Patricia Ramos

Experience

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  Mercer

  Oct 2008 - Feb 2013

  Participant Service Rep

  • Answer inquiries and handle problem resolution on FMLA and health & welfare benefits issues. Starting FMLA claims, sending claim forms and requirements to applicants meeting DOL compliance. Verifying FMLA claims status with third party administrators.• Provide participants with a comprehensive understanding of the benefits package offered to them (medical, dental, vision, disability, etc...). Also assist participants with enrolling into their benefits, PIN resets, website navigation, and payroll and claims issues. Show less

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  National Oilwell Varco

  Feb 2013 - Aug 2016

  Benefits Coordinator

  Responsible for directing and planning the day-to-day operations of group benefits programs (group health, dental, vision, short-term and long-term disability, life insurance, travel and accident plan, flexible spending plan, 401(k) plan and retirement plan). EOI tracking and approvals processing on vendor’s portal, and approving benefit on house eligibility system according with IRS, ERISA, HIPPA, PACCA, and COBRA guidelines.• COBRA initial enrollments for employees and dependents on vendor’s portal. Completing Employer’s portion of Medicare Forms for retirees. Completing Insurance Conversion forms for vendor process. Dependent verification.• Provide excellent customer service and monitors benefits administration as well as provide analytical and technical support in the delivery of the Benefits program. • Provide timely and concise follow through on participants’ inquiries and issues. Employees’ Relations such as payroll, eligibility escalations to HR, vendors and payroll department completing tasks effectively and timely manner. Show less

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  Arthur J. Gallagher

  Aug 2016 - Jan 2019

  Benefits Advocate

  • Acknowledged clients and employees’ issues and resolved their problems quickly and efficiently, going Above and Beyond to meet clients’ expectations of service. Assisted employees with understanding and processing of their Health and Welfare Benefits (medical, dental, vision STD, LTD, Life), claims and eligibility applying IRA and companies’ time frames and guidelines.• Collaborated with management, administration, client and vendors, following up with updates and necessary documentation to ensure a successful resolution to eligibility, enrollments, claims and payroll issues according with ERISA, HIPPA, PACCA, and COBRA guidelines.• Handled calls and correspondence requests (Medicare Forms, QMCSO, death claims), that are predominantly routine but may require some deviation. Proven ability to think laterally, providing ideas and solutions. Show less

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  LifePoint

  Mar 2019 - Aug 2022

  Benefits Analyst

  Client service team benefit management for 3rd party clients with Ariel Benefits system; analysis of clientHRIS and carrier error reports; perform QA on EDI carrier data exports; research and correct Ariel accounterrors from carrier discrepancy reports; perform third-tier manual updates for enrollment issues; partnerwith call center management to ensure incoming member calls for the client are processed correctly;Ariel case manager logs and incoming client tickets; perform data analysis with SQL queries and Excel;verification of annual enrollment data for multiple vendors; data cleanups on system and account data;UAT and PROD system testing for ongoing releases and deployments; provide training to offshore teamfor outsourced tasks.Benefits Advocat Show less

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  Took career sabbatical to take care of parent August 2022-Present

  Sept 2022 - May 2024

  Took career sabbatical to take care of parent August 2022-Present

  Took career sabbatical to take care of parent August 2022-Present

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  EIT Benefit Funds

  Jul 2024 - now

  Benefits Specialist

  Support STD Department and Benefits Administration