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benefits analyst

  • Researched Medicare coverage database
  • Determined coverage for medical services within Medicare guidelines and Sterling benefit plans
  • Configured codes in the database
  • Inquired and resolved a high volume of claims on a daily basis
  • Processed grievances and appeals
  • Liaised with other departments to resolve claims issues

senior benefits analyst

  • Responsible for third-party administrators, carriers and benefit vendor relationships.  
  • Led annual enrollment process, including coordinating renewal activities through multiple vendors, project management of system set-up and programming, perparing cost-sharing strategy and overseeing design, development and distribution of communication materials.  
  • Supported labor negotiations by providing analysis, costing and recommendations.  
  • Managed multiple vendor RFP processes through selection and implementation; managed implementation of COBRA and Benefits Billing module in PeopleSoft.
  • Responsible for Sarbanes-Oxley compliance review of benefit plan procedures, designed and implemented HIPAA policy and procedures.

benefits analyst

  • Executing all phases of the sales cycle
  • Advising potential customers on the appropriate insurance product based on their specific needs, industry experience and their medical history
  • Demonstrating deep knowledge of health insurance products in the UAE
  • Communicating unique selling points of Bayzat to clients
  • Liaising with insurers to streamline policy acquisition
  • Liaising with insurers on behalf of clients to ensure communicated benefits of policies are maintained
  • Providing feedback to Bayzat on client experiences with different health insurance products

benefits analyst

  • Ability to read client plan(s) and provisions and translates to the ongoing processing environment. 
  • Responsible for administering open enrollment, including design of process, employee communication, coordinating with providers for electronic eligibility files, and working with payroll department to ensure accurate payroll deductions. 
  • Provides health & welfare benefit conceptual & technical guidance and support to service associates to resolve product and client issues by utilizing extensive product knowledge, problem solving skills and troubleshooting experience. 
  • Researches Plan Rules to ensure compliance and to resolve plan administration questions/issues resulting from audit. 
  • Works with the client, 3rd parties, Shared Services, Customer Service and the Implementation
  • Delivery Group to resolve participant and plan administration issues. 
  • Manages inbound/outbound data quality checks, executes year-end processing, and reporting (government, plan, client, internal team etc.) 

benefits analyst

  • Providing feedback to the tech team on performance of web and mobile platforms of Bayzat Benefits
  • Effective management of sales pipeline in order to maximise revenue potential
  • Exercising sales and people skills in order to meet revenue targets
  • Identifies potential production defects and submits via defect submission process. 
  • Supports Benefits Delivery Manager in managing costs through process improvements and by performing financial management activities. Completes reconciliations/balancing, and performs processing verification. 
  • Advises on the training efforts for Customer Service associates, Shared Services, Global Delivery Teams, and for new associates joining team,