Benefits Specialist

Pay Grade: 6CP

Duty Days: 226

Reports to: Chief Financial Officer (CFO)

Primary Purpose:

Coordinate the employee benefits program for the district. Maintain records and provide assistance to employees to ensure effective use of benefits. Implement the District's worker's compensation program and assist in the implementation of the District leave program according to established policies, rules, and regulations. Process and provide timely notification and communication with employees, supervisors, and insurance carriers regarding employee benefits, worker's compensation claims, ADA compliance and accommodation requests, and leaves and absences.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. The essential functions, pursuant to the Americans with Disabilities Act, may include the characteristic duties, responsibilities, knowledge, skills, and abilities noted herein; however, this is not a comprehensive listing of all functions and tasks performed by positions found in this job description. Education/Certification:

High School diploma or GED Some college preferred TASBO Certification preferred

Experience:

Three (3) years experience in benefits administration, insurance administration, or other related field preferred.

Language Skills:

• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.

• Ability to write reports, business correspondence, and procedure manuals.

• Ability to effectively present information and respond to questions from stakeholders, third-party administrators, and insurance carriers.

Special Knowledge/Skills:

• Knowledge of the administration of employee benefits programs

• Strong organizational, communication, and interpersonal skills

• Knowledge of administration of worker's compensation program and applicable laws Knowledge of administration of leave programs and applicable laws

• Ability to interpret and disseminate insurance and benefits information to individuals and groups Effective communication and interpersonal skills

• Proficiency in keyboarding and file maintenance

• Ability to use personal computer and software to develop spreadsheets, databases, and word processing

Major Responsibilities and Duties:

Benefits Administration:

• Administer employee benefits programs such as group health insurance, dental, life, and medical reimbursement

• Handle employee benefit inquiries and complaints to ensure quick, equitable, and courteous resolution. Act as liaison between employees and insurance carrier’s claims office and resolve administrative problems with insurance carrier representatives

• Provide timely notice to employees under the requirements of the Consolidated Omnibus Budget Reconciliation Act (COBRA) and Health Insurance Portability and Accountability Act (HIPAA), and Affordable Care Act (ACA) including issuing certificates of coverage for all medical plans for all terminated employees and dependents

• Conduct New Employee Orientation meetings, present information, and assist with the enrollment of new employees in benefits plans

• Coordinate annual open enrollment process, including making group presentations and preparing, distributing, and receiving materials and forms

• Process all employee benefit enrollment and change forms within required time limits to meet payroll deadlines

Records, Reports, and Correspondence:

• Prepare and verify the calculation of monthly premium deductions for all group insurance policies

• Balance and import electronic files from online platforms to account for payment

• Maintain all benefits-related records including statistical data relative to premiums and cost

• Perform required data entry and preparation of reports

• Prepare benefits handbook, including word-processing, coordinating printing, publishing to the website, and distribution

• Maintain and distribute insurance forms and supplies to campuses and other district buildings

• Compile, maintain, and rile all reports, and other documents as required

• Maintain confidentiality of information

Leave Coordination:

• Assist with processing long-term absences according to established guidelines including determining eligibility for various leave programs and providing employees with appropriate and timely notice

• Counsel with employees and supervisors concerning leave benefits and provide employees with accurate information related to absences such as deductions from pay, medical certification requirements, return to work dates, and fitness for duty requirements

• Work cooperatively with the payroll and Human Resources departments to process and coordinate employee leaves and absences, relating to workers’ compensation claims, relating to various leave programs

• Coordination of Assault Leave between employer, employee, and Texas Association of School Boards (TASB) Risk Management Fund (RMF)

• Assist in maintaining employee leave records, including confidential medical information in accordance with federal and state laws and regulations and district policies and procedures

Workers’ Compensation Administration:

• Coordination of Workers’ Compensation claims, including reporting and processing or accident reports, claim management, integration with leave, liaison for employees to workers’ compensation insurance carrier, and return to work program. File all insurance forms and Texas Department of Insurance (TDI), Workers’ Compensation Division (TWC) reports including wage statements, first report of injury, supplement report, and job information in a timely manner

• Coordination of leave and benefits between TASB and employees

• Establish and maintain contact with injured employees and provide assistance with claims and obtaining health care as appropriate

Communicate with workers’ compensation insurance carrier, doctors, nurses, campuses, and health care providers to enable appropriate processing of claims Work closely with campus and department administrative assistants, supervisors, and administrators to facilitate reporting work-related illnesses and injuries

• Work with the Payroll Department to ensure appropriate use and access to applicable leave and insurance benefits

• Prepare correspondence and forms

• Compile, maintain, and file all reports, records, and other documents as required including workers’ compensation records and confidential medical certifications

Supervisory Responsibilities:

None

Terms of Employment:

226 days from July 1 through June 30

Equipment Used:

Copier, Calculator, Personal Computer, Printer, Fax Machine, Shredder, Phone, Scanner

Working Conditions:

Mental Demands:

• Reading and comprehension

• Ability to be a self-starter

• Ability to work with numbers in an accurate and rapid manner

• Ability to communicate effectively (orally and written)

• Ability to operate a personal computer

• Ability to meet established deadlines

• Ability to maintain accurate and auditable records

Physical Demands/ Environmental Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

• Repetitive hand motions

• Prolonged use of computer

• Prolonged sitting

• Work with frequent interruptions

• Lifting up to 15-20 pounds _______________________________________________________________________________

This document describes the general purpose and responsibilities assigned to this job and is not an exhaustive list of all responsibilities and duties that may be assigned or skills that may be required

Job Type: Full-time

Pay: $22.62 - $32.56 per hour

Expected hours: 40 per week

Benefits:

• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift

Ability to Relocate:

• Elgin, TX 78621: Relocate before starting work (Preferred)

Work Location: In person

Salary : $23 - $33