Raul Garces

About Raul Garces

Over 10 years of progressive working experience with TPA, corporate, PEO, and health…

Experience

1. Lead Benefits System Administrator Implementation Lead

   WTW

   Jan 2015 — Present · San Diego, CA, US

   Responsible for the administration of the delivery of superior Health & Welfare and Pension plan benefits services system to Towers Watson\'s clients.• Acts as the principal contact with clients on day-to-day plan administration processing issues• Reviews and resolves calculation and eligibility errors with clients as needed• Reviews error reports and resolves issues as needed utilizing case management tools• Exercises discretion and independent judgment in responding to and resolving client issues • Assists with system testing, web interfaces, and system generated reports for new and ongoing systems• Understands the system interfaces with HRIS, payroll, and insurance carriers• Develops and maintains system processing documentation and processing calendar • Set up and test data encryption and transmission protocols with client and vendors• Manages ongoing and annual enrollment process including; updating documentation, testing, and carrier/vendor coordination, and fulfillment inventory for clients• Manages client accountability• Provides back up for other team members as needed• Understands and communicates the plan design, including coverage levels and options, eligibility, enrollment/change and termination procedures to client\'s employees• 100% compliance with SAS70 and Professional Excellence criteria• Attends ongoing client status and internal project planning meetings to ensure continuity and to establish client relationship• Assists project team with client assignments to deliver timely, within-budget and high quality work• Takes initiative to proactively share knowledge and/or experience and develops strong partnerships with team members• Identifies potential out of scope work and new opportunities to client teams• Meets service level agreements and billable hour goals across all clients• Works within prescribed budget for each project• Analyzes process workflow and recommends improvements to increase efficiency and effectiveness

Skills

• Project Management
• Benefits Administration
• Applicant Tracking Systems
• Hro
• Sphr
• Health Insurance
• Ms Office
• New Hire Orientations
• Adp Payroll
• Microsoft Office
• 401k
• Cfra
• Onboarding
• Peo
• Employee Handbooks
• Open Enrollment
• Human Resources
• Medical Underwriting
• Hris
• HR Policies
• Account Management
• Employee Benefits
• Peoplesoft
• Ms Project
• Fmla
• Ceridian
• Employee Benefits Design
• Management
• Personnel Management
• Workers Compensation
• Account Management Experience
• Insurance
• Cobra
• Leadership
• Retirement Plans Management
• Deferred Compensation
• Policy
• Employee Relations