Corporate Senior Benefits Specialist (on-site)

Corporate Sr. Benefits Specialist

The Corporate Sr. Benefits Specialist provides benefit administration and customer service to corporate employees and provides support and education to the facility Human Resource Departments for active employee benefit plans and other ancillary benefit programs. The Corporate Sr. Benefits Specialist will interface with senior management and HR team members by leading projects and providing consultation on industry best practices.

Audits enrollment elections, resolves claims, enrollment, eligibility, and related issues for active employees on health and welfare plans. Administers and interprets plan provisions for employees and keeps abreast of healthcare best practices. Researches and updates government-implemented changes to healthcare plans and serves as a liaison with COBRA and various TPAs. Ensures accurate reporting to all benefits vendors and verifies accurate entries in UKG, and various other programs ensuring compliance with ERISA, HIPAA and all applicable state and federal regulations.

Responsibilities

Essential job functions include planning and administration of employee benefits plans, data entry, advising management and employees on benefit plans, researching and correcting enrollment issues, reviewing billing statements, providing vendors with documentation, producing reports, maintaining records, collaborating with auditors, ensuring facilities are aware of proper procedures, performing nondiscrimination testing, leading open enrollment projects, analyzing employee utilization of benefits, managing benefit plan renewal process, coordinating implementation of new carriers and products, addressing enrollment issues, processing death claims, creating communication for participants, staying informed on legal or regulatory changes, facilitating weekly meetings, keeping supervisor informed, analyzing survey results, processing medical support orders, collaborating with colleagues, assisting HR offices, updating employee coverage changes, supervising maintenance of records, developing and implementing benefit training program, and maintaining confidentiality.

Qualifications

Training/experience includes five+ years professional experience in benefits administration, supervisory experience preferred, detailed knowledge of employee benefits and regulations, project and team management/leadership skills, advanced Microsoft and database experience, ability to create and comprehend reports and spreadsheets, strong written, verbal, and presentation skills, analytical, problem solving and research skills, detail orientation, ability to work effectively with all levels of personnel, ability to organize, prioritize, and follow through on multiple tasks, and ability to adapt to changing business needs. Education/certification/license includes a bachelor's degree in Human Resources, Business Administration or related experience preferred, CEBS, PHR, SPHR, OR CBP certification a plus.

Hospital Description

AHMC provides management services to multiple hospitals including AHMC Anaheim Regional Medical Center, Garfield Medical Center, Greater El Monte Community Hospital, Monterey Park Hospital, San Gabriel Valley Medical Center, Seton Medical Center, Seton Medical Center Coastside, and Whittier Hospital Medical Center. The facilities are Medicare and Medi-Cal certified and accredited by The Joint Commission on Accreditation of Healthcare Organizations. The hospitals provide healthcare services reimbursed by Medicare, Medi-Cal, traditional insurance plans, PPO, HMO and under capitated arrangements.