Job overview and responsibilities
This role is essential to the administration and management of key health and welfare benefits. The position ensures operational efficiency, supports employees and stakeholders, and addresses complex issues requiring coordination with internal teams, vendors, and legal entities. The role also leverages data and automation to drive continuous improvement, enhance the employee experience, and maintain compliance with plan governance.
· Administer daily operations related to health & wellness benefits programs, including plan support and issue resolution
· Oversee level 2 appeal administration
· Use data and automation to improve processes, enhance accuracy, and improve the employee experience
· Support case management operations using internal tools, ensuring issues are resolved in accordance with departmental service level agreements
· Serve as a liaison between the Benefits team and Legal/Workers’ Compensation for document coordination, lien waivers, litigation support, and plan verifications
· Cross-train with peers to support team flexibility and business continuity
What’s needed to succeed (Minimum Qualifications):
· 2+ years of related experience
· Basic understanding of employment benefits programs and appeals process
· Ability to follow established processes as outlined in contracts and internal documents
· Ability to communicate clearly and accurately with employees and stakeholders
· Strong organizational skills and the ability to handle multiple tasks and stakeholders simultaneously
· Excellent leadership and meeting facilitation skills
· Ability to create reports, monitor trends, ensure data integrity and manage operations
· Must be legally authorized to work in the United States for any employer without sponsorship
· Successful completion of interview required to meet job qualification
· Reliable, punctual attendance is an essential function of the position