Hi, I’m
Kiran Kumar
Senior Benefits Specialist
Thunagnagar, Bengaluru,KA
Summary
Results-driven Benefits Analyst experienced in structuring programs and administering benefits in fair and equitable fashion. Diplomatic, articulate and decisive with capability to build and develop productive relationships with internal and external stakeholders. Desiring to offer expertise in field and excellent judgment to challenging role.
Overview
7
years of professional experience
Work History
JP Morgan ChaseBangalore, Karnataka
Senior HRSD Specialist
11.2021 - Current
Job overview
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions.
- Processed monthly remittance and reconciliation for various benefit plans.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Advised managers and employees on state and federal employment regulations, collective agreements and classification programs.
- Delivered targeted advise on issues such as applicable employment regulations, compensation strategies and internal systems to help companies update antiquated or ineffective approaches.
- Organized positions by factors such as salary and status to develop effective categories and operational strategies.
Arctern Consulting PVT LTDBangalore, Karnataka
Benefits Specialist
04.2020 - 11.2021
Job overview
- Responsible for verification of specific payroll payments (holiday, longevity, per diem, sick pay etc.) and payroll set ups (Per Diem, Exempt and others) in compliance with defined company policy to include state and federal regulations
- Duties and Responsibilities:
- Ensure accurate and timely validation and processing of sick pay, holiday pay, PTO, longevity pay outs
- Ensure accurate set up and processing of per diem and salary exempt
- Gain understanding and expertise in Volt’s Pay-Bill Processes
- Compile and publish metrics pertaining to compliance team functions
- Identify trends and recurring issues, if any, based on compliance review and escalate as necessary for process improvements
- Participate in internal audit reviews as required
- Communicate with corporate departments, branches and customers/vendors as needed to improve processes, and to satisfy customer/vendor requirements
- Follow established policies and procedures to ensure all processing deadlines are met, inform supervisor in a timely manner if any deadlines are at risk
- Compile and keep up to date policies and procedures (Min
- Wage, Sick Pay Plans), and all desktop documentation
- Provide Customer Service both internally and externally, in an efficient and effective manner
- Problem Solve and Resolve issues/concerns as they arise on a proactive basis with branch staff, corporate staff, Customers, and in-house staff as needed
- Notify supervisor if issues cannot be resolved in a timely manner
- Provide SAS management with feedback on ways to improve the work environment, procedures and work performed.
Fidelity InvestmentsBangalore, Karnataka
Senior Process Associate
03.2017 - 04.2020
Job overview
- To understand the clients Health care business processes, objectives, and help mapping current process of administrating benefits and proactively proposing improvements
- Understanding the Health care business requirements, document all information gathered and actively coordinate with Project Managers, Client Service Managers, Technical teams to achieve the Clients goals
- Research and resolve benefits, claims issues pertaining to plans and regulatory compliance including COBRA, Medicare, federal and state insurance laws
- Engage with client and vendors to perform at high level of service and according to service level agreements
- Responsible for reviewing carrier files (Humana, Cigna, BCBS, Aetna, Anthem etc.) for the client requirement as part of on-going projects like Pre 65 populations, Post 65 populations
- Execute and own research initiative and the analysis and resolution of technical issues resulting from operational breakdowns or system outages
- Perform Gap Analysis and Audits to provide advice to internal business groups on process improvement projects by analyzing business process flows and identifying changes
- Proactively work with the lead to help monitor progress of projects, addressing issues a recommending course correction as needed
- Assist with COBRA, Retiree, Active, Medicare plan administration, coordinate with benefits presentation
- Work within monthly deadlines and within service level agreements to ensure Customers records are processed timely
- Project support and testing for HRIS system update and user support for online benefits administration system for Active, Retiree, Medicare and Medicaid participants
- Organize open enrollments for Medical/Voluntary benefits plans
- Create and update the client requirements documentation for major client driven enhancements and regulatory changes
- Provide information to educate support teams on Business Partner/client priorities
- Analyze, define and reduce problems to manageable parts and apply practical methods of solution.
US Health care, Hinduja Global Solutions LtdBangalore, Karnataka
Claims Processing Executive
06.2014 - 11.2016
Job overview
- Review and Research Medical, Medicare claims which are submitted by providers from U.S and process medical billing
- Cross trained to work on multiple claims processing in different platforms (CAS and MTV at HGS)
- Worked on Medicare claims Project to automate the current process
- Identifying different claims such as In-patient, Out-patient , Ambulatory, In-Network, Out of network and work with team to process accordingly
- Using the tools like Interest Calculator, contract information system and Query Document
- Resolving the issues like less payment issues, high aging of pending claims in CAS
- Work according to the inventory status of Claims and other issues related to medical claims
- Assisting the team lead in compiling the production and quality report for weekly team meeting.
Education
G.T.Institute of Advance Studies
MBA from Finance and Marketing
G.T.Institute of Advance Studies
BBM from Finance and Marketing
Harward PU College
Pre-University
Sri Vinayaka High School
High
Skills
People Soft
undefinedTimeline
Senior HRSD Specialist
JP Morgan Chase
11.2021 - Current
Benefits Specialist
Arctern Consulting PVT LTD
04.2020 - 11.2021
Senior Process Associate
Fidelity Investments
03.2017 - 04.2020
Claims Processing Executive
US Health care, Hinduja Global Solutions Ltd
06.2014 - 11.2016
G.T.Institute of Advance Studies
MBA from Finance and Marketing
06.2016
G.T.Institute of Advance Studies
BBM from Finance and Marketing
05.2014
Harward PU College
Pre-University
05.2011
Sri Vinayaka High School
High
06.2009
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