Description

Perform responsible technical and paraprofessional work in benefits administration; create computer-based benefits administration reports.

Supervision Received
Report to the Benefits Manager.

Supervision Exercised
None

Responsibilities
The essential functions include, but are not limited to, the following fundamental duties:

Assist with new hire benefits overview during onboarding.
Administer COBRA insurance for employees resigning or separating from the District.
Meet with employees and retirees to determine benefit eligibility by applying applicable bargaining unit (BU) contract language, reports and tracks new enrollees to third party administrator notifies insurance carriers of changes in insurance coverage.
Maintain BU guidelines with current insurance rate tables. Update rate charts as new contracts are settled.
Prepare monthly insurance billing, audits, balances and adjustments by downloading data from and importing necessary records into sophisticated spreadsheet formats, ensure that bills from insurance carriers reflect appropriate status of members.
Coordinate, facilitate and provide evening monthly retirement seminars and update retirees for annual open enrollment process.
Prepare monthly LIS (Low Income Subsidy) report monthly.
Prepare various government reports, such as Reinsurance Association, Federal Form 5500, Medicare Second Payer and related reports.
Generate complex customized reports using various software packages, perform uploads and downloads of data.
Coordinate insurance refunds (both contractual and miscellaneous).
Establish and file member records and maintain employee and retiree data base for benefits administration.
Generate correspondence to retirees regarding discontinuance of the District health insurance contribution due to Medicare eligibility or other eligibility factors or relating to the collection of unpaid premiums. 
Work in coordination with the Business Office and TPA on the processing of insurance payments.
Provide information and assistance to employees and retirees by telephone, mail or in person, to resolve problems or answer questions regarding insurance needs, insurance billing questions and related issues.
Serve as liaison between covered member and insurance carriers to ensure proper enrollment, and deductions are taken. 
Assist in the annual insurance open enrollment periods.
Maintain employee benefits records relating to insurance coverage and leave of absences.
Contribute to the District's Strong Schools, Strong Communities efforts by partnering with other staff to contribute to student achievement and the alignment and sustainability of resources.
Perform other duties as assigned.

Knowledge, Skills and Abilities
Working knowledge of the principles and practices of benefits administration.
Working knowledge of database structure, spreadsheet design, benefits administration and insurance billing.
Working knowledge of data collection and analysis methods and procedures.
Working knowledge of benefits billing and other human resources information systems.
Working knowledge of the theory and principles of data management.
Working knowledge of federal and state laws governing data privacy. 
Considerable skills and ability in the use of: software databases, spreadsheets and processing applications.
Considerable skill in performing mathematical computations requiring attention to detail.
Considerable ability to communicate effectively, both orally and in writing.
Working ability to perform research, prepare reports and maintain records. 

Requirements

One year (45 credit hours) of post-secondary coursework in business or personnel administration, management information systems, computer-based technology or a related field and two years of experience in a benefits, human resources or insurance billing unit performing work that involves explaining benefits programs, benefits eligibility criteria, insurance billing or related topics. (Equivalent combinations or education and/or work experience will be considered.)