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Senior Benefits Administrator

Oakbridge Insurance Agency

Client Delivery Maintain an assigned book of client accounts; serve as backup coverage for other accounts within the team as needed Facilitate benefit enrollments, terminations, QLEs, status changes, and dependent verification across all assigned clients Act as the primary day-to-day contact for assigned clients and their employees on eligibility issues, ID cards, benefits questions, and carrier escalations Monitor client agreement terms and SLAs; proactively flag risk areas and service gaps to the Team Lead or leadership Investigate and independently resolve complex benefit-related concernsenrollment, deduction, billing, and claimsescalating only when necessary Partner with carriers and vendors to resolve claims issues and address client benefit-related matters Provide training and guidance to client HR teams on benefits processes, system use, and best practices; serve as an informal resource to less experienced team members System Builds, Testing & Open Enrollment Build and configure benefits administration systems for new clients, renewals, and plan changes; conduct testing to confirm accuracy prior to go-live Execute the full open enrollment cycle for assigned clientsbuild, plan configuration, testing, go-live validation, communication posting, monitoring, and post-OE audits Submit plan updates and enrollment changes to carriers and benefits platforms; assist with post-renewal activities including billing audits and feed/file reviews Complete post-open enrollment audits as agreed upon with the client to ensure data accuracy and enrollment integrity Maintain accurate benefits data in client HRIS and benefits administration platforms; update systems for renewals and any other business needs as required Benefits Administration & Eligibility Complete monthly billing audits (both list bill and self-bill) for assigned clients Support the administration of leaves of absence as they relate to benefit eligibility and continuation Process qualifying life events (QLEs), status changes, and dependent verification in accordance with plan rules and client requirements Reporting & Data Management Run census data as required to prepare RFPs or other reports; complete client audits to ensure accuracy of data Track all communications and activities in the system of record daily; respond to client inquiries within 4 business hours Manage projects and workstreams within assigned accounts, communicating timelines, deliverables, and expectations to clients and internal partners Manage the annual client service plan and timeline for assigned accounts, ensuring service cadences are met throughout the year Compliance Operate in full compliance with HIPAA; maintain working knowledge of ACA, COBRA, FMLA, ERISA, and other applicable regulatory requirements Perform all other duties as assigned

Vacancy posted 5 hours ago
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