Insurance & Benefits Specialist

Qualifications

• High school diploma or GED equivalent.
• Minimum of three (3) years experience in employee insurance, benefits and payroll procedures.
• Experience in Sungard payroll software and online enrollment systems preferred.

Requirements

• Knowledge of administration of employee benefits programs.
• Knowledge of Patent Protection and Affordable Care Act and Section 125 IRS tax regulations.
• Knowledge of the Consolidated Omnibus Budget Reconciliation Act (COBRA), Family and Medical Leave Act (FMLA) and workers’ compensation statues, regulations, and rules.

Skills

• Ability to implement policy and procedures.
• Ability to interpret complex data.
• Critical decision-making skills.
• Proficient in the use of Microsoft Word and Excel.
• Superior organizational and problem-solving skills.
• Competency in basic accounting.
• Strong oral and written communication skills.
• Excellent interpersonal skills.
• Bilingual ability a plus.

Responsibilities

• Become knowledgeable in all aspects of the district’s benefits programs.
• Interpret complex healthcare and insurance laws, plan designs including the Patient Protection and Affordable Care Act, Section 125 IRS tax regulations, and TRS-ActiveCare.
• Educate and assist employees with all aspects of the benefit programs offered.
• Understand employee qualifying events and make critical decision to whether it meets Section 125 IRS tax regulation. This includes advising employees and determining documentation required to support that decision.
• Initiate enrollment, benefit changes, and payroll adjustments as required for employee benefits and payroll processing.
• Become proficient in the management of the COBRA and FML employee benefits extension programs and workers compensation claims processing.
• Meet state and federally mandated administrative deadlines for workers’ compensation and COBRA, HIPAA, and FML benefit extension programs.
• Work closely with staff from Human Resources, Payroll, and Information Systems Departments to maintain eligibility of employees’ benefits and pay during their employment status transitions.
• Perform tasks in a manner which will ensure the integrity and confidentiality of a legally sensitive public entity department.
• Reports and performs other duties as assigned by the Assistant Director of Risk Management and Insurance.

Pay

Salary/Pay Grade $48,178/CP-8 Salary Range (based on experience) as set by the Board of Trustees for the school year.

Schedule

Terms Of Employment 244 days.