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Benefits Administrator
Hub International Ltd
Nashville, TN, United States
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Administers and maintains benefit plans and programs for clients. Typically services total employees numbering 1250 lives or less, across all assigned clients. Functions as a liaison between vendors and employees and advises employees on eligibility, enrollment, coverage, and other benefits matters. Compiles and maintains benefits records and documents. Familiar with standard concepts, practices, and procedures within group insurance benefits. Relies on experience and judgment to plan and accomplish goals. Performs a variety of tasks. A certain degree of analytical thinking and latitude is required. Reports to team captain or team lead.
Essential Duties and Responsibilities
Benefit Administration Responsibilities:
Include the following; done on behalf of clients’ employees (other duties may be assigned):
• Assists employees with benefit enrollments and provides education as needed.
• Responsible for maintaining eligibility audits.
• Assist employees with insurance carrier claim issues.
• Approve new hire and open enrollment benefit elections in HRIS.
• Maintain working relationship with carrier contact to investigate discrepancies and provide information in non-routine situations.
• Coordinates appropriate documentation for medical, dental, vision, life and disability eligibility, enrollment, and/or claims.
• Tracks employee benefit information in multiple HRIS systems in other electronic record keeping systems housed on employers servers.
• Coordinate with client HR and/or payroll department the changes to be made in payroll.
• Provide client customer service to continually assure that benefit plans are being administered to the client’s satisfaction.
• Audits communication materials for clients as needed
• Process billing audits and/or payroll audits per client schedule
• Responsible for sending material or communication to employees for benefits enrollment.
• Coordination of wellness benefits and/or reimbursements.
• Maintains and updates BA documentation, as necessary.
• Take an active role in keeping management abreast of urgent or escalated issues
Competencies
To perform the job successfully, an individual should demonstrate the following competencies:
• Knowledge of group medical, dental, life, vision and disability insurance; COBRA, HIPAA, ERISA, and state benefit guidelines (including knowledge of self-funding for medical, dental, life, flex, and other benefits), flexible benefit accounts, health reimbursement accounts and health savings accounts.
• Knowledge of Section 125 IRS rules and guidelines.
• Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data.
• Demonstrates attention to detail.
• Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Works well in group problem solving situations; Uses reason even when dealing with emotional topics. Ability to effectively and positively deal with inquiries, questions, or concerns while demonstrating sensitivity to the issue and the person involved in the issue. Maintain an unquestionable standard of confidentiality regarding private medical information and/or personal information that is openly or inadvertently obtained.
• Technical Skills - Strives to continuously build knowledge and skills; Shares expertise with others.
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Responds to requests for service and assistance; Meets commitments.
• Interpersonal Skills - Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas.
• Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds accurately to questions or seeks correct answers to questions; Participates in meetings.
• Written Communication - Able to read and interpret written information.
• Ability to work with a team as well as independently. Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit.
• Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently.
• Professionalism - Reacts well under pressure; Acts with integrity; Treats others
• with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Quality - Applies feedback to improve performance.
• Quantity - Meets productivity standards; Completes work in timely manner.
• Adaptability - Manages competing demands.
• Attendance/Punctuality - Ensures work responsibilities are covered when absent. Meets attendance and punctuality requirements.
• Dependability – Strong work ethic; Follows instructions, responds to management direction.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
Associate's degree or its equivalent or 2 to 4 years of work experience in a clerical or customer service environment. Basic knowledge of group insurance benefits including but not limited to: medical, dental, life, vision, disability, Flexible Spending Accounts, Health Reimbursement Accounts, Wellness Plans, COBRA, HIPAA, ERISA, and state benefit guidelines.