Senior Benefits Specialist - Human Resources

Under the direction of the Human Resources Director, administers PCA?s benefit programs including medical and other health plans.  Enrolls and provides assistance to employees in handling claims and related matters concerning their benefits.  Monitors and controls PCA?s Unemployment and Worker?s Compensation procedures and claims. Administers and monitors FMLA/Disability leaves. Responsible for recommending, developing/implementing Wellness, disability management, employee safety and other benefit programs as needed.

 

QUALIFICATIONS: 

 

Education:

? Bachelor?s degree in Personnel or Organizational Management or related field. Equivalent combination of education, training, and specific experience will be considered. Benefits professional certification desirable.

 

Experience:

? 3-5 years direct experience in administering benefit plans, Unemployment, Worker?s Compensation and other personnel functions. Knowledge of Excel, Access and higher level word processing functions required. Experience in People Soft or comparable HRIS essential.

 

Personal Characteristics:

? Excellent interpersonal and communications skills

? Highly detailed oriented, accurate and precise

? Well organized with high energy level

? High level of flexibility

? Able to handle high degree of pressure

 

DUTIES AND FUNCTIONS:

 

a)  Administers and assists in the development and implementation of all current and future benefit plans, activities and contracts including wellness/ disability management, retirement and other programs as needed.

 

b)  Researches and recommends improvements to PCA benefits. Develops cost effective and cost-control strategies that maximizes benefits and controls costs. Improves benefit procedures and automates HR benefit processes to the extent possible.

 

c)  Administers employee enrollment, changes and terminations in all benefit programs. Schedules all pre-employment physical and drug screenings. Follows-up with facilities for the results and informs new hire of the results.

 

d)  Conducts new employee benefit orientations. Assists employees in selecting benefits in PCA?s plans.  Handles inquiries, address concerns, aides in filing claims and resolving related problems. Conducts exit interviews. Advises terminated employees of their rights to COBRA benefits and secures PCA materials upon employee?s departure.

 

e)  Reviews and approves benefit plan invoices for payment on a timely basis, ensuring the accuracy of the invoices and reconciles changes or adjustments that are pending.

 

f)  Administers Unemployment / Worker?s Compensation claims, ensuring claims are processed in accordance with appropriate procedures. Provides and completes required information and forms to ensure timely responses. Files appeals and participates in the appeals process as required.

 

g)  Administers all FMLA/Disability Leave claims ensuring adherence to PCA/LTD insurance procedures/policies. Ensures paid, unpaid and end of leave status of employees are accurately entered in HRIS system. Provides reports as needed.

 

h)  Recommends, develops and implements effective communication processes to inform employees of benefits, changes and revisions, using intranet and printed materials. Ensures that relevant information is posted in appropriate places on I-net

 

i)  Coordinates safety matters and issues involving PCA employees. Works with Safety Committee to develop and implement safety procedures as needed. Certifies Safety Committee and obtains 5% credit for W/C premium.

 

j)  Maintains benefit files and ensures compliances with HR/HIPAA regulations. Maintains and provides prompt and accurate data and reports regarding various aspects of benefits use, costs, and other reports.

 

k)  Conducts periodic employees? surveys to determine level of satisfaction with benefits and determine employees? needs. Assists in other human resource functions as needed: recruiting and interviewing of applicants, dealing with and resolving employee relations issues, problems and concerns. Represents the Human Resources Department in meetings, seminars, etc., in absence of Human Resources Director or other staff members.

 

l)  All other duties as may be required.

 

Performance Measures:

? Responsiveness to management/staff

? Quality and correctness  of work assigned

? Comments, positive and negative from departments and other inside/outside ?customers?

 



Customers:

?  PCA management and staff

?  Health Insurance Providers

?  Consultants

?  Worker?s Compensation/Unemployment Providers

?  Pre-employment/Drug Screening Providers

 

Only resumes with salary requirements will be considered.