Benefits Specialist
Required skills
- self-funded benefit programs
- health
- dental
- vision
- life
- disability
- wellness
- voluntary benefit programs
- benefits enrollment
- qualifying life events
Role summary
Felix Construction, a growing $200M company with 400+ employee-owners, is seeking a Benefits Specialist to manage and optimize its self-funded benefit programs. This role is crucial for ensuring employees and their families receive exceptional support and for making data-driven decisions about benefits strategy. The Benefits Specialist will be the subject matter expert in employee benefits administration, leave management, compliance, and benefits analytics, with a primary focus on self-funded medical plans. Responsibilities include administering various benefit programs, serving as a resource for employee inquiries, supporting onboarding and open enrollment, and developing employee communications.
As we continue to grow, we're looking for a Benefits Specialist who is passionate about creating an exceptional employee experience while helping us manage and optimize our self-funded benefit programs. As our Benefits Specialist, you'll play a key role in ensuring our employees and their families receive exceptional support while helping Felix make data-driven decisions about our benefits strategy. You'll serve as the subject matter expert for employee benefits administration, leave management, compliance, and benefits analytics, with a strong focus on our self-funded medical plans.
What You'll Do
Benefits Administration & Employee Support
- Administer health, dental, vision, life, disability, wellness, and voluntary benefit programs.
- Serve as a trusted resource for employees regarding benefits enrollment, qualifying life events, claims issues, and coverage questions.
- Partner with new hires during onboarding and support employees through annual Open Enrollment.
- Develop clear, engaging employee communications and educational materials.
- Analyze medical and prescription claims data, utilization trends, and cost drivers.
- Prepare reports and recommendations for leadership regarding plan performance and cost-containment opportunities.
- Support annual benefits strategy discussions, benchmarking efforts, and plan design evaluations.
- Monitor preventative care utilization and other key health plan performance indicators.
- Act as the primary point of contact for TPAs, brokers, stop-loss carriers, and benefit vendors.
- Monitor vendor performance and service levels.
- Coordinate eligibility, claims administration, invoicing, and reconciliation activities.
- Assist with vendor negotiations and renewal processes.
- Ensure compliance with ERISA, HIPAA, ACA, COBRA, FMLA, ADA, and other applicable regulations.
- Coordinate annual audits, Form 5500 filings, and compliance testing.
- Manage employee leave requests, disability claims, accommodations, and return-to-work processes.
- Partner with leaders and employees to navigate complex leave and accommodation situations.
- Maintain accurate employee eligibility and enrollment data.
- Partner with Payroll and Finance to ensure accurate deductions and vendor payments.
- Track and report on key metrics related to benefits costs, employee utilization, compliance, and service levels.
Self-Funded Plan Analysis & Strategy
Vendor & Partner Management
Compliance & Leave Administration
Data Integrity & Reporting
Who You Are
Required Qualifications
- 3+ years of experience in benefits administration, total rewards, human resources, or a related field.
- Experience administering employer-sponsored health and welfare plans.
- Experience with leave administration including FMLA, ADA, and disability programs.
- Strong analytical skills with the ability to interpret and communicate data.
- Advanced Microsoft Excel skills.
- Experience working with HRIS and benefits administration systems.
- Excellent communication and employee service skills.
- Experience working with self-funded medical plans.
- Experience analyzing claims data and healthcare utilization trends.
- Bilingual in English and Spanish.
- SHRM-CP, SHRM-SCP, CBP, CEBS, or related certification.
- Bachelor's degree in Human Resources, Business Administration, Finance, or a related field.
Preferred Qualifications
Any candidate submitted without an active, fully executed agreement will not be considered a qualified referral, and Felix Construction assumes no obligation to pay any placement or recruiting fees. Additionally, any unsolicited resumes submitted to any Felix Construction employee—including hiring managers or other personnel—will be deemed the property of Felix Construction without any obligation to the submitting agency.
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