Benefits Service Specialist

Responsibilities

• Administer, manage and/or govern a variety of benefit plans on a day-to-day basis through the processing of various transactions and events within and potentially outside of the TotalSource systems.
• Partner with back-office teams to coordinate transaction processing, audits, and ad hoc or regular deliverables.
• Perform various data integrity and enrollment/eligibility audits and research and resolve issues identified through those routine audits.
• Review, maintain, and modify standard operating and client operating processes and procedures for benefits administration.
• Identify opportunities for potential improvement in enrollments and benefits administration and make recommendations to management and peers.
• Manage and monitor data flow and integration, including carrier connections, payroll, and/or process manual carrier updates.
• Work in conjunction with various team members to resolve errors and issues in a timely and accurate manner and escalate programmatic issues to appropriate team members, carriers, or Human Resource Business Partners (HRBPs), as appropriate.
• Provide tier 2 client and internal business partner service support.
• Communicate and execute benefit policy changes as necessary.
• Research and resolve complex client benefit problems and questions and coordinate with other TotalSource associates.
• Work with benefit providers to support client benefits administration and resolve eligibility issues.
• Service and Product Support: Provide service support related to the administration of health and welfare benefit programs to the client and internal business partners and service team via phone, CRM, email, or in person.
• Coordinate communication with appropriate HR or Benefits associates, internal business partners, or carrier resources to expedite responses to critical process, operating, client, or participant situations.
• Utilize your benefits/product/process experience to identify issues, troubleshoot client or service team problems, and assist with a resolution.
• Champion and/or assist in assessing regulatory changes and process impact, process improvement, or other service application rollouts and service training.
• Act as a liaison between the client, HRBP, CRE, ACA COE, and the carriers to explain benefits-related processes.
• Partner with various team members to coordinate and execute Annual Enrollment process for clients.
• Assist in analyzing plan and service requirements used in transitioning a client to service from implementation and ensure system configuration, standards, and client operating procedures, process guides, checklists, and knowledge base are accurate and complete.

Qualifications

• 2+ years working in a Customer Service environment -- ideally in employee benefits and/or HR administration or related field.
• A college degree is great but not required. Other acceptable experiences could include: Experience noted above, OR Military Experience.
• Preferred Qualifications: SHRM, PHR, or GBA/CEBS certifications.