Jennifer Cotton

About Jennifer Cotton

I bring deep experience in benefits operations, eligibility, wage/payroll accuracy, and employee-facing issue resolution, supported by a strong foundation in risk assessment, documentation integrity, and investigations.I’ve spent my career in regulated environments where accuracy and compliance matter — interpreting plan rules, verifying eligibility, coordinating with LOA/STD teams, and handling escalations with HR, Legal, Finance, and multiple vendors. I consistently maintain 99–100% audit scores, deliver determinations within 7 days instead of 30, and manage ~70 complex cases a month with near‑zero errors.My investigations background allows me to spot trends early, diagnose workflow failures, evaluate inconsistencies, and prevent issues from escalating into compliance risks. I often serve as the escalation point for complex or sensitive cases, providing data-driven insights and partnering with leadership to implement corrective actions.As a SME and mentor, I’ve led department-wide training for 300+ employees during system transitions — ensuring teams understood new processes, coding, reporting logic, and documentation expectations.I’m passionate about roles that combine: Benefits/HR operations Eligibility, compliance, and documentation rigor Vendor/TPA coordination Risk analysis and continuous improvement Employee experience and clear communicationOpen to opportunities in:Benefits Operations • Total Rewards • HR Operations • People Support • Risk & Compliance Ops • Investigations (Non‑field)

Experience

1. Senior Claims Examiner, Litigation Specialist

   Sedgwick

   May 2025 — Present

Education

• Talent Stacker Career Development Program

  Salesforce Administrator

• Trailhead by Salesforce

  Salesforce Administration

• Break Into Tech

  Data Analyst

• Northwest Technical Institute

  Medical Billing & Coding