Director, Consumer Benefits Operations

Role Description

The Director of Consumer Benefits Operations is responsible for the leadership, operational performance, and service delivery of American Benefits Group’s consumer benefits administration division, including Flexible Spending Accounts (FSAs), Health Reimbursement Arrangements (HRAs), and related consumer-directed benefits programs.

• Direct oversight of client account management, claims administration, participant service coordination, renewals, and ongoing plan administration.
• Accountable for ensuring consistent, high-quality service delivery across all operational functions.
• Driving process improvement, operational discipline, and scalable growth within the division.
• Reporting to the Chief Operating Officer and serving as a member of the ABG leadership team.
• Balancing day-to-day execution with strategic oversight.
• Leading departmental performance, staffing, prioritization, and escalation management.

Key Responsibilities

• Operational Leadership & Department Management
  • Lead and manage all aspects of consumer benefits operations, including claims processing, account management coordination, participant services, and renewals.
  • Directly oversee and manage workflow leads, operational staff, and support teams.
  • Establish clear priorities, workload distribution, and departmental accountability.
  • Drive daily operational performance and ensure service delivery standards are consistently met.
  • Serve as the primary escalation point for complex operational and client issues.
• Service Delivery & Client Experience
  • Ensure a consistent, high-quality client and participant experience across all service channels.
  • Partner with account management teams to support client retention, renewals, and service excellence.
  • Maintain visibility into service performance, identifying trends and proactively addressing issues.
  • Support resolution of client escalations with clear communication and strong follow-through.
• Process Improvement & Operational Discipline
  • Identify and implement process improvements to increase efficiency, reduce error rates, and enhance scalability.
  • Review and maintain standard operating procedures (SOPs), workflows, and documentation.
  • Introduce and reinforce operational best practices across the department.
  • Ensure consistent execution across teams through structured processes and accountability.
• Cross-Functional Coordination
  • Collaborate with IT, implementation, finance, COBRA administration, and offshore teams to ensure aligned service delivery.
  • Help improve handoffs between implementation, operations, and ongoing administration.
  • Partner on system enhancements, reporting improvements, and workflow optimization.
• Performance Management & Team Leadership
  • Lead, coach, and develop team members, including workflow leads and operational staff.
  • Conduct performance management, including goal setting, feedback, and accountability.
  • Build a culture of ownership, responsiveness, and continuous improvement.
  • Ensure teams are appropriately trained, supported, and aligned to operational expectations.
• Operational Reporting & Metrics
  • Review/establish and monitor key operational metrics (e.g., turnaround times, backlog, service levels, error rates).
  • Use reporting and data insights to drive decision-making and performance improvements.
  • Maintain clear visibility into departmental health and resource needs.
• Compliance & Risk Awareness
  • Ensure operational processes align with regulatory requirements and internal controls.
  • Identify areas of risk within workflows and implement practical mitigation strategies.
  • Partner with compliance leadership to address issues requiring interpretation or escalation.

Qualifications

• 7+ years of experience in TPA administration, consumer benefits administration, or employee benefits operations.
• 5+ years of experience in operational leadership or team management.
• Strong working knowledge of:
  • Flexible Spending Accounts (FSAs)
  • Health Reimbursement Arrangements (HRAs)
  • Commuter Benefits (preferred)
  • Claims administration and reimbursement operations
  • Consumer-directed healthcare administration
• Demonstrated experience managing operational teams in a fast-paced environment.
• Strong understanding of client account management and service delivery workflows.
• Proven ability to coordinate cross-functional operational processes.
• Strong analytical, organizational, and problem-solving skills.
• Excellent communication and interpersonal skills.

Preferred

• Experience within a small to mid-size TPA environment.
• Experience working with offshore operational support teams.
• Familiarity with:
  • EDI and eligibility file processing
  • Benefits administration platforms (e.g., Alegeus/WealthCare or similar)
  • Debit card administration
  • Banking and reconciliation processes
  • Operational reporting and dashboarding
• Experience with process improvement initiatives and workflow optimization.
• CEBS or related industry certification.

Benefits

• Competitive base salary aligned with market benchmarks.
• Bonus and/or incentive compensation opportunity.
• Full benefits package, including medical, dental, vision, 401(k), and paid time off.
• Additional details to be provided as part of the formal offer.

Position Impact

• This role is critical to the continued growth and operational maturity of American Benefits Group.
• The Director of Consumer Benefits Operations will play a key role in:
  • Strengthening operational consistency and scalability.
  • Enhancing service delivery and client satisfaction.
  • Improving internal processes and cross-functional alignment.
  • Building a high-performing, accountable operations team.

What We Offer

We're proud to offer a competitive salary, PTO & paid holidays, 401(k) with match, exclusive discount programs, health & wellness programs, and more. Our PeopleFirst culture focuses on building and nurturing lifelong relationships with our employees because, at the end of the day, we exist to be there for others. The base salary range for this position is $80,300.00 – $115,000.00. The base salary offered will be determined by factors including, but not limited to, experience, credentials, education, certifications, skill level required for the position, the scope of the position, and geographic location. Actual base salary offered will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.