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Automating complex benefits billing — Miguel Rodriguez

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SELECTED WORK / 001LocktonBENEFITS BILLING AUTOMATION
01 / 05The starting point

A month of data.
A week of work.

A BenSelect census for MetLife benefits. Thousands of elections. One complex self-bill.

Lockton · Automation team lead
Follow the workflow
feed the billing workflowerror handling runs with the billturn flagged errors into clear answersbring the evidence together
Selerix
BENEFITS ADMINISTRATIONBenSelect
9,791benefit records
55fields
One saved snapshot.
A changing population.
September 2026 handoff · Original illustration
Alteryx
One analyst.
Multiple bills.
ILLUSTRATED PARALLEL RUNS
MetLife
Workflow 01
Outputs ready
UnitedHealthcare
Workflow 02
Outputs ready
Cigna
Workflow 03
Outputs ready
Running in the backgroundFree to keep working.
Manually launched workflows · Illustrated execution
AUTOMATION LOGICValidate + classify
Valid recordsContinue to bill
Errors tab
!Missing location code01
!Missing job title02
!Missing wages03
!Duplicate employee04
Client corrects at source
Illustrated exception types · No employee records
THE QUESTION

Why is the bill lower?

MetLifeBill + context
Missing location codeClear evidence. A shared next step.
THE CONVERSATION CHANGES

Find clarity.
Solve together.

Time returnedExpertise provenClient trust
Illustrated conversation · Reported experience
TWO OUTPUTS. ONE EXPLANATION.
MetLifeSELF-BILL
Life & disability
Aura
Critical illness
Accident
Hospital
NY disability
NY paid leave
Saved total$205,204.37
Vendor format preserved
Errors
!Missing location code01
!Missing job title02
!Missing wages03
!Duplicate employee04
OWNERClientCorrect source details
Bill+Context
Saved benchmark · Not a newly approved bill
05 / DELIVER · THE WORK COMES TOGETHER

Delivered.
With context.

The bill tells the total.
The exceptions tell the rest of the story.

Illustrated handoff · Source corrections and final approval remain with the responsible teams.
Real project · Original workflow illustrations
SELECTED WORK / 001Lockton

Data in motion.
Work transformed.

A real billing automation story.

SCROLL TO FOLLOW THE WORKFLOW ↓
01 / 05 · The starting point

A month of data. A week of work.

A BenSelect census for MetLife benefits. Thousands of elections. One complex self-bill.

Lockton · Automation team lead
Selerix
BENEFITS ADMINISTRATIONBenSelect
9,791benefit records
55fields
One saved snapshot.
A changing population.
September 2026 handoff · Original illustration
feed the billing workflow
02 / 05 · The work accelerates

Launch the work. Keep moving.

Billing and error handling run together. Multiple workflows move in the background.

Alteryx · Parallel billing
Alteryx
One analyst.
Multiple bills.
ILLUSTRATED PARALLEL RUNS
MetLife
Workflow 01
Outputs ready
UnitedHealthcare
Workflow 02
Outputs ready
Cigna
Workflow 03
Outputs ready
Running in the backgroundFree to keep working.
Manually launched workflows · Illustrated execution
error handling runs with the bill
03 / 05 · The turning point

Catch the error. Name the cause.

The automation flags missing details and duplicates. Every exception has a cause—and an owner.

Error handling, built in
AUTOMATION LOGICValidate + classify
Valid recordsContinue to bill
Errors tab
!Missing location code01
!Missing job title02
!Missing wages03
!Duplicate employee04
Client corrects at source
Illustrated exception types · No employee records
turn flagged errors into clear answers
04 / 05 · The conversation changes

Time returned. Trust earned.

From defending a total to explaining the cause. Less rework. Stronger client relationships.

My impact · Technical lead & subject matter expert
THE QUESTION

Why is the bill lower?

MetLifeBill + context
Missing location codeClear evidence. A shared next step.
THE CONVERSATION CHANGES

Find clarity.
Solve together.

Time returnedExpertise provenClient trust
Illustrated conversation · Reported experience
bring the evidence together
05 / 05 · The pieces come together

A bill. And the why.

The vendor’s format stays intact. Exceptions arrive with a clear reason.

A traceable handoff
TWO OUTPUTS. ONE EXPLANATION.
MetLifeSELF-BILL
Life & disability
Aura
Critical illness
Accident
Hospital
NY disability
NY paid leave
Saved total$205,204.37
Vendor format preserved
Errors
!Missing location code01
!Missing job title02
!Missing wages03
!Duplicate employee04
OWNERClientCorrect source details
Bill+Context
Saved benchmark · Not a newly approved bill
05 / DELIVER · THE WORK COMES TOGETHER

Delivered.
With context.

