Employee Benefit Specialist

The Benefit Coordinator role is responsible for managing and overseeing employee benefits programs within an organization. This includes ensuring accurate and timely administration of various benefits such as health, dental, ancillary benefits, and other employee perks. The Benefit Coordinator serves as a point of contacts of the PEO, for employees, HR personnel, and external vendors regarding benefits-related inquiries and processes.

 Tasks and Responsibilities –

1.   Benefits Program Administration:

• Develop, implement, and maintain employee benefits programs in accordance with company policies, legal requirements, and industry best practices.
• Manage the enrollment, termination, and modification processes for employee benefit plans, ensuring accurate and timely processing.
• Collaborate with insurance providers, brokers, and other vendors to negotiate and manage contracts, resolve issues, and stay updated on benefit plan changes.
• Conduct regular audits to ensure compliance with benefit plan regulations, including ERISA, HIPAA, ACA, and other applicable laws.

2.       Employee Communication and Education:

• Communicate benefit plan details, updates, and changes to employees through various channels such as emails, newsletters, and informational sessions.
• Provide guidance and assistance to employees regarding benefit options, eligibility criteria, and claims procedures.
• Conduct benefits orientation sessions for new hires and coordinate open enrollment activities to ensure employees make informed decisions about their benefits.

3.       Data Management and Reporting:

• Maintain accurate employee records and benefit plan information in the HRIS (Human Resources Information System) or other relevant systems.
• Generate reports and analyze benefits data to monitor program usage, costs, and trends, making recommendations for improvements or cost-saving measures.
• Prepare and submit required reports to regulatory agencies, such as the Department of Labor or the Internal Revenue Service, ensuring compliance with reporting obligations.

4.     Compliance and Legal Requirements:

• Stay up-to-date with federal, state, and local regulations related to employee benefits, including healthcare reform and other legislative changes.
• Ensure benefit plans adhere to legal requirements, including discrimination testing, plan documentation, and employee notifications.
• Assist with audits and investigations related to benefits administration, cooperating with internal and external auditors as necessary.

5.       Employee Support and Issue Resolution:

• Respond promptly and professionally to employee inquiries and concerns related to benefits, addressing issues and resolving problems in a timely manner.
• Collaborate with the HR team to provide guidance and support during life events such as leaves of absence, retirement, or disability claims.
• Assist employees with claims processing, benefits-related disputes, and appeals, coordinating with insurance providers and third-party administrators as needed.

Qualifications and Skills:

• Bachelor’s degree or experience in Human Resources, Business Administration, or a related field (or equivalent  experience).
• Proven experience in benefits administration or a similar HR role.
• In-depth knowledge of employee benefits programs, regulations, and compliance requirements.
• Familiarity with HRIS or other HR software systems for benefits management.
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Attention to detail and ability to maintain confidentiality.
• Ability to work independently and manage multiple priorities in a fast-paced environment.
• Certification in HR or benefits administration (e.g., Certified Employee Benefits Specialist) is a plus but not required.

Note: The job description provided above is a general outline of the typical responsibilities and qualifications for a Benefit Coordinator role.