Benefits Specialist II
Our client is a not-for-profit corporation that collaborates with public and private sector partners to support the delivery of high-quality, safe, and efficient healthcare and human services programs. It operates across multiple lines of business, including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. The organization also leads nationwide initiatives focused on combating fraud, waste, and abuse within large organizations. Additionally, its Foundation supports grant opportunities for programs serving underserved communities.
About the Role
The Benefits Specialist II is responsible for administering and supporting employee benefits programs, including leave management and new hire benefits enrollment. This role serves as a key resource for employees by ensuring efficient benefits processes, compliance with applicable policies and regulations, and effective collaboration with HR teams and benefits vendors. The position contributes to operational effectiveness by helping employees understand and maximize their available benefits while maintaining accurate records and supporting compliance requirements.
Responsibilities
- Manage leave of absence programs, including FMLA, short-term disability, long-term disability, and company-sponsored leave policies, while ensuring regulatory and internal compliance.
- Assist new employees with benefits selection during onboarding by providing guidance and answering questions.
- Generate reports from HRIS and benefits systems to monitor benefits enrollment, leave usage, and compliance metrics.
- Respond to employee inquiries regarding benefits eligibility, claims, and coverage, escalating complex issues when necessary.
- Ensure compliance with federal, state, and local benefits regulations, including ACA, COBRA, and HIPAA.
- Coordinate with benefits vendors, payroll, and HR teams to resolve benefits-related issues and process enrollments and claims accurately and promptly.
- Support HR operations through benefits audits, open enrollment planning, and cross-functional projects.
- Educate employees about wellness programs, retirement plans, and available resources to maximize benefits utilization.
- Assist with HR initiatives, including employee engagement, process improvements, and data integrity projects.
- Plan and prioritize assigned work with guidance and oversight from management.
Requirements
- Bachelor’s degree required, or 2–4 years of relevant experience in lieu of a degree.
- 5–7 years of related experience preferred.