Job Title: Benefits Specialist

Reports to:Manager, Benefits Administration
Typical Schedule:245 days/7.5 hours
Bargaining Unit:N/A

 

FLSA:Exempt
Job Code:6321
Salary Schedule:82N

JOB GOAL

Responsible for performing in-depth analysis and reconciliation of all premium revenue and claims and administration fee expenses each month. This includes preparing and reporting monthly results to finance, the District Insurance Committee, and insurance companies.

ESSENTIAL DUTIES & RESPONSIBILITIES

The following statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. These statements are not intended to be construed as an exhaustive list of all duties and responsibilities required of those in this position.
  1. Reconcile premiums paid to ensure the District and employees are being expensed correctly.
  2. Calculate all monthly administration fees to be paid for self-insured plans.
  3. Verify the accuracy of COBRA and retiree premiums paid to the District each month by a third party administrator.
  4. Work within the annual benefits budget and fund balance deficits to calculate premium rates to be charged each benefit year.
  5. Update all electronic plan data annually associated with open enrollment.
  6. Calculate payroll adjustments for premium deductions.
  7. Analyze monthly revenue to claims for employees, retirees, and COBRA participants.
  8. Monitor and oversee invoicing and payment of premiums due for employees on a leave of absence.
  9. Develop standard processes to establish and maintain consistency and efficiency.
  10. Prepare various ad hoc report requests.
  11. Run queries to perform audits and analysis of data to resolve discrepancies.
  12. Provide customer and employee support as needed.
  13. Participate on various committees
  14. Performing other duties as assigned.

MINIMUM REQUIREMENTS

Requirements are representative of minimum levels of knowledge, skills and/or abilities. To perform this job successfully, the incumbent will possess the abilities or aptitudes to perform each duty successfully. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

KNOWLEDGE, SKILLS & ABILITIES

  • Operating knowledge of computer programs, including email, word processing, spreadsheets, and databases
  • Ability to maintain accuracy of data in systems
  • Ability to communicate effectively with a variety of audiences, orally and in writing, including electronic media
  • Ability to organize, prioritize, manage and carry out duties efficiently and within established timeframes
  • Ability to establish and maintain collaborative working relationships with all stakeholders

EDUCATION, TRAINING & EXPERIENCE

  • Associate degree or equivalent (2 years of college coursework)
  • Three years of related experience
  • OR
  • Any equivalent combination of education and experience which provides the required knowledge, skills, and abilities to perform the essential duties and responsibilities of the position 

CERTIFICATES, LICENSES & REGISTRATIONS

None

PREFERRED QUALIFICATIONS

  • Bachelor’s degree from an accredited institution
  • Knowledge of benefit plan administration

SUPERVISORY RESPONSIBILITY

None

PHYSICAL REQUIREMENTS

Sedentary Work: Exerting up to10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.

PHYSICAL ACTIVITY

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.

While performing the duties of this job, the employee is required to sit, talk, and hear; stand and walk; use hands to finger, handle, or feel; reach with hands and arms. The employee occasionally lifts and/or moves up to 25 pounds. Specific vision ability required by this job includes close vision, distance vision, and the ability to adjust focus.

WORKING CONDITIONS

Indoors and Outdoors: The worker is subject to both environmental conditions. Activities occur inside and outside.

MACHINES, TOOLS, EQUIPMENT

  • General office equipment, including personal computers, fax machines, copiers, telephones, etc.

TERMS OF EMPLOYMENT

Salary and benefits shall be paid consistent with the District’s approved compensation plan. Length of the work year and hours of employment shall be established by the District.

Performance of the job will be evaluated in accordance with provisions of the School Board’s policy on evaluation of personnel.

Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Pasco County Schools will provide reasonable accommodations to qualified individuals with disabilities to allow them to perform the essential functions of the job when such individuals request an accommodation.

Benefits Specialist;   EST: October 15, 2013;   REV: n/a;   Board Approved: October 15, 2013