JOB TITLE:BENEFITS SPECIALIST
DEPARTMENT: BENEFITS
FLSA STATUS: FULL-TIME, NON-EXEMPT
REPORTS TO: BENEFITS MANAGER
Serves as Primary Contact for client, plan vendors. Ensures accuracy of client benefit plans. Performs quality checks of benefits related data. Assists clients and members with benefit claims issues and plan changes. Enrolls employees with carriers and process life status changes. Responds to benefits inquires on plan provisions, enrollments, status changes and other general inquiries. Processes and administers leave of absense requests and disability paperwork. Provides necessary reports for allocation / billing.DUTIES/RESPONSIBILITIES
Understanding employee benefits plans and vendors/carriers to communicate to employees and managers (plan provisions, eligibility, costs, when changes can (or may not occur)).
Perform research to resolve problems with benefits eligibility or enrollment.
Calculate retro-adjustments for premiums.
Enter manual information into carrier or vendors system on a timely basis to make enrollments and assure employee data is accurate.
Serve as primary contact for employees, managers, plan vendors and third-party administrators.
Coordinate transfer of data to external contacts for services, premiums and plan administration.
Document and maintain administrative procedures for assigned benefits processes.
Ensure compliance with applicable government regulations. Ensure timeliness and accuracy of required reporting and fees.
Coordinate daily benefits processing. Handle enrollments, COBRA, terminations, changes, beneficiaries, disability, accident and death claims, rollovers, QDROs, QMCSOs, distributions, loans, hardships and compliance testing.
Oversee maintenance of employee benefits files, maintain group benefits database and update employee payroll records.
Gather employee data and oversee the processing of monthly billings and the preparation of vouchers for payment of administrative fees for assigned group plans.
Audit the accuracy and performance of functions performed by other benefits staff.
Provide customer service support to internal and external customers based on communication tools to enhance understanding of the company's benefits package. Provide suggestions to update and enhance these materials.
REQUIRED SKILLS/ABILITIES
EDUCATION AND EXPERIENCE
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