Benefits Coordinator

1 week ago

Key West, Florida, United States Monroe County Full time
Job Summary

We are seeking a highly organized and detail-oriented Benefits Coordinator to join our team at Monroe County. The successful candidate will be responsible for handling the eligibility of all participants in our health, pharmaceutical, life, dental, and vision plans.

Key Responsibilities
  • Determine eligibility of all enrollees based on applicable standards, including employees, dependents, retirees, COBRA participants, etc.
  • Process all new group insurance enrollees.
  • Process all coverage changes: open enrollment, life events, qualified medical child support orders, etc.
  • Maintain eligibility with TPA, PBM, dental & vision carriers requiring data entry in systems.
  • Update internal database with all changes relevant to this position's duties.
  • Notify payroll offices of any insurance premium deductions that are to be started, stopped, or changed for any reason.
  • Produce and manage payroll deduction memos (start/stop/change/imputed income/open enrollment/wellness time off deposit/special enrollment) for medical/prescription, dental, vision and supplemental life coverage to Board of County Commissioners, Sheriff's Office, Land Authority, Property Appraiser, Supervisor of Elections, Clerk of the Court, Tax Collector and Florida Retirement system payroll offices.
  • Coordinate and promote wellness activities with Administrator and Coordinator.
  • Produce or process all COBRA documentation: elections, initial notifications, terminations, disability.
  • Certify all backup to invoices (with the exception of claims), related to the Group Insurance office, for sufficiency of Finance Department standards.
  • Prepare and ensure all necessary backup acquired per contracts, and route for signature all Employee Benefits invoices; Ensure timely distribution of payments to approximately 16 vendors to avoid contract or policy cancellations, or interruptions in vendor services.
  • Maintain data and track utilization of in network providers vs out of network providers, inpatient hospital length of stay, emergency room visits, urgent care visits and professional services and Teladoc utilization.
  • Maintain all invoice records on County's fiscal calendar.
  • Investigate and attempt resolution for detailed claim issues.
  • Prepare premium refund requests for enrollees.
  • Produce initial notification (regarding insurance benefits) of employee leave designations.
  • Assist Administrator with follow-up on leave designations.
  • Assist Administrator of ensuring completion of questionnaires for the Federal government's Data Match project and other reports as needed.
  • Process life insurance claims.
  • Orient new employees on health insurance benefits.
  • Monitor employee FMLA leave designations for insurance eligibility purposes.
  • Research and prepare special projects as deemed necessary.
  • Serve as back up to Administrator on duties relating to group insurance.
  • Assist with phone calls and walk-ins.
  • Perform other related job duties as assigned.
Requirements
  • High School Diploma or GED.
  • 3 years minimum of prior related work experience.
  • Ability to work from a general outline of duties and responsibilities.
  • Ability to perform entry-level professional work including basic data analysis and synthesis, report creation, process performance, and regulatory or compliance activities.
  • Ability to work in a responsive environment where co-workers or citizens bring problems for resolution.
  • Ability to determine problems and create an individual solution for the issue.
Work Environment

The work is performed in a dynamic environment that requires sensitivity and responsiveness to changes that include goals, priorities, and needs of the organization and position.

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