Margaret (Peggy) Meitzler

(210) 516-2841 or (210) 932-8789

http://www.linkedin.com/in/margaretmeitzler08
Employee Benefits leader with a diversified experience in the administration of
benefit plans and ancillary services to small groups or Fortune 500 corporations
. Committed to team collaboration across internal and external segments and func
tioning under stringent time pressures. A driver of continual improvement who ha
s demonstrated the ability to communicate effectively at all levels of the organ
ization.
SUMMARY OF QUALIFICATIONS
* Progressive experience in benefit plan administration -- medical (commercial,
BCBS, Medicare, Medicaid), life, dental, vision, disability, specified disease,
life, reinsurance, Section 125, COBRA, Wellness, UM/CM/DM oversight, Wellness,
WC, subrogation (TPL tracking and recoveries), fraud review and analysis, discou
nt and reimbursement programs, and associated support services (quality assuranc
e, mailroom, employee and provider database management)
* Regulatory and contractual compliance: interpretation, training and communica
tion
* Continual improvement process focus: identifies problems, solutions, and rewa
rds successes
* Fosters team-building across multiple disciplines
CAREER OVERVIEW AND ACCOMPLISHMENTS
Temporary Projects:
- XL Health Corporation in San Antonio, Texas 2010 2010
* Created Quality Assurance program within Medicare enrollment operations
- FCE Benefit Administration in San Antonio, Texas 2009 to 2010
* Embedded quality, efficiency, and consistency within enrollment, benefit, and
financial reconciliation services for government contract plans
Accenture in San Antonio TX 2006 to 2009
North America Benefits / Medicare Lead
* Mobilized North America operations for Medicare Payer unit - mailroom, enroll
ment, billing, claims, and compliance teams improving service level timeliness a
nd accuracy within six months
* North America Project Manager for key long-term initiative to incorporate eff
iciencies within service offerings
* North America Subject Matter Expert for benefits and benefit plan administrat
ion
* Selected as one of Accenture's 2009 high performing women
Alamo Insurance Group in San Antonio TX 2006
Account Manager
* Open enrollment activities for all client groups and plans (small business an
d school districts)
* Vendor review and negotiations for benefit plans
* Liaison between employee and vendor in issue resolution
(210) 516-2841 or (210) 932-8789
http://www.linkedin.com/in/margaretmeitzler08
Delta Health Systems in Stockton CA 2003 to 2006
Director of Health Resource Management
* Created Rework Reduction Program, decreasing claims rework by 2% within 3 mon
ths
* Developed appeals and peer review processes ( COB /medical necessity / eligib
ility)
* Created vendor discount negotiation program generating $853,000 revenue withi
n 3 months
* Developed SMART employee objectives program with annual bonuses
* Developed streamlined interface between Medicare, claims clearinghouses, repr
icing networks and data warehouse
LifeRe Insurance Company in San Antonio TX 1997 to 2003
Director of Operations
* Improved claims timeliness and accuracy by 5% in six months
* Developed reinsurance department with contractual and regulatory compliance
* Developed performance metrics and reporting model increasing client confidenc
e
* Streamlined employee and provider records databases improving efficiencies
* Developed appeals and peer review processes (COB /medical necessity / eligibi
lity)
* Created company salary structure pay plans including job descriptions and car
eer progression
Other Employment Experience:
- Benefit Planners in Boerne TX -- reinsurance, cost containment, subrogation an
d WC experience
- American Express in San Antonio TX -- retirement planning, small business bene
fit plans
- Principal Financial Group in San Antonio TX -- auditor, fraud review, complex
claims review, trainer
EDUCATIONAL HIGHLIGHTS
* Our Lady of the Lake University business
* Craven Community College nursing
* Southern Illinois University biological sciences
* Ongoing education - Comprehensive Payroll Plans ( July 2009, Accenture) Compe
nsation (August 2009, IFEBP), Medicare Part D (August 2009, IFEBP), Medicare cer
tification (May 2010, Gorman)
ADDITIONAL TRAINING / SKILLS
* FLHC, FLMI, ARA, ACS, HIA designations
* LOMA certification in Underwriting
* CSOXP - SOX Professional certification
* Six Sigma courses
PROFESSIONAL AFFILIATIONS
* Life Office Management Association (LOMA)
* International Claims Association (ICA)
* International Foundation of Employee Benefits Plans (IFEBP)
References available upon request