Employee Benefits Third Party Administrator- Adrian

Description

Founded in 1946, Kapnick Insurance is an independent insurance advisory firm with Michigan roots and a global reach. Our 210+ colleagues provide expert guidance and creative problem solving pertaining to business insurance, risk solutions, employee benefits, worksite well-being, and personal insurance to a vast and diverse base of clients worldwide. For over 79 years, companies and individuals have looked to Kapnick as a trusted advisor, providing solutions that protect their operations and employees.

Are you looking for a role where your attention to detail and customer focus can truly make an impact? Join Kapnick as a TPA, where you’ll play a key role in the timely and accurate administration of Reimbursement Accounts (FSAs) and COBRA.

In this position, you’ll handle claim payments, eligibility processing, and provide participant customer service—all while representing our agency with professionalism and care. You’ll be an essential part of ensuring our clients feel supported and confident in the benefits they receive.

At Kapnick, we live by our Core Values, and we’re committed to being the best in our business. That means you’ll be part of a team that values integrity, collaboration, and service excellence.

If you want to grow your career in a supportive environment where your work makes a real difference, this is the opportunity for you. Apply today and help us continue to set the standard in benefits administration.

Requirements

Responsibilities:

• Provide timely responses to all participants who submit inquiries via email, direct call, or telephone inquiries escalated by the call center.

• Document all correspondence and coverage activities in the agency management system.

• Attend and participate in department meetings, team meetings, and training sessions as required.

Reimbursement Accounts

• Issue educational information to participants regarding their plan, including access and permissible use.

• Process enrollments, terminations, and approved mid-year election changes

• Review for accuracy and process all submitted Reimbursement claims within 3 business days

following receipt, issuing any resulting payment in the method selected by the participant.

• Ensure any documentation requests or claims denials are properly explained in the information issued to participants and assist them with inquiries regarding the same in a timely manner.

• Maintain data integrity within the FSA system.

COBRA

• Ensure all mandated notices to Employees (Initial notices), Terminated participants (QBs) and COBRA participants are issued in a timely manner that satisfies DOL requirements and deadlines.

• Process all enrollments, terminations and annual open enrollments for COBRA participants and QBs when necessary

• Provide reports to Kapnick TPA service team and clients regarding COBRA enrollment changes

• Ensure QB payments are being properly applied, and refunds are issued when necessary.

• Maintain data integrity within the COBRA system.

• Provide timely responses to all COBRA participants and clients, calls or emails. Maintaining the Kapnick standards for communication turnaround times.

• Issue prompt and through responses, after investigation, when necessary, to all participant inquires.

• Document all correspondence and coverage activities in the agency management system.

• Educate clients, participants, and COBRA QBs on COBRA rules and regulations.

• Maintain ongoing knowledge and understanding of applicable regulations.

• Continuously analyze processes and procedures to identify and implement efficiencies and enhancements.

Other

• Perform your job in such a manner that other employees will consider it a pleasure and privilege to work with you

• Offer innovation and process improvements where possible to help with agency wide improvements and efficiencies

• Regular and timely attendance is an essential function of the job.

• Perform other duties as assigned

Minimum Qualifications (Knowledge, Skills, and Abilities)

• Associate’s degree (two-year college or technical school): Preferred

• 1-3 years’ experience in group benefits: Preferred

• 1-3 years FSA and/or COBRA experience: Preferred

• Life & Health License: Preferred

• Intermediate skill level in Word, Excel, Outlook

• Previous benefits and/or related insurance experience: Preferred