Job: Assistant Employee Benefits Administrator

An Assistant Employee Benefits Administrator is responsible for professional assignments and tasks in the administration of the City's Employee Benefits Programs. These programs include multiple self-insured, self-administered medical and dental insurance plans, life insurance, and health and dependent care flexible spending account programs.

Duties of this class include:

Directly supervising employees responsible for adjudicating claims.

Providing lead supervision to the Employee Benefits Supervisor, assisting with interpreting insurance carrier contracts.

Answering questions from employees, dependents, retirees and providers and resolving problems regarding the requirements and provisions of benefit programs.

Resolving insurance claim discrepancies.

Educating employees, retirees and dependents regarding City-provided benefit programs.

Drafting correspondence to employees, dependents, retirees, providers and carriers.

Assisting with updating and revising the Benefit Plan Document regarding administration of the City's benefits program.

Coordinating and conducting various benefit program information and enrollment sessions for employee and retirement groups.

Working with providers and insurance vendors to ensure proper employee insurance coverages.

Assisting employees, dependents and retirees in the completion of various benefit forms

Performing research, collecting and analyzing data on such subjects as claims and fraud.

An employee in this classification exercises considerable initiative with latitude for independent judgment. Technical decision-making is required in the areas of processing of claims, payment of benefits, coverage and authorization of health care program services, certification of services, trust fund management and Health Insurance Portability and Accountability Act (HIPAA) compliance.

Additional duties include:

Attending and facilitating presentations to employee groups.

Assisting with Health Insurance Portability and Accountability Act (HIPAA) compliance.

Assisting with the preparation and administration of the Employee Benefits budget.

Providing additional staff assistance to Employee Benefits Advisory Committee and Employee Benefits Task Force.

This class receives supervision from the Employee Benefits Administrator who reviews work through conferences, reports and overall results obtained. This classification acts as the Employee Benefits Administrator in the absence of the Administrator.This class is FLSA exempt-administrative.

Minimum Qualification(s) Required: Any combination of training, education and experience equivalent to graduation from an accredited college with a bachelor's degree in personnel, public or business administration or related field. Considerable (3 - 5 years) professional experience in Human Resources work functions including, but not limited to, employee benefits administration with a working knowledge of HIPAA guidelines. Good (1 - 3 years) of contract administration experience.

Preferred/Desirable Qualification(s):
Master's degree in human resources, public administration or related field is also preferred. Experience in budgeting, electronic claims processing, trust fund management and personnel administration. World at Work certification as a Certified Benefits Professional (CBP) or equivalent certification as an Employee Benefits Specialist (CEBS).