What are the responsibilities and job description for the Benefits Specialist II (Human Resources) position at Shelby County Government?
Position Summary
Reviews maintains and coordinates eligibility and premium payments for direct billing population, interprets and communicates provisions of all benefits programs, resolves complex customer service and claims inquiries and assists in performing eligibility audits.Minimum Qualifications
1. Three (3) years of experience working in a human resources benefits environment, which includes working with automated employee benefits program; AND
2. Bachelor’s degree from an accredited college or university in human resources, business administration, public administration or a related field; OR
3. An equivalent combination of education, training and/or experience.
4. PROOF OF EDUCATION, TRAINING AND/OR EXPERIENCE IS REQUIRED.
Duties and Responsibilities
1.Reviews payroll processing to ensure accurate employee benefit deductions and payment of benefits, initiate timely payroll/HRIS adjustments due to benefit election changes and monitor premium/disability return to work status.
2.Reviews monthly premium statements/invoices for group insurance contracts regarding enrollment and applicable administrative fee.
3.Coordinates with vendors to provide documentation for reconciliation purposes.
4.Gathers, assembles, posts, balances and summarizes payment data for special employee groups and receipts and deposits checks as assigned.
5.Prepares reports and documents for premium processing.
6. Conducts eligibility review of various healthcare vendor enrollment systems, including pharmacy benefit manager on an ongoing basis.
7. Assists in performing eligibility audits for all benefit programs.
8. Resolves eligibility issues, enrolls and deletes employees when eligibility changes and processes issues relative governmental agencies.
9. Coordinates processing of court support orders and reconciles any discrepancies with issuing agency.
10. Coordinates open enrollment procedures for special employee groups.
11.Prepares appropriate correspondence, reports and insurance claims and resolves complex customer inquiries regarding all benefits programs.
12. Performs other related duties as required or directed.
KSA's
1. Proficient knowledge of in Microsoft Word, Excel, Access and PowerPoint applications.
2. Ability to interpret provisions of benefit programs.
3. Familiar Knowledge of basic health and welfare insurance terminology.
4. Knowledge of benefits' laws, regulations; etc.
5. Ability to collect, track and maintain various premium payments via database tracking system.
6. Ability to prepare and maintain statistical records.
7. Ability to exercise discretion in handling matters of confidential nature.
8. Must have excellent oral and written communication skills.
9. Ability to work independently and have strong follow-up skills.
10. Knowledge of interpersonal skills using tact, patience and courtesy.
Disclaimer
This position is subject to a background check for any convictions that have a substantial relationship to potential job duties. Only convictions that are substantially related to potential job duties will be considered and will not automatically disqualify the candidate.
