Employee Benefits Third Party Administrator

Requirements

• Provide timely responses to all participants who submit inquiries via email, direct call, or telephone inquiries escalated by the call center.
• Document all correspondence and coverage activities in the agency management system.
• Attend and participate in department meetings, team meetings, and training sessions as required.
• Reimbursement Accounts: Issue educational information to participants regarding their plan, including access and permissible use. Process enrollments, terminations, and approved mid-year election changes. Review for accuracy and process all submitted Reimbursement claims within 3 business days following receipt, issuing any resulting payment in the method selected by the participant. Ensure any documentation requests or claims denials are properly explained in the information issued to participants and assist them with inquiries regarding the same in a timely manner. Maintain data integrity within the FSA system.
• COBRA: Ensure all mandated notices to Employees (Initial notices), Terminated participants (QBs) and COBRA participants are issued in a timely manner that satisfies DOL requirements and deadlines. Process all enrollments, terminations and annual open enrollments for COBRA participants and QBs when necessary. Provide reports to Kapnick TPA service team and clients regarding COBRA enrollment changes. Ensure QB payments are being properly applied, and refunds are issued when necessary. Maintain data integrity within the COBRA system. Provide timely responses to all COBRA participants and clients, calls or emails. Maintain the Kapnick standards for communication turnaround times. Issue prompt and thorough responses, after investigation, when necessary, to all participant inquires. Document all correspondence and coverage activities in the agency management system. Educate clients, participants, and COBRA QBs on COBRA rules and regulations. Maintain ongoing knowledge and understanding of applicable regulations. Continuously analyze processes and procedures to identify and implement efficiencies and enhancements.
• Perform your job in such a manner that other employees will consider it a pleasure and privilege to work with you. Offer innovation and process improvements where possible to help with agency wide improvements and efficiencies.

Qualifications

• Associate’s degree (two-year college or technical school): Preferred
• 1-3 years’ experience in group benefits: Preferred
• 1-3 years FSA and/or COBRA experience: Preferred
• Life & Health License: Preferred
• Intermediate skill level in Word, Excel, Outlook: Preferred
• Previous benefits and/or related insurance experience: Preferred