Benefit Specialist

Key Responsibilities

• Benefits Reconciliation & Auditing
• Review and reconcile monthly benefit invoices from medical, dental, vision, life insurance, disability, and voluntary plans.
• Analyze invoices to ensure charges align with employee enrollments and eligibility records.
• Identify billing discrepancies, overcharges, and enrollment errors.
• Research and resolve invoice variances in a timely manner and obtain credits and refunds for overpayments and billing errors.
• Maintain an invoice tracking system to monitor receipt, approval, payment status, and outstanding issues.
• Ensure benefit invoices are submitted for payment accurately and on time, maintaining documentation supporting reconciliations, adjustments, and vendor communications.
• Reconcile Health Savings Account (HSA), Healthcare Flexible Spending Account (FSA), and Dependent Care FSA contributions.
• Maintain accuracy of employee deductions and employer contributions for payroll activities.
• Investigate and resolve discrepancies between payroll, benefit vendors, and participant accounts.
• Prepare reconciliation reports and summaries for management review.
• Audit benefit deduction entries for bi-weekly payroll and develop additional deduction audits as needed.
• Review and revise departmental processes for deduction entries and payroll activities (including running internal audits and reconciling contributions).
• Data Analysis, Compliance & Special Projects
• Extract data and use information to conduct analyses and audits on various benefit programs (including managing/converting all file feeds).
• Participate in local and national benefit surveys, ensuring data accuracy and submission by stated deadlines (including maintenance of benefit records and documentation).
• Maintain accurate records and audit documentation to support annual audits, open enrollment activities, and year-end benefit reporting.
• Run ad hoc reports upon request from various departments.
• Serve as a project team member on major benefit initiatives as deemed necessary.
• Aid in special projects related to benefits administration and process improvement as needed.

Qualifications & Requirements

• Education: Bachelor’s degree in Human Resources, Business Administration, or a related field preferred.
• Experience: Experience in benefits administration, LOA management, and benefits reconciliation.
• Systems: Proficiency in HRIS systems (Paylocity preferred) and advanced skills in Microsoft Excel for auditing and data analysis.
• Knowledge: Strong understanding of FMLA, ADA, COBRA, ERISA, and other benefits-related compliance laws.

Key Physical and Mental Requirements

• Ability to lift up to 50 pounds
• Ability to sit for extended periods of time
• Ability to stand for extended periods of time
• Ability to use fine motor skills to operate office equipment and/or machinery
• Ability to receive and comprehend instructions verbally and/or in writing
• Ability to use logical reasoning for simple and complex problem solving

Federal Labor Standards Act (FLSA) Classification

Non-exempt

Equal Opportunity Employer

Southeast Primary Care Partners is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.