Senior Benefit Specialist - Human Resources * Days - 40hrs/wk
FTE status: 1
The Senior Benefit Specialist utilizes independent judgement to ensure the effective daily administration of all employee benefits programs. Under limited direction, the Senior Benefit Specialist is accountable for overseeing and improving the employee welfare benefit programs. The Senior Benefit Specialist leads the analysis and recommendation of current and new benefit options and maintains current knowledge of regulatory requirements to ensure all programs comply with applicable plans, policies, programs and regulations.
Knowledge, Skills, and Abilities:
- Bachelor’s Degree in Business Administration, Human Resources, Health Management or closely related field.
- Five (5) years of general benefits administration experience required with benefit cost and utilization analysis experience.
- Two (2) years of experience administering leave management (STD/LTD/FMLA) strongly preferred.
- Experience utilizing benefit administration and /or claims management software preferred.
- Knowledge of benefits administration, including IRS Code Section 125 regulations, COBRA, FMLA, ADA, HIPAA, IRS, FLSA regulations
- CCP/CCB or CEBS strongly preferred
- Proficient in MS Office (Word, Excel, Outlook)
- Strong verbal and written communication skills with all levels within and outside the organization
- Strong math skills with the ability to conduct complex analysis of claims, budget projections, etc.
- Strong reasoning ability in order to research complex questions / situations and formulate appropriate resolutions.
Essential Functions and Responsibilities:
- Coordinates the implementation and administration of employee benefit programs including health insurance, disability insurance, life insurance, employee assistance, and other welfare benefit plans.
- Oversees benefit enrollment process, including monthly enrollment meetings and annual open enrollment meetings, to ensure employees receive accurate information and enrollments are completed on a timely basis.
- Evaluates services, coverage, and options available through insurance and investment companies to recommend determine programs best meeting needs of organization.
- Analyzes eligibility, participation and utilization for all welfare benefits on a monthly, quarterly and annual basis. Analyzes benefits experience for cost-control and risk-assessment factors. Uses data to monitor trends and recommend educational initiatives, benefit plan changes, vendor changes, cost-sharing, etc.
- Coordinates the benefit contract process with benefit plan providers, vendors, auditors, and consultants for services, premiums, and plan administration. Recommends benefit plan changes to management. Serves as company contact with third party vendors providing benefits to employees. Develops, recommends, and monitors budget allocations for employee benefits.
- Maintains employee benefits data in automated human resources information systems.
- Oversees development of informative materials from vendors, ensures availability of adequate materials and develops appropriate Company materials in-house.
- Ensures necessary plan documents are in place and government-mandated disclosures, e.g. summary documents, are timely and correctly distributed to eligible employees.
- Researches and responds to complex questions from employees and leaders regarding interpretation of benefits plans, including eligibility, covered services and exclusions.
- As needed, investigates and resolves problems involving delivery of and payment for services by contacting health care professionals and other service providers, benefit plan providers, and employees.
- Develops, implements and evaluates wellness and health care educational programs to promote healthy lifestyles and changes in health care utilization and compliance.
- Ensures timely completion and submission of required reports, such as annual Form 5500. Provides information to consultants and auditors for testing and preparation of reports.
- Performs other duties as assigned. These may include but are not limited to: Maintaining a current knowledge base of department processes, protocols and procedures, pursuing self-directed learning and continuing education opportunities, and participating on committees, task forces, and work groups as determined by management.