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Karen Mack
5506 Lafayette Dr.
Frisco, TX 75035
972.712.1106 Home
214.226.8078 Cell
kmack@tx.rr.com
Summary
Employee Benefits and Insurance Professional with extensive industry experience, including managing the insurance department for a large school district. Self motivated with excellent organizational and problem solving abilities with documented career progression. Proven leadership abilities with a strong focus on client satisfaction.
An effective manager who delivers successful results.
Experience
CARIS DIAGNOSTICS 2007-2008
Benefits Manager
Responsible for this rapidly growing company’s employee benefit plans: self-funded medical plan, dental, vision, FSA, life and disability, EAP, 401(k) and supplemental plans.
• Personal contact with C-Level executives and high profile physicians. Responsible for contracts, bids, and requests for proposals for all lines of insurance, and for providing recommendations. Reviewed vendor statements for accurate rates and enrollment data before submitting to finance.
• Reviewed, documented, and created processes and workflows for department where none existed before.
• Effectively worked with broker/consultant in the bid process for the medical, dental, vision, FSA, EAP, and supplemental plans. As a result, company experienced a smooth implementation and transition to the new plans effective 1/1/2008.
• Successfully implemented process with vendor for one on one enrollment with multiple locations; Irving, Garland, Boston, Phoenix, and home based sales and accounts personnel. Conducted benefit enrollment meetings in all physical locations and phone conferences with home based employees.
• Conducted one on one benefit orientations with newly hired employees.
• Acted as the sole benefit contact for all employees for day to day issues such as eligibility, claims and benefit questions.
RICHARDSON INDEPENDENT SCHOOL DISTRICT 2004 - 2007
Insurance Services Manager
Managed unit of four with a $23 million department budget, covering the needs of 4,600 employees
• Managed all record keeping and administrative services for districts self-funded medical, dental, and workers compensation plans, Life and disability, EAP, P&C, Liability, and self-funded theft and vandalism account.
• Responsible for contracts, bids, and requests for proposals for all lines of insurance, and provided recommendations to the school board.
• Performed medical plan cost containment study and identified changes to the plan, resulting in a leveling of insurance premiums
• Conducted monthly Employee Benefit Committee meetings comprised of a cross section of district departments and associations to review the medical plan status, financials, projections, appeals and recommendations.
• Implemented an in house COBRA program to bring the district into compliance and reduce administrative time, resulting in a cost savings of $40,000.00 annually
• Successfully coordinated the district’s two enrollment periods and annual health fair. Clarified and streamlined enrollment materials and increased vendor participation in the annual health fair.
• Created and distributed a quarterly benefits newsletter with benefit information, updates and calendar of events.
PACIFICARE 2003 - 2004
Small Business Center Manager
Staffed and managed a unit of seven, producing preliminary new small group health insurance quotes for submission to underwriting.
• Developed a unit to process incoming small group insurance quotes from sales representatives in Texas and Oklahoma.
• Implemented the following for the small group unit:
o Created Access data base to provide sales and management tracking and reports.
o Initiated a Quality review process for the preliminary quotes.
o Created a batching method to track the 500+ quotes received each week. This reduced back logs and improved the turnaround time from 10 days to less than 48 hours within 3 weeks.
o Developed training manual for newly hired employees, sales representatives, and sales coordinators, and conducted training sessions.
COMPLINK LC 2002
Implementation Manager
Coordinate and implement COBRA and HIPAA programs for clients to effectively manage the compliance requirements for offering continued benefits to ex-employees.
• Coordinated the planning of new customer installation between client, broker, consultant, carriers and Complink internal departments.
• Assessed client needs and built client specific web sites according to specifications based on client’s current benefit plans.
• Conducted on site system training sessions and implementation meetings for clients across the US.
TEXAS HEALTH CHOICE (SIERRA HEALTH SERVICES) 1999-2001
Accounts Manager
• Managed a team of five Account Executives with a book of business consisting of 1000 small and large group health insurance accounts.
• Created and implemented processes and procedures to produce accurate and timely contract renewals for small businesses. Team averaged 93% of all contracts renewed based on quarterly reports for 3 years.
• Worked with underwriting and proposal departments on annual renewals.
• Coordinated and conducted open enrollment meetings with clients.
• Assigned by upper management to be responsible for large and political sensitive group accounts such as the DFW Airport Board and Public Employee Benefits Cooperative of North Texas (PEBC).
Assigned to implement and service the State of Texas account by the president of Texas Health Choice. Trained the state benefit coordinators and THC staff for the open enrollment process. Successfully coordinated open enrollment meetings in multiple sites across the state.
HEALTHSTAR PPO Inc. 1997 - 1999
Regional Client Services Supervisor
Managed a team of 2 Account Manager and office receptionist who handled client relationships for the Southwest regional office. Responsible for running office, including interviewing, hiring, and training.
Education
Gaston College Community College, Gastonia, NC
In Process: Completed first 2 exams out of five for CSRM (Certified School Risk Manager) designation
Continuing education in benefits field including COBRA, HIPPA, FSA, Section 125, Risk Management
Successfully Completed Employer Sponsored Management seminars and classes
Obtained Texas Group 1 License in 07/27/1999, and continued to take approved courses to obtain recertification every two years. |