Benefit Consultant Resume Sample
Wilmer Gaylord
54201 Abernathy Springs,
New York,
NY
+1 (555) 938 6531
Work Experience
Lead Benefit Consultant
05/2018
-
PRESENT
Philadelphia, PA
- Demonstrated advanced competency in medical coding, medical terminology, claims processing, logical thinking and understanding of relational database is required
- Strong critical thinking and analysis skills; verbal and written communications, and interpersonal interactions (e.g. partnering, conflict management, consulting, etc.)
- Advanced proficiency in Microsoft Office Suite of products
- Expert knowledge in Claims and provider contracts in the appropriate Regional Claims system
- Define design principles, concepts, practices, and standards
- Thorough knowledge in healthcare benefits, benefit administration and health care delivery from either/both a payor or provider perspective, EDI and paper claim lifecycle, along with health insurance industry practices and standards
- Maintains dis-enrollment rate that is deemed acceptable from the company
Benefit Consultant
10/2014
-
11/2017
Detroit, MI
- Generates referrals utilizing community resources, supplied company
- Tools, event planning and community networking
- Work with Lead Benefit Consultants to problem-solve complex custom plan design set up and utilize RxClaim functionality to meet client business needs
- Able to manage a multitude of details (including paperwork); stays proactive while juggling these issues
- Possess a natural inclination to reach out, build relationships, and uncover issues before the client calls HUB
- Very comfortable with typical business technology including voice mail, e-mail, word processing, spreadsheets, and presentation software
- Consults with various departments for highly complex project initiatives impacting benefits
Employee Benefit Consultant
10/2010
-
08/2014
Houston, TX
- Identifies benefit impacts and leads the benefit process EBA
- Partners with various business partners to provide input on benefits and alternatives while considering the current benefit plans, portfolio and future additions
- Acts as single point of contact for benefit coding during the implementation of benefit coding
- Monitors and escalates issues to appropriate leaders
- Develops project plans and coordinates benefit coding resources
- Sticks to deadlines and maintains a healthy project environment
- Understands the vision and direction of the project and aligning the team to work towards it
- Services existing book of business including being an advocate for clients with insurance carriers, third party administrators, service staff and professional resources
Education
University of Mount Union
2006 - 2010
Bachelor's Degree in Health
Professional Skills
- Experience in prioritizing caseloads based on business and customer need
- Three to five years of experience in benefits including a strong knowledge of self-insured plans, ancillary lines, and current legislation
- Experience in Benefit Administration with RxClaim / AS400 platform experience
- Experience in Benefit Administration with RxClaim / AS400 platform experience
- Prior Healthcare Benefits experience
- Microsoft Word experience including creating / updating documents
- Microsoft PowerPoint experience including creating / updating presentations
How to write Benefit Consultant Resume
Benefit Consultant role is responsible for government, travel, insurance, design, analysis, database, software, etc.), health, administration.
To write great resume for benefit consultant job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Benefit Consultant Resume
The section contact information is important in your benefit consultant resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Benefit Consultant Resume
The section work experience is an essential part of your benefit consultant resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous benefit consultant responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular benefit consultant position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Benefit Consultant resume experience can include:
- Previous experience working on large projects
- Experience in implementation/installation or business operations
- Experience within the health care/health insurance industry
- Experience with Healthcare claims
- PBM experience
- Administrative experience with extensive exposure to benefit administration
Education on a Benefit Consultant Resume
Make sure to make education a priority on your benefit consultant resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your benefit consultant experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Benefit Consultant Resume
When listing skills on your benefit consultant resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical benefit consultant skills:
- Critical thinking and good judgment to quickly determine and prioritize key issues
- Maintains a solid understanding of all ABRC products and continually updates that knowledge
- New client implementation or onboarding experience
- Microsoft Excel experience including spreadsheet creation and formula manipulation
- Experience working within the Healthcare Industry, in Account Management and / or a leadership role
- Pharmacy claims knowledge or related experience with a general understanding of plan benefit design
List of Typical Skills For a Benefit Consultant Resume
1
Skills For Lead Benefit Consultant Resume
- Valid Driver's License required LI-RG1
- Valid Driver's License is required LI-RG1
- Experience with Healthcare claims
- Poses a complete and thorough understanding of employee benefits insurance
- General understanding of plan benefit design
- Microsoft Outlook is required LI-Post
2
Skills For Associate Benefit Consultant Resume
- Microsoft Outlook is required LI-RG1-RG1
- Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, and long periods working at a computer
- Travel is required 1 day a week to the RI location
- Consider yourself a self-starter, self-motivated, assertive, enthusiastic, high energy, self-directed and people oriented
- Knowledge of Medicare Part D pharmacy plan regulations and other government pharmacy programs
3
Skills For Onsite Benefit Consultant Resume
- Travel required - 55-60 miles from client site to client site
- Microsoft Outlook (Ability to send, receive, and review emails)
- Availability to travel less than 10%
- Other Goal and result driven in sales
- Insurance Industry and/or Benefits experience which could be achieved through any of the following: insurance agency or insurance carrier experience, or HR Benefits role
- Life and Health and Property Casualty Licenses required within 3 months of employment – preference given to those with existing insurance licensing
4
Skills For Senior Client Benefit Consultant Resume
- Intermediate goal and result driven in sales
- An earned Louisiana Life and Health license
- Excellent communication and presentation skills (listens, speaks, and writes well); able to interact effectively with people of various responsibility and authority (employees, key contacts, executives, etc.)
- Medicare Sales Certification and Recertification OR
- Licensed Health Insurance
- Pharmacy claim knowledge
- Outlook is required
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