1. Assists the Insurance Consultant and Executive Director of Human Resources in the development of insurance specifications, and assists in the analysis of bids.
2. Interprets benefit sections in all bargaining unit contracts and determines eligibility. Serves as a resource to the Executive Director of Human Resources during negotiations with employee unions and organizations.
3. Coordinates and conducts the new hire insurance enrollment process, annual open enrollment periods and information sessions for medical and dental insurance plans.
4. Accurately establishes benefit plan deductions for employee payroll.
5. Responsible for accurate on-line enrollments/changes for medical and dental plans for all staff members.
6. Manages the vendor relationship with benefits platform company and serves as system administrator.
7. Effectively serves as a liaison/customer service representative (both verbal and written) between human resources, payroll, principals, directors, office managers, supervisors, employees and insurance companies.
8. Advises employees, retirees and dependents regarding District provided benefits programs.
9. Resolves inquiries to claims discrepancies and benefit questions between staff and the insurance companies.
10. Drafts correspondence to employees, dependents, retirees, providers and carriers.
11. Administers COBRA continuation compliance, Chapter 488 compliance, Long Term Disability claims and Life Insurance claims.
12. Administers HIPPA compliance for Protected Health Information.
13. Researches, analyzes and implements changes in local, state and federal laws and changes in union contract language as they pertain to Benefits administration.
14. Ensures compliance with all ACA requirements, including reporting.
15. Maintain compliance with ADA requirements and ensure consistency with ADA requests and accommodations
16. Administers Workers Compensation program to include claims reporting, lost time tracking, medical services received, Return to Work program and annual audit of premiums.
17. Assists the human resources department with benefit costing for all contract negotiations.
18. Assists the program department heads with benefit costing for budgeting purposes.
19. Efficiently coordinates continuation coverage for Early Retiree benefits, Medicare Supplements and employees on Leaves of Absence.
20. Responsible for payment of insurance bills for all plans.
21. Maintains accurate benefit files and spreadsheets for all District employees to be used for reconciling monthly payments, staffing, negotiations and budgeting.
22. Accurately implements new insurance carrier changes.
23. Contributing member of the District Insurance Committee which reviews insurance plans and makes
changes to meet the needs of the district and employees under a self-insured model.
24. Maintains communications about benefit plans to all participants and eligible persons.
25. Other duties as assigned by the Executive Director of Human Resources.