Senior Benefits Administrator

This is a fully remote position, open to applicants in United States.

📋 Description

• Supervise the daily administration and strategic integration of health and welfare plans.

• Oversee the self-insured medical plan and assess its performance.

• Evaluate medical and prescription drug claims, trends, high-cost claimants, and cost factors.

• Organize stop-loss renewals, monitor thresholds, and manage reimbursement submissions.

• Maintain relationships with TPA, PBM, benefits brokers, and carriers.

• Manage billing, claims funding, reserves, and reconciliations of employee contributions and invoices.

• Direct the annual Open Enrollment process, including communications, informational sessions, system updates, and audits.

• Handle enrollment modifications, qualifying life events, dependent eligibility verification, and COBRA administration.

• Assist with disability programs and benefit premiums during FMLA/LOA periods.

• Ensure adherence to ERISA, ACA, HIPAA, COBRA, FMLA, and other relevant regulations.

• Keep SPDs, SBCs, plan documents, and Form 5500 filings up to date.

• Coordinate nondiscrimination testing and lead annual 401K and benefits audits.

• Address escalated employee claims and prepare benefits communication materials.

• Report directly to the HR Operations Director.

⛳️ Requirements

• Bachelor’s Degree in Human Resources, Business Administration, Finance, or a related field (or equivalent practical experience).

• A minimum of 5 years of hands-on experience in health & welfare plan administration.

• Proven experience managing self-insured/self-funded medical plans, including stop-loss insurance, TPAs, and PBMs.

• Familiarity with administering benefits using Workday.

• Advanced proficiency in MS Excel, including Pivot Tables, VLOOKUP/XLOOKUP, and data modeling.

• Extensive knowledge of ERISA, ACA, HIPAA, COBRA, and IRS Section 125 regulations.

• Strong analytical skills with a focus on data.

• Excellent communication skills for employee interactions.

• Preferred certifications include CEBS, SHRM-CP/SHRM-SCP, or PHR/SPHR.

🏝️ Benefits

• Variable pay opportunity for eligible employees.

• Comprehensive healthcare benefits.

• Dell work-from-home discount.

• Access to Gympass fitness and health resources.

• Telus Employee Assistance Program and mental health resources.