Benefits Plan Manager

Company: Confidential



Description

 Third Party benefits Administration Company  offering a stimulating and challenging work environment for a  Benefits Administration Manger.  Company offers   customers (employers and employees) the most technologically advanced products and programs in benefits management, administration and billing services at a national capacity but local level. Company has continuously been approved by A and A+ rated stop-loss and life insurance carriers throughout the United States and Active members of National Association of Health Underwriters, and the Society of Professional Benefit Administrators (SPBA).


ESSENTIAL DUTIES AND RESPONSIBILITIES - Include but not limited to: 


Exercise discretion in all matters relating to administration, including but not limited to:  Fund financials and investment information, Trustee concerns and participant appeals.

Review and analyze monthly financial statements, monitor income and expense fluctuations.

Manage inter-department relationships to ensure that client-specific procedures, in and between Contribution Entry, Vacation, Claims, Reciprocity, Eligibility, Pension and accounting are routinely practiced and enforced. 

Attend Board of Trustees meetings, ability to write minutes, direct departments with regards to implementing directions by the Trustees and compliance with ERISA, legislative and Department of Labor requirement. 

Review and have knowledge of all client vendors - including billing practices, services being performed for each Fund, frequency of presentations to the Board of Trustees 

Ability to draft and coordinate all employer and participant mailings, to notify of rate changes, benefits changes, Summary Material Modifications, Summary Annual Report, etc.

Obtain and utilize claim, eligibility, income and expenses to prepare annual (or as requested) benefit studies, recommendations on rate increases, self pay rates, etc.

Familiar with employee benefits terminology. 

Interpretation and applications of provisions of Plan/Trust Documents with Amendments, Summary Plan Descriptions and/or the ability to research within these documents to respond to inquiries. 

Respond to coordinators/department questions with regards to Plan benefits, contributions, eligibility, Plan provisions, or ability to research inquiries before forwarding to legal counsel for interpretation. 

Handle problematic calls or situations, including complaints against Supervisors or Managers and requests from Trustees.

Supervise office staff and perform such administrative functions as shall be deemed appropriate by the Trustees of the Funds;  instructions for daily/monthly tasks, special projects as needed, supervise staff special projects (missing hours, missing pension credits, etc). 

Perform duties of staff (contributions, collections, eligibility, pension coordinators) when needed.

Represent Trust Funds in general audits by the Internal Revenue Services and Department of Labor. 

Analyze, document and assist with system problems and modification.  Provide specific direction to Programming regarding benefit changes.

Oversee the daily operations of the Funds. 

Maintain financial records of the Funds and prepare financial reports deemed appropriate by the Trustees of the Funds; financial statement consolidation, investment statements (including returns), IRS, US Treasury, ERISA, etc.

Report regularly to the Board of Trustees of the Funds.  Present to the Trustees all matters regarding the Funds:  applications for ratification, appeals, applications for approval, eligibility issues, etc.
Our client is offering an impressive array of benefits including health, dental assistance, life insurance, a flexible spending account and retirement plans for eligible employees. We politely request that only QUALIFIED CANDIDATES ( see below for mandatory requirements) NEED APPLY PLEASE.
Qualified Candidates must send a brief summary outlining career history and  experience as it pertains to this position.



Requirements

 Please only apply if you have 10 years TPA Experience in Healthcare Management and/or Correctional Healthcare Industry ONLY.
Graduate Degree
Experience leading claims processing, billing, and customer service departments with a TPA which deliver a total self-funded health plan solution. Must be experienced with  Web based plan management services and other comprehensive programs.
Strong Financial Background