Job Summary:

The Benefits Specialist is responsible for overseeing the daily administration of employee benefit records including eligibility, elections life events and premium deductions through on-line enrollment software and payroll records. Also responsible for the reconciliation and processing of benefit plan invoices.

Qualifications:

• 2+ years experience in Benefits
• Must have experience with reconciling benefit plan invoices
• Working knowledge of current benefits laws and regulations and ensures compliance with applicable ACA, HIPAA, DOL, ERISA and IRS.
• High level of customer service skills in order to build productive relationships with employees at all levels as well as outside vendors
• Working knowledge of FMLA and disability plans
• Proficiency in HRIS, Benefits software and Microsoft Office suites.
• Detail oriented with exemplary organizational and time management skills
• Proven ability to maintain confidentiality and discretion when handling sensitive and proprietary information
• Ability to work independently or in a team environment
• Ability to manage projects and meet deadlines

Essential Functions:

• Ensure timely communication of benefits eligibility to affected employees to meet ACA requirements and notifications.
• Administration of benefit plans including enrollment of new hires, monitoring life event changes and employment status changes resulting in eligibility changes.
• Assists with managing annual open enrollment, including reconciliation of employee enrollments.
• Reconcile and process benefit plan invoices, reports and other communications to outside provides; coordinates timely and accurate payment for all benefit programs.
• Coordinates with Payroll Specialist in ensuring all premium deductions are set up accurately and timely.
• Process all employer responses for disability and life claims
• Administration of FMLA and the collection of insurance premiums during a leave of absence.
• Ensures compliance with applicable federal and state laws and policies and procedures including HIPAA, DOL, ERISA and IRS.
• Evaluates and enhances internal processes to reduce costs and increase efficiency.
• Provides technical support and works with end users as well as troubleshoots system problems.
• Manages interface files to and from vendors to ensure accuracy of employee benefit records and data integrity. Researches and corrects discrepancy files.
• Builds productive relationships with employees on all levels as well as outside vendors.
• Compile and report EEOC annual requirements
• Prepares special reports and records.
• Acts as liaison between all health plan providers and employees.

Continuing Education:

• Attends continuing education programs as necessary.

Physical Demands:

• Ability to communicate in English via phone, in writing and verbally in conversation with different levels of staff, Resident families and any outside customers.
• The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee is frequently required to stand and walk. The employee is occasionally required to sit, use hands or fingers, handle, or feel; reach with hands and arms, talk or hear and taste or smell. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus. Ability to utilize a computer, phone, etc. for extended periods of time.