Job Description
Corporate Sr. Benefits Specialist The Corporate Sr. Benefits Specialist provides benefit administration and customer service to corporate employees and provides support and education to the facility Human Resource Departments for active employee benefit plans and other ancillary benefit programs. The Corporate Sr. Benefits Specialist will interface with senior management and HR team members by leading projects and providing consultation on industry best practices. Audits enrollment elections, resolves claims, enrollment, eligibility, and related issues for active employees on health and welfare plans. Administers and interprets plan provisions for employees and keeps abreast of healthcare best practices. Researches and updates government-implemented changes to healthcare plans and serves as a liaison with COBRA and various TPAs. Ensures accurate reporting to all benefits vendors and verifies accurate entries in UKG, and various other programs ensuring compliance with ERISA, HIPAA and all applicable state and federal regulations. Responsibilities Essential job functions include: Planning and administration of employee benefits plans including enrollment, qualified status changes, open enrollment, and terminations. Data entry based on employee's elections, qualified status changes, and open enrollment. Advising and counseling management and employees on existing benefit plans. Researching and correcting benefit enrollment issues and/or benefit carrier file discrepancies in a timely basis. Reviewing billing statements for accuracy and investigating any discrepancies for assigned benefit plans. Providing vendors with appropriate documentation for enrollment and billing purposes, as applicable. Producing various reports for enrollment including deductions and plan participation as needed. Maintaining accurate records and interfacing with accounting and auditors effectively and efficiently. Responsible for 401(k) Plan interface with Fidelity related to timely processing of accurate uploading. Collaborating with auditors in the annual audit of the plan. Ensuring all facilities are aware of proper procedures related to 401(k) Plan administration. Collaborating with appropriate members of the Corporate HR team and vendors to ensure that nondiscrimination testing is performed timely and in accordance with regulations and plan document. Leading open enrollment projects, 1095-C filings, 5500 filings, and other benefit projects as needed. Analyzing employee utilization of benefits on an ongoing basis and assisting with planning and implementation of the annual open enrollment process, new benefit plans, and other employee information sessions and events as required. Assisting in the management of the benefit plan renewal process. Coordinating the implementation of new carriers and products as related to setup, system input and implementation of benefit business processes and rules. In collaboration with vendors ensuring that enrollment/transfers/election issues related to benefits are addressed and resolved in a timely basis. Monitoring and coordinating the processing of death claims to ensure compliance with policy, contractual provisions and relevant laws and regulations. Creating communication for participants concerning changes to plans and updates website. Maintaining informed on any legal or regulatory changes affecting the administration of benefits and ensuring that other HR professionals receive the appropriate updates timely. Facilitating weekly meetings with UKG benefits team to resolve outstanding issues. Keeping immediate supervisor informed of any benefit related concerns/issues and collaborating to address issues on a timely basis. Analyzing results of surveys and developing specific recommendations for review by management. Processing medical support orders, evidence of insurability reports, COBRA billing administration, and/or LOA plan administration based on report output. Working collaboratively with AHMC colleagues to deliver exceptional customer service and build cohesive interdepartmental relationships. Assisting HR offices at the facilities in addressing complex benefit issues. Ensuring employee coverage changes are updated with benefit vendors in a timely manner. Supervising maintenance of enrollment, application, and claims records for all benefit plans. Developing and implementing benefit training program. Working with a high level of integrity and maintaining confidentiality. Qualifications Training/experience includes: Five+ year's professional experience in benefits administration for a medium to large organization. Supervisory experience in benefit administ