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Job Requirements of Senior Benefits Specialist- Remote:
Education
Bachelor’s degree in business, human resources or related field preferrred. Equivalent experience may be considered in lieu of degree requirement.
Experience
- 3-5 years experience in benefits or HRIS
- Knowledge of the regulations that impact US benefits, and experience of their hands-on application (ERISA, COBRA, HIPAA, FMLA, Section 125, ACA, etc).
- Experience with HCM or other benefits administration systems.
- Demonstrated skill to create reports on and audit complex data from multiple sources in Excel, with the ability to spot inconsistencies and identify the root cause of issues.
- Excellent communication skills for collaborating with team members and other departments outside of HR
- Proactive and innovative thought leader.
- Excellent time management and planning skills
- Strong organization skills with the ability to manage multiple deadlines.
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Senior Benefits Specialist- Remote
TeamHealth has ranked three years running as “The World’s Most Admired Companies” by Fortune Magazine and one of America’s 100 Most Trustworthy Companies by Forbes Magazine in past years. TeamHealth, an established healthcare organization is physician-led and patient-focused. We continue to grow across the U.S. from our Clinicians to our Corporate Employees and we want you to join us.
Position Summary
The Senior Benefits Specialist is responsible for administering and managing employee benefits programs by managing technical support, ensuring regulatory compliance, and delivering exceptional support to employees on benefits-related matters.
Reporting Relationship
Reports To: Manager, Benefits and Wellness
Supervisory Responsibilities: No
Job Duties and Responsibilities
- Vendor Collaboration and Compliance: Partner with plan vendors to address eligibility and claims questions, ensuring all activities align with federal, state, and local regulations.
- Claims and Issue Resolution: Act as a liaison between employees and insurance carriers to resolve claims-related issues, assisting employees with claims and benefits-related concerns.
- Data Analysis and Error Resolution: Analyze benefits reports to identify and address errors, working closely with Payroll, HR Services, and HRIS teams for timely and effective resolutions.
- Regulatory Compliance: Maintain compliance with federal, state, and local regulations governing employee benefits, including the preparation and submission of necessary documentation.
- HR Support: Serve as a knowledgeable resource for HR team members on benefits-related inquiries.
- Employee Education and Open Enrollment Support: Assist in developing and delivering educational materials for open enrollment, lead informational sessions via Zoom, and maintain benefits-related content on employee web portals.
- Continuous Improvement: Provide suggestions for enhancing employees' benefits education and engagement.
- Government Filings and Reporting: Assist with the preparation of government filings, plan audits, and tax-reporting requirements for the Affordable Care Act (ACA).
- Claims and Premium Data Monitoring: Regularly review and analyze claim and premium data to identify trends and support benefits planning.
- System Troubleshooting and Maintenance: Resolve file integration issues, error reports, and enrollment system configurations, addressing employee concerns and maintaining accurate records.
- Benefits Records Management: Manage and maintain employee benefits records in Lawson and Empyrean, processing new hires and qualifying event transactions.
- Process Improvement: Evaluate and streamline internal processes to reduce costs and enhance operational efficiency.
- Documentation and Procedures: Document and update administrative procedures for all benefits processes to ensure consistency and compliance.
- Industry Knowledge: Stay current with industry trends and regulatory updates that impact employee benefits and implement necessary adjustments.
- Additional Duties: Perform other responsibilities and special projects as assigned to support the benefits team and organizational goals.
Job Requirements:
Education
Bachelor’s degree in business, human resources or related field preferrred. Equivalent experience may be considered in lieu of degree requirement.
Experience
- 3-5 years experience in benefits or HRIS
- Knowledge of the regulations that impact US benefits, and experience of their hands-on application (ERISA, COBRA, HIPAA, FMLA, Section 125, ACA, etc).
- Experience with HCM or other benefits administration systems.
- Demonstrated skill to create reports on and audit complex data from multiple sources in Excel, with the ability to spot inconsistencies and identify the root cause of issues.
- Excellent communication skills for collaborating with team members and other departments outside of HR
- Proactive and innovative thought leader.
- Excellent time management and planning skills
- Strong organization skills with the ability to manage multiple deadlines.