1
Enrollment and Onboarding
-Assist employees with selecting and enrolling in benefits during onboarding or open enrollment periods.
-Provide guidance on available plans, eligibility requirements, and enrollment processes.
-Process benefit applications, changes, and terminations in a timely manner.
2
Communication and Support
-Act as the primary point of contact for employee benefit inquiries.
-Educate employees on plan options, coverage details, and cost implications.
-Resolve employee issues related to claims, eligibility, and coverage.
3
Vendor and Carrier Coordination
-Liaise with insurance carriers, retirement plan providers, and other benefit vendors.
-Ensure accurate and timely communication between the organization and benefit providers.
-Review vendor contracts and negotiate terms to optimize cost and service quality.
4
Compliance and Reporting
-Maintain compliance with benefit-related regulations, including ACA, COBRA, and HIPAA.
-Prepare and file required reports (e.g., 1095-C forms, 5500 forms).
-Conduct internal audits to ensure data accuracy and compliance.
5
Benefit Administration
-Manage benefit systems and software to ensure accurate data entry and recordkeeping.
-Monitor benefit deductions, contributions, and reimbursements for accuracy.
-Track employee eligibility for benefits based on employment status and hours worked.
6
Open Enrollment Management
-Plan and execute the annual open enrollment process.
-Update and distribute benefit materials to employees.
-Assist employees with system navigation and completing enrollment forms.
7
Leave and Disability Management
-Administer leave policies (e.g., FMLA, parental leave) and disability programs.
-Coordinate with employees and providers to process claims and ensure compliance.
-Track and document leave usage and eligibility.
8
Training and Development
-Conduct benefit orientations and training sessions for employees.
-Provide ongoing updates about benefit changes or new offerings.
-Train HR and payroll staff on benefit processes and policies.
9
Continuous Improvement
-Stay updated on industry trends, best practices, and regulatory changes.
-Gather employee feedback to identify areas for improvement in benefit programs.
-Recommend and implement innovative solutions to enhance employee satisfaction.