McClellan Park, California
West Sacramento - Yolo County, California
Truckee, California
MORENO VALLEY, California
San Diego, California
Riverside, California
Posted: 27-Sep-23
Location: Azusa, California
Type: Full Time
Salary: Range 24 - $58,920 - $66,871
Categories:
Required Education:
Internal Number: 092023/23-24:24
SUMMARY
Under the direction of the Director of Fiscal Services, performs a variety of duties related to employee benefit and insurance programs, including health, dental and vision; assists employees, retirees and insurance carriers regarding employee health, dental and vision benefits; assists in the coordination of the annual open enrollment; maintains records and inventory of benefit materials and literature for distribution to employees, communication with individuals, providers, administrations, brokers, and carriers. Performs specialized duties in coordinating and monitoring interactive process meetings due to industrial accident or illness; assist and process workers' compensation claims filed against the District; maintains computerized database of claims against the District and COBRA/Retiree payments. Monitors and maintains records related to occupational safety and health (OSHA 300 Logs) in addition to safety trainings.
REPRESENTATIVE DUTIES
- Performs a variety of technical duties in supporting and administering the District's employees and retirees benefits and enrollment programs, including medical, dental, vision, life, long-term care and employee assistance program
- Coordinates the annual open enrollment, including preparation of materials for all classifications of employees, including actives, retirees, LOAs, COBRA participants
- Distributes and receives applications for changes and inputs changes into the HRS or HCM payroll system and online benefit system
- Coordinates with the Los Angeles County Office of Education (LACOE) in the preparation and maintenance of the District HRS or HCM benefit tables
- Maintains the inventory of benefit material and literature
- Coordinates ordering of materials and supplies for open enrollment and distributes according to established procedures or as required
- Processes and maintains 403(b) program with respect to eligibility, enrollments, and deletions via monthly reports from District Third Party Administrator
- Assists with the processing of billing for benefit plans, including monthly audits and reconciliations
- Ensures that the District complies with all carrier requirements and regulations
- Oversees retirement and deferred compensation with vendors, faxing forms and scheduling rooms for current vendors
- Identifies opportunities to streamline processes and provides insight on any proposed health care policy changes and/or amendments
- Offers input and ideas as to how to improve the benefit enrollment practices and procedures; stays abreast of new developments about the Affordable Care Act, FMLA, Health Care Reform, Leave of Absence and COBRA
- Explains fringe benefit programs to certificated and classified employees, those going on leaves of absence, early retirees,
- Determines need, prepares and types bulletins of general interest, including notices for open enrollment, information of plan usage, orientation for new carriers,
- Contacts insurance carrier to obtain answers to technical questions or refers an employee to carrier
- Assists employee in completing enrollment forms
- Forwards forms to the carrier and maintains separate benefit files for each active and retired employee
- Maintains records on member re-enrollments in the various plans
- Receives payments, reconcile monthly billing invoices to ensure accuracy and completeness and submits to Accounting
- Maintains accurate files, including carrier contacts, billings and files that an external auditing agency will review
- Researches and resolves complex issues, manage compliance requirements and meets necessary deadlines, receives claims for employees
- Notifies carrier and Accounting of any changes in coverage or costs
- Receives inquiries involving questions of interpretation, policies, procedures or personal dissatisfaction
- Contacts carriers for resolution and advises the employee
- Prepares and types periodic reports as requested
- Prepares letters in response to inquiries providing data or seeking data from other sources
- Answers questions from doctors, hospitals, dentists, regarding employee enrollment
- Maintains library of laws, codes, rules and regulations and other related fringe benefits
- Assist and process workers' compensation claims filed against the District; complete forms and submit to appropriate agencies; log and maintain employee files on industrial accidents
- Follow up on work-related injuries and assist in identifying employees likely to participate in modified or alternative work assignments.
