Benefits Administrator

Key Responsibilities

• Process the daily deliverables for multiple customers in a timely manner with a high level of customer service and quality including but not limited to: Life events, new hires, haste enrolments, Evidence of Insurability (EOI) forms, dependent eligibility verification, work status events, appeals, HSA administration, and payroll adjustments
• Review and process open enrolment activities including file deliveries and census files
• Working knowledge of Electronic Data Interchange (EDI) requirements
• Ability to troubleshoot EDI Connections and file delivery issues
• Research and resolve system errors and draft Root Cause Analysis (RCA)
• Ability to interpret Benefits Plan Documents for EDI and OE process and understand system configuration/setup of Plan Design Requirements
• Complete customer data audits based on pre-defined Standard Operating Procedures (SOPs)
• Drive to specialize in certain tasks
• Ability to successfully track time spent on tasks/activities and follow departmental protocols
• Identify process improvement opportunities based on current workflows in the department and communicate with leadership
• Ability to suggest improvements/updates in Standard Operating Procedures (SOPs) as per dynamics of process

Qualification:

• Overall, 3+ years of work experience in US Benefits related teams
• Understanding of Electronic Data Interchange (EDI) processes
• Working knowledge of employee life-cycle U.S. Benefits Administration, ACA, related regulations, ERISA guidelines, and HIPAA Compliance

• Ability to work in US shifts (both ways Cab facility & Night shift allowances applicable)