Benefits Specialist

Role Description

The Benefits Specialist is responsible for making sure our clients establish the ability to hire, onboard, and understand their benefits for themselves and for their employees. This person will own their book of assigned clients and be responsible for developing their knowledge and maintaining compliance on their behalf. This person will help define goals and visions for the benefits department.

The Benefits Specialists will be regarded as a subject matter and as a service expert within Resourcing Edge. Integrity, a sense of urgency, and honesty are key drivers to success in this position. This person must reside in Pacific, Mountain, or Central time zones. Salary for this role is between $65,000-$75,000 DOE.

Key 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).
• Reports, policies, and procedures that relate to benefits administration and service.
• Support the benefits team as needed and daily support of client account managers, payroll and sales as needed.
• Work collaboratively with the team, coordinating compliance and systems for clients.
• Maintain data integrity and system functionality of all benefits information to ensure accuracy of all benefits enrollments and benefits related data in system of record to provide vendors and the organization with accurate information.
• 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.
• Responsible for performing 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.
• Organizes and prioritizes work to ensure timely, effective, efficient, and economic delivery of services, including delivering or coordinating the delivery, as appropriately, of Resourcing Edge 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.
• Ensures proper triage, escalation, and effective resolution of all inquiries.
• Responsible for taking initiatives and action towards professional development, taking on stretch assignments and additional projects, as well as staying advised of statutory and regulatory payroll and compliance practices.
• Provide ACA configuration and support (1095’s).
• Designing and implementing 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 target 99% accuracy.
• Complete quarterly goals.

Qualifications

• 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 strongly preferred. Experience with any HRIS incorporating benefits administration will substitute for direct Prism experience.

Requirements

• Bachelor’s degree preferred. Experience in lieu of degree will be considered.
• 2+ years of experience in Benefits Services.
• Experience in using Prism HR to build benefit forms, workflows and validate enrollment processes is strongly preferred. Experience with any HRIS incorporating benefits administration will substitute for direct Prism experience.

Work Environment

• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
• This job operates in an indoor office environment.
• Clean, pleasant, and comfortable office setting.
• Equipment for daily performance will be provided.

Benefits

• 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 your individual performance and/or the company’s performance.
• We also offer eligible employees health, wellbeing, retirement, and other financial benefits, paid time off, overtime pay for non-exempt employees, and robust learning and development programs.
• You will receive reimbursement of job-related expenses per the company policy and may receive employee perks and discounts.