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Vikram Kapoor
2818 Mary Street • Pittsburgh, PA 15203
Primary Phone: 412 - 491 - 6980 • Email: vik.kapoor71@gmail.com
Highlights of Achievements:
• Assisted in design and implementation of HR Call Center across several HR disciplines.
• Established goals and metrics for HR call center, called “One Stop Issue Resolution.”
• Developed and implemented Variable Compensation Model for dental affiliates.
• Negotiated plan renewals resulting savings ranging from $60,000 - $250,000.
Professional Experience
Eighty-Four Lumber Company September 2007 – Present
Benefits Manager (Pittsburgh,PA)
• Strategic planning, implementation, and enhancements to health and welfare plans
• Manage the strategic planing and administration of health benefit programs including online
enrolment , maintaining vendor contracts, policies and employee communication for 7,000 plus
employees
• Analyze existing associate benefit plans, considering cost/loss trends, new industry developments
and market trends.
• Recommends changes to Company’s plans to ensure they remain both competitive and cost-
effective within industry
• Review and conduct benefit plan audits and ensure government compliance of policies
• Experience bidding and contracting with providers of benefits services (insurance carriers,
administrators, recovery firms)
• Developed and implemented new Family Medical Leave of Absence Management program,
resulting in substantial cost savings
• Explain and manage benefit plans and administer Open Enrollment and plan renewal.
• Manage all aspects of COBRA administration
American Dental Partners, Inc. 2006 – 2007
Benefits Administrator (Pittsburgh, PA)
• Developed, analysed, designed and led implementation of Variable Compensation Model for
Dental affiliates
• Provide strategic HR support to area business leaders and multiple dental affiliates across country,
including staffing, performance management and assist in improving system processes
• Responsible for researching, counselling, consulting and providing employee relation services to all
levels of employees
• Negotiated healthplan renewal from a 15% increase down to a rate-hold, saving company
approximately $5,600/month ($67,000 annually) in premium savings
• Responsible for multiple facets of benefits administration including healthplan vendor account
reconciliation, including billing and eligibility issue resolution
• Manage open enrolment process for all employees (approx 2,200) across multiple platforms
including new affiliations joining American Dental Partners, Inc.
• Analysis of monthly healthplan invoice resulted in cost savings of $1,000 - $3,000/month
• Responsible for administering benefit enrolments, handling employee questions regarding benefit
plans and options available, verify eligibility for new hires across multiple platforms
• Responsible for COBRA administration across multiple states and advise employees/managers of
COBRA policies & procedures and unemployment claims and related issues
• Scheduling interviews, notifying candidates of status in recruiting process, creating and sending
offer letters, completing background checks and scheduling and conducting new hire orientation.
• Responsible for FMLA administration, documentation, tracking and various HR regulation issues,
including Workers Compensation, Short-term Disability tracking and Flex Spending administration
• Conduct new hire orientation for PA Resource Group and dental affiliate
• Responsible for handling terminated employees issues including unemployment claims
Gallagher Reppond 2004 – 2005
Marketing Analyst (Bellevue,WA)
• Negotiated medical renewal plan from 25% increase to 11%, resulting in employer savings of 14%
• Averaged employer savings between 5 – 10% for medical, dental and life products
• Negotiated plan renewal & recommended plan design changes that saved client $250,000
• Provide team of brokers with a comprehensive analysis of insurance benefits, medical rates,
utilization analysis and identify access issues
• Analysis of client healthcare requirements and developed financial analysis of client benefit plan
• Designed client benefit plan proposals and employee benefit plan handouts for client presentations
• Negotiated renewal rates, plan design and rate guarantees with insurance carriers
• Research client/prospect to develop Request for Proposal (RFP) and send out to bid to carriers
• Developed strong relationships with client’s management team to better develop strategic
management of healthcare and benefit plans
CIGNA Healthcare, Inc 2003 – 2004
Provider Relations Coordinator (Seattle, WA) August 2003 – May 2004
• Verify and ensure completeness of provider applications, update information, and credentialing
approvals, which enter the department
• Internal contact with Third Party Vendor to deliver provider education on CIGNA lines of business
• Responsible for loading, maintaining and auditing provider demographic information
• Perform data research on physician groups and provide reports to Provider Services
• Investigate and resolve provider payment discrepancies
Benefits Specialist (Pittsburgh, PA) January 2003 – August 2003
• Collaborate with Case Managers for claim payments and problem resolution for claims/eligibility
• Review eligibility, liability, and coverage information for new and current members in CM
• Reviews and provides information of benefit plans regarding claim funding, state/federal mandates
• Consults with Case Managers, Client Service Specialists and sales department regarding plan
funding, potential funding options to meet client needs
• Research state/federal mandates and provide information to Case Manager’s and Medical Director
• Analyse and interpret Summary Plan Documents and present information to Case Managers
• Assisted in mentoring new employees during transition phase of training program
Coventry Health Care, Inc April 2002 – December 2002
Associate Service Specialist (Pittsburgh, PA)
• Head of Reconsideration Committee for team, analysis of appeals and Department of Insurance
benefit and claims issues
• Work with Director of Health Services regarding participant benefits and ensures accurate claim
payment with and Federal and State mandates
• Developed internal workflow for Georgia health plan team members to actively handle appeals and
Department of Insurance issues
• Actively assists in training new employees regarding benefits plans, claims, contract interpretation
and internal workflows
• Assist Senior Representatives with team members’ questions regarding participant benefit plans
• Analysis and research of contract issues and reports discrepancies to Contract Management
Summary
• Focus on providing a high-level of customer service. • Experience using MS Office, HRIS system (Ultipro) and ADP payroll system • Strong knowledge of employment regulations/issues including ERISA, FMLA, FLSA and COBRA administration • Pursuing Certified Employee Benefits (CEBS) certification. • Willing to relocate.
Education
University of Pittsburgh
Post – Baccalaureate in Human Resource Management August 2000 – April 2001
Bachelors of Science in Accounting April 1995
Computer Skills
MS office, MS, Outlook, Lotus Notes, ADP Payroll System, Ultipro HRIS System
Other Professional Experience
Highmark Blue Cross Blue Shield February 2000 – July 2001
Member Service Representative
Verizon Wireless December 2001 – March 2002
Member Service Representative
Coldwell Banker Real Estate, Inc May 1999 - December 1999
Real Estate Salesperson
UPMC Health System July 1998 – December 1999
Office Assistant
Mellon Bank May 1994 – December 1995
Cash Manager
Global Cash Reconcilement
Kapoor’s Indian Imports April 1991 – December 1997
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