- Work closely with supervisors, administrators, medical providers, claim administrator, defense counsel and others involved in the resolution of industrial accident
- Interpret and comply with rules, laws, policies, regulations, and codes; notify employees of changes in procedures and laws.
- Coordinate Cal-OSHA reports and advise sites of its
- Provide and follow up with District sites regarding current workplace postings that are required under State and Federal labor
- Monitor and maintain records of safety
- Assist the Department with other lines of coverage to include: Property, Liability, Commercial Auto, Student Accident, Boiler & Machinery, and Cyber Insurance
- May functionally lead and monitor the work of other clerical personnel
- Performs other related duties as required
MINIMUM QUALIFICATIONS
Knowledge of
- Applicable State and Federal laws, rules and regulations related to employee benefits
- New developments pertaining to the Affordable Care Act, FMLA, Health Care Reform, Leave of Absence and COBRA
- HR best practices and regulations
- Customer service skills and proven problem-solving techniques
- General methods, practices, terminology and procedures used in benefits administration, including insurance, enrollment, eligibility, billing and record-keeping functions, Employee benefits packages and insurance programs
- Employee benefits enrollment practices and procedures
- District Policies, Union Contracts and Personnel Commission Rules
- Oral and written communication skills
- Correct English usage, grammar, spelling, punctuation and vocabulary
- Data control procedures and data entry operations Interpersonal skills using tact, patience and courtesy
- Record-keeping and filing techniques
- Modern office practices, procedures and equipment
- Operation of a computer and assigned software Mathematics computations
Ability to:
- Perform a variety of duties related to the District's benefits program
- Organize and maintain information, procedures and forms regarding health and welfare insurance benefit programs
- Maintain confidentiality of privileged and sensitive information related to negotiations and District actions
- Provide information and assistance to employees regarding benefit coverage and related procedures
- Interpret and apply technical information, laws, rules and regulations and other guidelines pertaining to benefit administration
- Work independently with little direction
- Plan and organize work
- Meet schedules and timelines
- Operate a variety of office equipment, and machines, including computer and as-signed software, copier, fax machine, and calculator
- Maintain regular and consistent attendance
- Write clearly and concisely using proper grammar, punctuation, spelling and sentence structure
- Communicate effectively both orally and in writing
- Gather, sort and analyze data
- Exercise good judgment
- Follow oral and written instructions
- Perform basic math computations
- Establish and maintain effective working relationships with co-workers and others
- Pay attention to detail
- Maintain sensitivity to cultural, religious, ethnic and sexual differences
WORKING CONDITIONS WHICH MAY OCCUR
- Work inside protected from
- Noise exposure under 65
- Work on surfaces that are flat and
- Typical office
PHYSICAL ABILITIES
- Muscular Tension – may exert up to 25 pounds of force to lift, push, pull carry or otherwise move objects.
- Hearing and seeing to exchange information in person and on the
- Dexterity of hands and fingers to operate a computer and office
- Seeing to read a variety of
- Sitting for extended periods of time.
Reasonable accommodation may be made to enable a person with disability to perform the essential functions of the job.
MENTAL ABILITIES
- Oral Comprehension
- Information Ordering
- Oral Expression
- Speech Recognition
- Problem Sensitivity
- Inductive Reasoning
- Written Comprehension
- Deductive Reasoning
- Written Expression
*** Three letters of recommendation are required with application. ***
EMPLOYMENT STANDARDS
Education
Graduation with an Associate degree or completion of sixty (60) college semester units or ninety (90) college quarter units of coursework in human resources, business or public administration or related field from a recognized college or university is required. Graduation with a Bachelor's degree in human resources, public or business administration, or related field from a recognized college or university may be substituted for two (2) years of the required experience.
EXPERIENCE
Three (3) years of responsible full-time experience performing duties related to benefits such as billing, reconciliation, contract agreement, compliance, enrollment, and implementation of established processes and procedures. Two years of experience in coordinating, directing or supervising employee benefits programs or related activities is desirable.
