Benefits Manager

Role Overview

• Ensures state and federal regulatory compliance filings and government regulations, ensuring benefits and leave programs adhere to applicable laws.
• Performs regular financial reviews of benefit carrier billing to ensure the accuracy of invoices and enrollment compared to change files, vendor systems, inputs, and payroll.
• Provide day-to-day benefits support, assisting employees in navigating their benefits needs.
• Ensures the accuracy of all benefits enrollments in the HRIS to provide vendors with accurate eligibility information.
• Leads new-hire orientation benefit sessions.
• Performs quality checks of benefits-related data.
• Understands self-insured benefits plans and stop loss.
• Manage, review, validate and process life status changes.
• Serve as point of contact for benefits inquiries from employees on plan provisions, benefits enrollments, status changes and other general questions.
• Oversees leave-of-absence and disability requests.
• Effectively interprets FMLA, ADA and state leave implications as they relate to leaves of absences/disabilities.
• Manages the open enrollment process.
• Provides necessary reports for allocation/billing charges.
• Document and maintain administrative procedures for assigned benefits processes.
• Prepares special reports by collecting, analyzing and summarizing information and trends.
• Maintain up to date materials for benefits vendors on company intranet.
• Assist with the maintenance and testing of the HRIS and other systems and with benefits and wellness initiatives.
• Conduct regular audits to ensure the accuracy and completeness of benefits data, making necessary corrections and updates.
• Stay informed about changes in benefit trends, laws and regulations, ensuring ongoing compliance and timely adjustments to policies.
• Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.

Requirements

• Bachelor’s degree in HR, Business, Finance, or related field (or equivalent experience)
• Relevant certifications (e.g., CEBS, SHRM-CP) preferred
• 5+ years of benefits administration experience
• 5+ years managing leave of absence in a multi-state environment
• Strong knowledge of federal/state benefits laws (ACA, ERISA, COBRA, FMLA, ADA, Section 125, Workers’ comp, etc.)
• Experience with vendor/broker management
• Proficiency in Microsoft Office Suite
• Excellent organizational, communication, and time management skills
• Proven ability to analyze data, identify issues, and implement solutions independently.
• Strong analytical, problem-solving, and detail orientation with ability to manage multiple priorities; Strong sense of urgency for reaching goals
• Strategic, collaborative team player able to work in fast-paced, virtual environments; ability to travel (10–15%)

Benefits

• Health insurance
• 401(k) plan
• Remote work options
• Paid time off