and meeting tight deadlines; Ability to adapt in a dynamic work environment and make independent decisions; Good organizational, prioritizing skills and ability to multi-task; Strong customer service focus; Demonstrated ability to work with other departments/teams to resolve issues

Onsite Benefit Consultant Resume Examples & Samples

*Travel is required 1 day a week to the RI location
Serves as a resource to others
Bachelor's Degree (or higher) or High School Diploma / GED with 3+ years of Health Care Insurance industry experience
20% travel required
4+ years of Customer Service or Client Service experience
2+ years of Health Care Insurance industry experience
Microsoft PowerPoint (Ability to navigate and present slideshows / decks)
Microsoft Outlook (Ability to send, receive, reviewing emails)
Microsoft Word (Ability to create and edit documents)
Experience with Union
Experience with UnitedHealth care claims processing systems