Description:
The Benefits Specialist coordinates and administers all aspects of employee benefits programs, including health insurance, life insurance, and retirement plans. This role serves as a key resource for employees, providers, and administrators, ensuring benefit coverage, compliance with regulations, and accurate billing. The incumbent is responsible for benefit enrollments, eligibility verification, claims processing, and reporting, supporting a smooth and efficient benefits administration process. This position reports to the Director of Benefits and Compensation.
Qualifications:
Education: Bachelor's degree required
Certifications & Licenses: SHRM preferred
Experience:
- Experience in benefits administration or a related specialized field required.
- Increasing levels of responsibility in benefits administration is preferred.
- Experience in a K-12 school system is preferred.
Key Competencies:
- Strong proficiency in Microsoft Office, especially Excel (advanced functions).
- Excellent organizational skills, attention to detail, and ability to meet strict deadlines.
- Strong oral and written communication skills with the ability to engage individuals at all levels of the organization.
- Ability to multitask, problem-solve, and work independently with initiative and flexibility.
- Exceptional customer service skills, including handling sensitive situations and challenging interactions professionally.
Essential Functions:
Benefits Administration & Employee Support:
- Administers employee benefit programs, including new hire enrollments, open enrollment, benefits fairs, and retiree benefits.
- Assists employees, beneficiaries, and insurance providers with eligibility verification, claim processing, and benefit inquiries.
- Maintains benefits records and ensures compliance with carrier contracts, regulations, and internal policies.
- Supports COBRA administration, retirement eligibility verification, and Family and Medical Leave Act (FMLA) processing.
- Provides weekly new employee benefits orientations and assists in retirement workshops as needed.
Compliance & Reporting:
- Prepares reports to ensure compliance with Affordable Care Act (ACA), COBRA, HIPAA, and other benefit regulations.
- Generates and distributes 1095-C forms using Munis HRIS functions and external data sources. Submits required reports to the IRS.
- Reconciles benefit enrollment records, invoices, and employee deductions to ensure accuracy in payments and eligibility.
- Researches and resolves discrepancies between employees, payroll, benefit providers, and government agencies.
Vendor & Stakeholder Coordination:
- Manages relationships with benefit providers, including Virginia Retirement System (VRS) and Principal Financial Group.
- Serves as a liaison between employees and vendors to resolve disputes, clarify benefits, and process claims.
- Collaborates with HR, Payroll, and IT teams to ensure accurate data and efficient benefits processing.
Technology & Process Improvement:
- Sets up and manages Open Enrollment functions within the HRIS system.
- Maintains and updates benefits materials on the ACPS website and internal resources.
- Assists with system upgrades, vendor transitions, and process improvements to enhance the employee benefits experience.
Other Responsibilities:
- Supports assigned administrators with special reports and data analysis to aid in decision-making.
- Provides cross-coverage for other members of the Benefits and Compensation team as needed.
- Participates in meetings, workshops, and seminars to stay updated on industry trends and best practices.
- Performs other duties as assigned to support a collaborative and effective work environment.
- Other duties as assigned.
Clearances:
- Criminal Justice Fingerprint/Background Clearance.
- Tuberculosis Skin Test.
Public Health Compliance
- Must follow safety and health protocols.
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