What are the responsibilities and job description for the Benefits Specialist (Full-Time / Hybrid) position at Wilmington Health?
Title : Benefit Specialist Department : Human Resources
FLSA Status : Exempt Reports to : Senior Benefits Specialist
Job Number : Approved / Revised Date : 06.05.2018
About Wilmington Health
Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina. Wilmington Health is structured as a multi-specialty medical practice with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients. Wilmington Health is committed to using collaborative, evidence-based medicine in providing the highest quality of care to the patients we serve.
Purpose :
The position plays a critical role in supporting employee well-being by managing leave programs and ensuring compliance with relevant regulations. This position is responsible for guiding employees through their leave options, administering workers' compensation claims, and effectively communicating benefits information during employee orientations. The goal is to foster a supportive workplace environment that enhances employee satisfaction and productivity.
Essential Duties / Responsibilities :
- Manage and oversee all aspects of employee leave programs, including FMLA, disability, parental leave, and other leave types.
- Ensure compliance with federal, state, and local leave regulations and company policies.
- Manage workers' compensation claims by sending relevant information to the third-party workers' compensation insurance company for processing.
- Facilitate communication between employees and the insurance carrier and assist the employee health nurse with any additional questions that may arise.
- Collaborate with employee health services to obtain relevant information regarding employees' health and recovery status, facilitating a smooth transition back to work.
- Act as the primary point of contact for employees regarding leave inquiries and benefits.
- Provide guidance on leave options, processes, and necessary documentation.
- Present benefits information to new employees during orientation, highlighting health, wellness, leave policies, and professional development opportunities.
- Maintain accurate records of all leave requests, approvals, denials, and workers' compensation claims.
- Ensure timely and proper documentation for compliance and auditing purposes.
- Work closely with HR team members, payroll, and management to coordinate leave administration and ensure seamless communication.
- Collaborate with external vendors and insurance providers as needed.
- Assist with Open Enrollment presentations and documentation of changes with carriers.
- Key involvement in all workplace wellness initiatives, promoting programs that enhance employee health and well-being.
- Assist in the development and updating of leave policies and procedures to align with best practices and regulatory changes.
- Order supplies for the HR department as needed.
Other Duties :
QUALIFICATIONS
Required :
Preferred :
Wilmington Health is an Equal Opportunity Employer committed to providing equal opportunities to all applicants and employees. We are committed to treating everyone equally and with respect regardless of race, age, sex, religion, national origin, citizenship, marital status, veteran's status, sexual preference, disability, genetic information or any other class protected under state or federal law.
ADA Physical Demands :
Rarely (Less than .5 hrs / day) Occasionally (0.6 - 2.5 hrs / day) Frequently (2.6 - 5.5 hrs / day) Continuously (5.6 - 8.0 hrs / day)
Physical Demand
Required?
Frequency
Standing
Frequently
Sitting
Continuously
Walking
Frequently
Kneeling / Crouching
Rarely
Lifting
Rarely
Benefit Specialist Competencies
General
