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JOHN DEVIRGILIIS
2 Shelly Street Cell: (609) 230-0422
Sicklerville, NJ 08081 E-mail: JohnDV7@gmail.com
SUMMARY
Accomplished Employee Benefits Professional with experience in corporate, union and entrepreneurial environments. Strong record of developing, implementing and selling innovative strategies and programs that reduce benefit plan cost without reducing benefits. An effective communicator and persuader with strong business analysis, planning, organizational, negotiation, benefit design and implementation skills. Extensive consulting and managerial experience in all aspects of employee benefits with an expertise in TPA operations.
* Employee Benefit Sales * Health Care Systems and Finance
* Taft Hartley Administration * Health Care Consulting
EXPERIENCE
C&S WHOLESALE GROCERS, INC., Keene, NH 2007-2008
Benefits Manager, Union Relations
Responsible for all benefit and retirement programs for 7,000 union employees in 13 States covered under 44 different collective bargaining agreements, participating in 14 Taft Hartley health and welfare funds and 15 pension funds. Served as employer trustee on select Funds.
• Formulated benefit strategy proposals for union negotiations in collaboration with labor relations, legal, finance and operations departments
• Developed comprehensive analysis to measure all Taft Hartley health & welfare and pension funds administrative and financial performance, identifying withdrawal liability, funding levels, claim reserves, administrative cost and areas of inefficiencies.
• Trained local HR staffs to understand union benefit issues and comply with collective bargaining agreements.
INDEPENDENT BENEFIT CONSULTANT, Glassboro, NJ 1998-2006
Sole Proprietor / Owner
Independent benefit consultant providing a broad range of consulting services to Corporate and Union benefit plans, Health Insurance Companies, Managing General Underwriters (MGU), and Claim Auditing Companies.
• Developed unique, computerized claim auditing program that recovered $36 million in overcharges to a large State employee benefit program.
• Designed hospital discount analysis. Program identified for clients the "real discount" obtained by their health carrier from hospitals, and compared it to the discount the carrier used to calculate their rate. Program identified and validated in excess of $50 million in discount discrepancies.
• Recovered more than $1 million for a large health insurance company from participating hospitals and doctors through the review of provider contracts.
• Increased client base by more than 10% for a Managing General Underwriter.
• Negotiated significant rate reductions and favorable financial arrangements for clients by analyzing their health carrier renewal and financial statements.
• Marketed a start-up Health Claim Auditing company with introductions to union and Taft Hartley clients.
TH SERVICES GROUP, INC., Plymouth Meeting, PA 1990-1998
Owner / Taft Hartley Fund Administrator
Owned and managed a Third Party Administrative Company (TPA) specializing in the administration of Taft Hartley multi-employer health & welfare, pension and pre-paid legal trust funds. Responsible for medical, prescription, dental, vision, disability, life, AD&D, child care, wellness, tuition reimbursement, pre-paid legal and pension benefits for 15,000 union employees, working for more than 50 different companies. Directed a staff of 40 professional employees.
• Created, negotiated, and implemented the first Preferred Pharmacy Network in Pennsylvania. Program reduced clients Prescription Drug cost by more that $1 million during first year of operation.
• Identified and recovered over $10 million in health claim overcharges to the United Food & Commercial Workers Health and Welfare Fund.
• Negotiated for the unionized retail food industry, an unprecedented five-year financial agreement with the largest health insurance company in Philadelphia. Saved food industry over $5 million.
• Built a comprehensive, free standing, dental program for 15,000 employees. Negotiated contracts with more than 150 dentists in all specialties, integrating a unique capitation/fee for service reimbursement arrangement.
• Redesigned and streamlined TPA operations, consolidated administrative functions, upgraded system hardware and software, established short and long term goals and objectives.
• Initiated a customer service program that received an evaluation rating of “Excellent”, by more than 80% of the employees and vendors surveyed.
Independence Blue Cross, Philadelphia, PA 1976-1990
Account Executive
Responsible for the sale of new business and the retention of large national corporate accounts and Taft Hartley Trust Funds. Skilled in developing strong trust based relationships with corporate and union decision makers. Expert in all types of health benefit programs and financial arrangements, including knowledge of underwriting principals and applications, rate renewals and settlements.
• Consistently recognized as top performer for the sale of new business, product cross selling and client retention.
• Achieved 100% retention of all assigned Taft Hartley accounts.
Education and Certifications
B.A. Speech Communications, Pennsylvania State University, State College, PA
Certified Health Consultant, CHC, Blue Cross/Blue Shield Association |