The senior benefits specialist is responsible for providing benefit support to all business units within AtlantiCare to meet their established goals and objectives. In this role, the senior benefits specialist will work with vendors to ensure compliance to established contracts; lead the work pertaining to the regulatory filings, including plan testing, audits, plan documents, PPACA, 5500s and post-retirement evaluations); analyze and prepare data for various committees, including the Health and Wellness Steering Committee and Due Diligence Committee; and continually seek out opportunities for process improvement within our existing programs, including new or pertinent products or services for employer-sponsored benefit programs.
The senior benefits specialist will assist with the review and updating of SPDs and planning design changes in the benefits administration system, MyADP and the HR Benefits Portal. Responsible for assigning accrual codes to employee accounts and troubleshooting when necessary. This position also works with vendors to ensure compliance with established contracts and regulatory filings, including plan testing and audits as required. Responds to vendors' questions and concerns in a timely manner and acts as a liaison between vendors and/or vendors and employees. This includes, but is not limited to, medical, dental, vision, prescription, COBRA, flexible spending accounts, life insurance, long-term disability, voluntary offerings and retirement savings programs. In addition, the Senior Benefits Specialist handles all inquiries from employees in regard to their claims, including payment, deductible disputes and savings plan accounts.
This position assists in new hire orientation, open enrollment planning and annual planning process, which includes premium analysis, market surveys, defined benefit projections and defined contribution strategy and wellness initiatives. This position will be play a large role in developing communications related to open enrollment, education and change management.
This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to teamwork and cooperation. Must demonstrate flexibility and commitment for multiple projects in a fast-paced environment.
EDUCATION: Bachelor's degree in business (HR, finance, math, or computer science) or 5+ years of equivalent work experience with employer-sponsored benefits or insurance industry required. A professional certification in benefits preferred.
EXPERIENCE: Requires a minimum of 3 years in an analyst role, preferably with employer-sponsored benefits or insurance industry. Demonstrated ability to conduct analyses on raw data and present recommendations to drive desired outcomes required. Strong working knowledge of report writing and advanced Excel required. Demonstrated experience in managing vendor relationships, as well as an expert knowledge and understanding of COBRA, ERISA, PPA, PPACA and other benefit legislation, required. Retirement program administration experience with a strong background in defined benefit plans and experience with self-funded plans, preferably in hospital or not-for-profit function, strongly preferred. The ideal candidate has proven ability to communicate effectively at all levels of the organization; is detail-oriented and able to manage multiple projects in a fast-paced environment and to function independently; and is task-oriented and innovative in process improvement.
Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position.
The essential functions for this position are listed on the Assessment and Evaluation Tool.
This position reports to department leadership.
The above statement reflects the general details considered necessary to describe the principle functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.
AtlantiCare is an equal opportunity employer that takes affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.