About This Role
The Benefits Specialist processes and researches insurance claims, ensures accurate billing and employee coverage, and resolves insurance benefit issues. This role provides essential benefit information to new and current employees, providers, and administrators, and researches providers, costs, and services for administrative review. The position reports to the Human Resources Manager.
Responsibilities
- Assist employees, beneficiaries, and insurance providers to verify eligibility, convey information related to over ten different plans, and process claims
- Audit and reconcile a variety of benefit information (e.g., payroll deductions, voluntary insurance billings, self-funded benefits program budgets, Health Savings Account) to accurately compensate employees and ensure compliance with all established accounting and insurance regulations
- Calculate and enter a variety of benefit deductions into district payroll system(s) (e.g., benefit deductions, HRS contributions, prorated premiums) to ensure employee benefit deductions are maintained accurately and within all relevant rules, laws, and regulations
- Coordinate summary plan documents with new vendors and WSBAIT to stay abreast of changes in the insurance industry and keep costs down
- Distribute documents (e.g., open enrollment packets, new/change forms, fringe benefit packages, flyers, identification cards) to provide information and proof of insurance coverage
- Maintain files and records pertaining to employee benefits (e.g., leave of absence records, applications, revolving accounts) to accurately compensate employees and ensure an up-to-date reference and audit trail
- Manage retiree accounts for accurate spreadsheets and properly reconciled accounts
- Organize and administer employee benefits communications processes (e.g., new employee orientations, benefits fairs, written and electronic employee communications, open enrollment periods) to receive and/or convey information and process applications
- Prepare and/or process a wide variety of written materials (e.g., reports, memos, letters, employee benefits forms, retiree insurance billings, benefits applications, forms, enrollment changes) to document activities, provide written reference, convey information, and/or ensure established accounting practices are maintained
- Process a variety of benefit information (e.g., flex benefits, long-term disability, open enrollment activities, ACRS benefits program, weekly deposits, district billings, applications, wire transfers) to complete enrollment/changes within program guidelines
- Receive workplace safety and workers' compensation information (e.g., first report of injury reports, medical bills, return-to-work information) to manage claim costs, assist injured employees, and ensure compliance with established regulations
- Reconcile enrollment forms and billings to employee records (e.g., health, dental, vision) to ensure accurate eligibility and payment information and comply with contract provisions