Director Benefits Operations

Director Benefits Operations

Requirements

• Bachelor’s Degree In business, human resources, finance or mathematics. (Required)
• Experience interpreting plan provisions and government regulations, and willingness to accept responsibility for decisions relative to plan administration. (Required)
• Proven experience coordinating multiple projects/assignments simultaneously and completing assigned tasks accurately and on a timely basis. Must demonstrate strong attention to detail with excellent organizational skills. (Required)
• Demonstrated experience leading and motivating teams and situations associated with high volumes of work and/or customer demands. (Required)
• Demonstrated experience and leadership skills providing direction to, guiding, influencing and motivating individuals and teams to a recommended course of action. (Required)
• Demonstrated experience maintaining a calm and professional demeanor when handling demanding situations. (Required)
• Extensive knowledge and administration of standard employee benefit programs to include medical, dental, life, disability and retirement.
• Thorough working knowledge of ERISA and Section 125 plans. Knowledge of all legal compliance requirements and regulations such as IRS, COBRA and DOL as they pertain to benefits administration.
• Working knowledge of FAS106 and experience with benefit plan audits.
• Demonstrated strong negotiating skills used to resolve problems.
• Proven strong analytical skills including demonstrated experience identifying/quantifying problems and providing effective resolutions.
• Excellent judgment.
• Strong Excel system capabilities.

Responsibilities

• Develops the strategy for administration of health and welfare benefit programs. Ensures benefits are managed in a fair and consistent manner according to plan provisions for the benefit of all associates.
• Ensures all aspects of benefits administration comply with federal and state regulations. Reviews proposed associate benefit legislation and ensures prompt and accurate compliance.
• Develops strategy for and application of customer service practices that result in a high level of satisfaction with our benefit plans and with staff interactions.
• Develops strategies for claims administration to ensure appropriate time service and high levels of productivity and efficiency.
• Negotiates contracts with suppliers of administrative services used by the Benefits Department.
• Reviews processes and ensures improvement and efficiency of the same.
• Ensures compliance with privacy policies.
• Utilizes technology to most effectively achieve business results.
• Skillfully handles problem cases and complaints. Ensures appropriate communication with active and retired associates and outside medical/legal professionals.
• Ensures all benefits practices and procedures are appropriately documented in user manuals that provides seamless transfer between associates when positions are re-assigned.
• Performs other duties as assigned.
• Complies with all policies and standards.
• Provides direction to and development of associates through daily coaching, the administration of the Performance Management Model, and the creation and implementation of development plans. Recruits, hires, trains and develops staff.

Preferred Qualifications

• Proven experience in medical claims administration (Preferred)