Benefits Specialist (Bilingual)
Our newest opportunity is to ensure our customers can hire, onboard, and understand their benefits for themselves and their employees. You will own your book of assigned clients, develop their knowledge, and maintain compliance on their behalf. You will help define goals and visions for the benefits department. Integrity, a sense of urgency, and honesty are key drivers to success in this position. The Benefits team operates in a highly energetic and collaborative environment. Benefits Specialists should be regarded as subject matter and service experts within Resourcing Edge.
Responsibilities
- Assist with specifications, development, testing, and implementation of new plan designs for renewal or clients adding on new plans (setting up benefit plans with multiple tiered pricing structures).
- Support the benefits team with reports, policies, and procedures related to benefits administration and service.
- Provide daily support to client account managers, payroll, and sales as needed.
- Work collaboratively with the team to coordinate compliance and systems for clients.
- Maintain data integrity and system functionality of all benefits information to ensure accuracy of enrollments and benefits-related data in the system of record.
- Optimize the performance of our benefits admin system, including gathering and analyzing data, developing and implementing new benefits processes, documenting processes, and making recommendations for improvement.
- Perform benefits analysis, validations, and audits to ensure quality control and adherence to established procedures.
- Resolve client inquiries, provide relevant information as requested internally and externally.
- Organize and prioritize work to ensure timely, effective, and efficient delivery of services, including delivering or coordinating compliance and administrative solutions.
- Manage open cases to ensure problem resolution in the shortest amount of time possible while keeping clients regularly advised of status and anticipated resolution date.
- Document customer interactions in the CRM system.
- Ensure proper triage, escalation, and effective resolution of all inquiries.
- Take initiatives toward professional development, including stretch assignments and additional projects, and stay updated on statutory and regulatory payroll and compliance practices.
- Provide ACA configuration and support (1095’s).
- Design and implement workflows supporting routine benefits tasks.
Key Measurables
- Case management: closing cases in 3-5 days or less with a target of 75%.
- Service efficiency, improvements, and innovations.
- Utilize the data processing team for 80% or more of repetitive tasks.
- Update plans in Prism system for benefits elections and rates accurately after open enrollment with a target of 99% accuracy.
- Complete quarterly goals.
Requirements
- Bilingual (English/Spanish).
- Technical skills are mandatory: proficiency in Outlook, Microsoft Office Suite, and typing.
- Strong written and verbal communication skills with a talent for precise articulation of customer issues.
- Bachelor’s degree or 2 years of benefits service experience.
- Great problem-solving mindset, thinking first from principles of customer care.
- Must be eligible to work in the United States without the need for work visa or residency sponsorship.
Preferred Skills
- Provides accurate information in a friendly, professional, and empathetic manner, translating to a positive customer experience.
- Previous payroll experience is a plus.
- Highly organized and detail-oriented.
- Passion for working in a team environment.
- Ability to manage multiple projects running concurrently.
- Critical thinking, problem-solving, and time management.
- Knowledge of Prism HR platform is a plus, along with building benefit forms, workflows, and validating enrollment processes. Experience with any HRIS incorporating benefits administration will substitute for direct Prism experience.
Work Environment
The work environment is an indoor office setting: clean, pleasant, and comfortable. Equipment for daily performance will be provided.
Pay
Your base pay is dependent upon your skills, education, qualifications, professional experience, and location. In addition to base pay, some roles are eligible for variable compensation, commission, and/or annual bonus based on individual and company performance. Eligible employees receive health, wellbeing, retirement, and other financial benefits, paid time off, overtime pay for non-exempt employees, and reimbursement of job-related expenses per company policy. Employee perks and discounts may also be available.