Senior Benefits Administrator
The Senior Benefits Administrator position is responsible for directing and planning the day-to-day operations of group benefits programs (group health, dental, vision, short-term and long-term disability, worker's compensation, life insurance, travel and accident plan, flexible spending plan, 401(k) plan and retirement plan). The Senior Benefits Administrator also provides excellent customer service and quality benefits plans, investigates new benefits programs, improves existing programs, and supervises and monitors benefits administration, as well as designs employee benefits plans and provides analytical and technical support in the delivery of the benefit programs. In addition, this position will assist the Total Rewards Manager in maintaining HRIS and data integrity.
Primary Duties and Responsibilities:
- Researches employee benefits plans and vendors to identify those that present the best value. Design, recommend and implement new benefits programs. Examine possible plan designs and benefits cost changes. Negotiate with vendors and administrators for best plans, options and rates.
- Serves as primary contact for plan vendors and third-party administrators. Coordinate transfer of data to external contacts for services, premiums and plan administration. Evaluate and revise internal processes to reduce costs and increase efficiency. Document and maintain administrative procedures for assigned benefits processes. Ensure compliance with applicable government regulations. Ensure timeliness and accuracy of required reporting and fees.
- Coordinates 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.
- Gathers employee data and oversee the processing of monthly billings and the preparation of vouchers for payment of administrative fees for all group plans. Allocate group health and dental claims monthly and reviews quarterly.
- Audits the accuracy and performance of functions performed by benefits staff. Analyze current benefits, evaluating the use, services, coverage, effectiveness, cost, plan experience and competitive trends in benefits programs, and identify the company's stance.
- Performs plan audits. Prepare, collect and organize data for actuarial assessments. Review data in conjunction with actuarial evaluation task forces.
- Reviews both short- and long-range cost estimates/projections and relevant statistical analyses regarding modifications in benefits programs and implementation of new programs.
- Surveys industry trends. Completes benefits surveys and review information obtained from the results. Analyze complex benefits information. Forecast trends and assist with future benefits designs. Develop specific recommendations for review by management.
- Monitors administrative costs of benefits programs and recommend cost containment strategies, including alternative methods for administration and funding. Prepare budgetary recommendations and assist in the monitoring, verifying and reconciling of budgeted funds.
- Provides customer service support to internal and external customers. Develop communication tools to enhance understanding of the company's benefits package. Design and distribute materials for benefits orientations, open enrollment and summary plan descriptions. Provide training and support to group benefits associates, home office associates and the field staff.
Other Responsibilities are but not limited to:
- Updates employee information on internal databases
- Drafts reports and correspondence; prepares presentations to meet specific client needs
- Organizes mass communication and administration packages being sent to clients’ plan members
- Attends internal training sessions to build knowledge of industry topics and trends
- Presents at internal training sessions to peer group
- Assists with special projects, as required
- Attends and participates in employee meetings on occasion
- Other duties as assigned
KNOWLEDGE, SKILLS AND ABILITIES:
- Computer proficiency and technical aptitude with the ability to use Microsoft products, including PPT, experience with HRIS and benefits databases.
- Project and team management/leadership skills and experience. Proven ability to work effectively in a team environment with associates. Capability of effective planning and priority setting. Ability to manage several complex projects simultaneously while working under pressure to meet deadlines.
- Strong analytical skills and a thorough knowledge of plan designs. Ability to understand, evaluate and make judgment on the proposals (RFPs).
- Knowledge of benefits contract language.
- Knowledge of all pertinent federal and state regulations, filing and compliance requirements, both adopted and pending, affecting employee benefits programs, including ERISA, COBRA, FMLA, ADA, Section 125, workers' compensation, Medicare, OBRA, and Social Security and DOL requirements.
- Excellent communication and organization skills.
education / SPECIALIZED KNOWLEDGE requirements:
- Bachelor’s Degree required preferably in Human Resources, Benefits, Business, Finance or related or equivalent education and experience. Master’s Degree preferred.
- Minimum seven (7) years’ experience with employee benefit administration.
- Proficient with Microsoft Office products, including Word and Excel, required.
- 20 percent of travel is required.
Percent of Time doing Activity
Seeing: Must be able to read screen & various reports
Hearing: Must be able to hear well enough to communicate
Standing / walking
Climbing / kneeling/bending
Lifting / pulling / pushing
Grasping / feeling: Must be able to write, type, and use phone
The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. ChenMed management reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. This job description is NOT a contract for employment and does not modify or circumvent the employee’s ‘at-will’ employment relationship with the company.
Manager, Total Rewards