Summary
Overview
Work History
Education
Skills
Timeline
Generic

Whitney Johnson

Summary

Benefits professional with 4+ years of experience administering health and welfare benefits, resolving complex benefits issues, partnering with vendors, and ensuring regulatory compliance. Skilled in benefits operations, data analysis, process improvement, and delivering exceptional employee and client support.

Overview

11
11
years of professional experience

Work History

Health Client Manager

Alight Solutions
11.2022 - Current
  • Administer health and welfare benefit programs, including medical, dental, vision, life, disability, FSA, and HSA plans for employer clients.
  • Serve as a trusted advisor to clients by providing guidance on benefit administration, compliance, and plan operations.
  • Collaborated with carriers, vendors, payroll, and internal teams to resolve complex eligibility, enrollment, billing, and claims issues.
  • Analyzed benefit data to identify trends and recommended process improvements that enhanced operational efficiency and client satisfaction.
  • Support implementations, system updates, audits, and ongoing benefits administration while ensuring data accuracy and regulatory compliance.
  • Resolved escalated benefit issues while ensuring high levels of customer service.

Claim Benefit Specialist

Aetna/CVS Health
High Point
10.2019 - 10.2022
  • Resolved complex medical and pharmacy benefit inquiries, educating members on eligibility and plan provisions to enhance understanding.
  • Investigated claims and analyzed benefit data, collaborating with internal departments to ensure accurate and timely issue resolution.
  • Ensured compliance with benefit policies and regulatory requirements while safeguarding confidential information.

Patient Access Specialist

Digestive Health Specialists
Winston-Salem
06.2015 - 02.2017
  • Verified insurance eligibility and coordinated patient scheduling to enhance patient experience and streamline appointment processes.
  • Assisted patients with insurance inquiries, ensuring HIPAA compliance and precise documentation for optimal patient service.
  • Facilitated patient registration and appointment scheduling for digestive health services.
  • Managed insurance verification and pre-authorization processes for patient procedures.
  • Assisted patients with obtaining necessary medical records and documentation.

Education

Master of Science - Human Resource Management

Western Carolina University
Cullowhee, NC

Bachelor of Science - Healthcare Management

Winston-Salem State University
Winston-Salem, NC

Skills

  • Benefits management
  • Benefits regulation compliance
  • COBRA
  • Benefits Systems
  • Client relationship management
  • Process Improvement
  • Audits
  • Escalation
  • HRIS
  • Microsoft Excel
  • Vendor Management
  • Employee Support

Timeline

Health Client Manager

Alight Solutions
11.2022 - Current

Claim Benefit Specialist

Aetna/CVS Health
10.2019 - 10.2022

Patient Access Specialist

Digestive Health Specialists
06.2015 - 02.2017

Master of Science - Human Resource Management

Western Carolina University

Bachelor of Science - Healthcare Management

Winston-Salem State University

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    <ul><li>Advised 20+ leaders on complex employee relations issues like performance management and workplace investigations, ensuring full compliance with Panamanian labor law and minimizing legal risks.</li><li>Keeping an Open-Door policy for the employees. Investigations regarding employee issues and complaints. Collaboration with the Security and Employee Relations departments in investigations.</li><li>Review and approval of disciplinary actions. Completed more than 500 terminations according to Panamanian labor law.</li><li>Requesting, reviewing and approving of HRIS updates, transfers, benefits payments, intercompany and schedules changes.</li><li>Led the foreigner workers contract terminations according to the established Labor Law and company policies.</li><li>Participated in the Health and Safety Committee and inspections of the Social Insurance Institution, obtaining a passing score on every inspection. Developed the accidents events guidelines and form.</li><li>Participated in projects and tasks together with other areas such as HRIS and HR Corporate, for instance, the creation of the employee knowledge database to feed the chatbot for employees questions/answers.</li><li>Reporting and KPIs examination, including attrition and exit interviews results.</li><li>Review of policies, guidelines and procedures. Creation and updates of processes and control spreadsheets such as job abandonment process and form and the Oracle Manager Self Service control.</li><li>Implemented the onboarding program for new hires.</li><li>Developed HR Topics training plan for Operations staff.</li><li>Provided on the job training to the local HR members, developing skills and empowering the team.</li><li>Managed the HR providers purchase orders and payment requests.</li><li>Maintained close collaboration with the payroll department on claims and other employees inquiries, as well as support with compliance documents.</li></ul> at ALORICA<ul><li>Advised 20+ leaders on complex employee relations issues like performance management and workplace investigations, ensuring full compliance with Panamanian labor law and minimizing legal risks.</li><li>Keeping an Open-Door policy for the employees. Investigations regarding employee issues and complaints. Collaboration with the Security and Employee Relations departments in investigations.</li><li>Review and approval of disciplinary actions. Completed more than 500 terminations according to Panamanian labor law.</li><li>Requesting, reviewing and approving of HRIS updates, transfers, benefits payments, intercompany and schedules changes.</li><li>Led the foreigner workers contract terminations according to the established Labor Law and company policies.</li><li>Participated in the Health and Safety Committee and inspections of the Social Insurance Institution, obtaining a passing score on every inspection. Developed the accidents events guidelines and form.</li><li>Participated in projects and tasks together with other areas such as HRIS and HR Corporate, for instance, the creation of the employee knowledge database to feed the chatbot for employees questions/answers.</li><li>Reporting and KPIs examination, including attrition and exit interviews results.</li><li>Review of policies, guidelines and procedures. Creation and updates of processes and control spreadsheets such as job abandonment process and form and the Oracle Manager Self Service control.</li><li>Implemented the onboarding program for new hires.</li><li>Developed HR Topics training plan for Operations staff.</li><li>Provided on the job training to the local HR members, developing skills and empowering the team.</li><li>Managed the HR providers purchase orders and payment requests.</li><li>Maintained close collaboration with the payroll department on claims and other employees inquiries, as well as support with compliance documents.</li></ul> at ALORICA

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Whitney Johnson