The bill tells the total.
The exceptions tell the rest of the story.

Illustrated handoff · Source corrections and final approval remain with the responsible teams.
ACROSS THE PRACTICE

Different systems.
Same discipline.

Every client has a different mix. I work across their vendors, administration platforms, and BI systems to turn complex data into useful answers.

HEALTHCARE · BENEFITS · FINANCIAL PROTECTION
CignaMetLifeUnitedHealthcareLifeLockAflacAetnaThe HartfordPrincipalCHUBBUNUM
ONE CLIENTMultiple vendors.Sometimes multiple platforms.
SENSITIVE DATAPHI deserves care.HIPAA-informed safeguards.
ADPWorkdayDayforceEmployee NavigatorPaycomSelerixBenSelectUKGEase
BENEFITS ADMINISTRATION + BISelerix BenSelect in this case · Broader experience across accounts

Encrypted-data illustration · No real records or live connections. Platform and vendor combinations vary by client.

EXPERIENCE THAT TRANSLATES

Time returned
to Lockton.

Less repetition.
More room for the client.

Thousands saved
for clients.

Find the discrepancy.
Bring the evidence.

Reported experience across client work. Illustrative motion; no audited savings total.
CLOSE THE LOOP / TRACKING & REPORTING

See it early.
Act with context.

I used Power BI to dynamically reference census and billing across client folders. Original files stayed intact. Patterns became visible.

THE WORKSPACE / EXPLORE THE SIGNALChoose a client · Change a filter · Investigate a question
01 / ORGANIZE

Start with structure.

Choose a fictional client

Reference in place.
Preserve the originals.

SOURCE LOGIC / RECONCILE
Benefit elections+Vendor list→Match coverage
EnrollmentEffective datesCoverage tiers

Compare expected coverage with billed participants and periods.

Power BIPractice overview Client AILLUSTRATIVE REPORT
Filter reportUse the dropdowns to explore
Monthly premium$64,100+0.0% vs prior month
Covered people1,180-30 vs prior month
Bill methodList billUHC · Sep
Premium trendUSD · UHC
BilledEnrollment-only baseline
$58.0k$63.5k$69.0kJunJulAugSep

Baseline holds the prior month’s cost per person constant. Review signal, not a validated bill. Dollar axis is cropped to show changes.

Covered peopleCount · zero baseline
013001200Jun1215Jul1210Aug1180Sep
Every signal has a story.

Select the review question to locate the difference in the charts. The view stays right here.

Billing intelligence9 bill streams · 36 monthly files · Jun–Sep
Workflow illustration · Fictional client data · Not an actual Power BI capture
03 / BRING THE NEXT STEP

Before the client
has to ask.

A signal becomes a better conversation.

01SPOT+2.5%

Difference to the Sep comparison.
A reason to investigate.

02TRACE

Reconcile terminated coverage and effective dates against the vendor list.

03BRING THE NEXT STEP

Bring the enrollment evidence and request a billing correction if confirmed.

Explore here. Scroll to pull back
EXPLORE WIDER VIEW
Continue to the wider view
Power BI
Practice overviewFICTIONAL DATA / REAL REVIEW LOGIC
Client A · UHCMedical · SepEdit filters

Reference in place.
Preserve the originals.

Monthly premium$64,100+0.0% vs prior month
Covered people1,180-30 vs prior month
List bill
Premium trendUSD · UHC
BilledEnrollment-only baseline
$58.0k$63.5k$69.0kJunJulAugSep

Baseline holds the prior month’s cost per person constant. Review signal, not a validated bill. Dollar axis is cropped to show changes.

Every signal has a story.

Compare the premium with enrollment, then bring the next step. A review signal is not a confirmed billing error.

ONE VIEW. A WIDER REACH.

From my client view
to a leadership view.

Leadership adopted the dashboard to see across the practice as the automations ran.

REPORTED EXPERIENCE
THE SAME THINKING. MORE POSSIBILITIES.

I connect the pieces.
So you can move forward.

Analytics · Automation · Systems · Software · Design

Follow a connection. Try something real.All work
A NEW CONNECTION STARTS HERE

Your next chapter.
Let’s build it together.

Miguel Rodriguez
MIGUEL RODRIGUEZ

Analyst. Builder. Designer.

One person. Many possibilities.
NEXT CONNECTION02 / 08
About Miguel

The person behind the projects.

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