Jayde Gaffny, FAHM

Experience

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  Wellpoint

  Jan 2008 - Jun 2012

  Planned, managed, and conducted enrollment presentations for new and existing clients. Provided information regarding product enhancements and changes to internal procedures. Assisted in education, coordination, and product installation. Developed and maintained effective relationships with existing accounts, members, and brokers. Responsible for the management of assigned accounts and tasks associated to the sale, enrollment, consultative, and administrative support. Resolved service related issues within book of business. Maintained eligibility data and provided reporting to brokers and clients. Responsible for effective communication and coordination within Anthem’s business units. Show less

  • Account Service Representative

    Apr 2011 - Jun 2012

  • Electronic Enrollment Representative

    Jan 2008 - Apr 2011
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  Mercer

  Jun 2012 - Oct 2014

  Analyst

  Assigned clients typically exceeded 100K actively enrolled employees. Actively engaged in all aspects of Benefits Administration for fully outsourced contracts including deduction management, evidence of insurability management, and enrollment management. Primary responsibilities included process engineering, training, system testing, communication management, dependent verification process ownership, life event validation, carrier file audits, EDI delivery, and member escalation resolution. Responsible for development and execution of process training for on-and-off shore team members. Monitored and trended incoming service issues and assisted in resolution. Show less

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  EBS Capstone

  Oct 2014 - Jan 2016

  Benefits Analyst

  Provided support to assigned clients throughout each stage of the on-boarding and renewal process. Calculated monthly medical loss ratio (MLR), prepared benchmarking presentations, marketing presentations, and managed claims reporting. Coordinated and participated in benefit fairs, strategy sessions, and renewal meetings. Served as the first point of contact for service issues related to compliance, claims adjudication, and quality. Provided Benefit Administration solution guidance and subject matter expertise. Show less

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  Marsh & McLennan Agency - New England

  Jan 2016 - Sept 2016

  Associate

  Provided insight and broad knowledge of employee benefits to MMA’s clients. Worked closely with consultants in the development and execution of project plans. Supported the RFP, renewal, and implementation process. Collected, validated, and presented benchmark survey data. Served as a general employee benefits subject matter expert, managing service issues and resolutions. Conducted claims utilization review and strategy presentations. Assisted in the implementation of MarketLink, MMA’s white-labeled Benefits Administration solution. Provided general subject matter expertise with regard to benefits administration technology. Show less

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  Ihouse, a HUB International company

  Sept 2016 - Apr 2018

  Consultant

  Primary responsibilities include Benefits Administration and HRIS system analysis, process analysis, and vendor selection process management. Conducts a thorough review of the entire employee lifecycle. Provides detailed documentation outlining areas where efficiency can be experienced by process modification and/or the introduction of new technology. Facilitates requirements gathering sessions, develops demonstration scripts, and manages all aspects of the RFP process. Evaluates and scores vendor responses regarding functionality and pricing. Presents findings to clients and performs additional research as required. Additional duties include providing client-side implementation and Open Enrollment project management. Show less

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  Businessolver

  Apr 2018 - Feb 2021

  Operations Leader, Client Services

  Businessolver is a benefits administration and employee engagement platform. Delivering an industry-leading benefits experience and driving results through innovative technology for employers and employees alike by transforming the annual enrollment experience into a year-round personalized journey.

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  League

  Feb 2021 - now

  Jayde Gaffny is a Director at League. Founded in 2014, League is a platform technology company powering next-generation healthcare consumer experiences. Payers, providers, consumer health partners and employers build on League's healthcare CX platform to deliver high-engagement, personalized healthcare experiences consumers love. League recently announced a $95 million funding round led by TDM Growth Partners, backer of breakthrough platforms Square, Twilio and Slack, bringing the total funding to $220 million Show less

  • Director

    May 2023 - now

  • Principal

    Feb 2021 - Jun 2023