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Sr. Benefits Specialist in Tampa, FL at Quest Diagnostics

Date Posted: 1/25/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Tampa, FL
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    1/25/2019

Job Description

Patients and Physicians rely on our diagnostic testing, information and services to help them make better healthcare decisions. These are often serious decisions with far reaching consequences, and require sensitivity, tact and a clear dedication to service. It’s about providing clarity and hope.

You will work for the world leader in the industry, with a career where you can expand your skills and knowledge. As a Sr. Benefits Specialist with our Human Resources Service Center (HRSC) based in Tampa, you will have a role where you can act with professionalism, you can inspire colleagues, and you can care about the work we do and the people we serve.  

The Sr. Benefits Specialist serves as the subject matter expert for Quest’s Human Resources Service Center (HRSC) for Benefit Administration and Health and Welfare Regulations.   The primary function will be to manage high level projects related to benefit plans and administration and process improvement and design, as well as serve as a point of escalation for complex benefit related issues.  


Duties and Responsibilities:

  1. Provide knowledge, expertise and advise HRSC team members on federal and state regulations as it pertains to administration of health and welfare plans.
  2. Serve as a resource and mentor for HRSC Benefit Specialist.
  3. Research complex inquiries by partnering with Payroll, Quest’s Centers of Excellence (COE) team, and benefit plan service providers as appropriate.
  4. Research, analyze and provide resolution for large volume issues, errors or other problems with eligibility, enrollment, employee records or vendor file feeds.
  5. Act as the liaison between the HRSC and benefit plan service providers and Benefit COE team.
  6. Attend vendor meetings in order to understand the relationship, scope of any changes and make appropriate recommendations to policies, practices or standard operating procedures.
  7. Responsible for quality assurance for assigned benefit programs to insure administration of plans and programs align with company policy, state and federal regulation and internal audit controls.
  8. Act as subject matter expert in alignment with user acceptance testing for any system or program and make recommendations at decision points.
  9. Perform ongoing data audits, reviews and analysis for assigned benefit programs other benefit plan audits as assigned.
  10. Achieves operational objectives by contributing information and recommendations to strategic plans and reviews.
  11. Prepares and delivers written and oral presentations for assigned projects to stakeholders, management, and steering committee.
  12. Drives execution against project plans and goals.
  13. Participates in documentation review of procedures to identify gaps/risks and make recommendations to management team to ensure gaps are covered and risk minimized.
  14. Creates process maps of departmental processes and system workflow to help explain the flow and educate associates.
  15. Works closely with the internal systems teams to insure data integrity and manages data clean-up initiatives.
  16. Identifies trending information and reports changes/concerns/topics related to trends to the appropriate management team(s).
  17. Collaborate with HRSC Service Desk Manager to insure the Service Desk has the tools and resources needed to provide accurate timely information to employees and other customers.

 

Qualifications:

  • Must have knowledge and expertise of regulations as it pertains to the administration of Employer Group Health and Welfare plans. Including ERISA, HIPAA, COBRA etc.
  • Must have basic understanding of required quarterly and annual filings and disclosures as required by state and federal laws, such as 5500s, summary plan descriptions, 401(k) compliance activities, New York Disability, New Jersey Workers’ Compensation Board, San Francisco City Ordinance, and other regulatory filings as required.
  • Should have basic understanding of project management philosophies and execution.
  • Ability to understands and interpret laws, regulations and statutes regarding benefit plans and administration.
  • Experience with Annual Enrollment philosophies and practices.
  • Experience and understanding of Human Resource Information Systems (HRIS) benefit programs.
  • Experienced in preparing reports, metrics, summaries and other written communication.
  • Ability to translate broad concepts into specific actions such as a process or procedure the company must perform to be in compliance.
  • Ability to interpret a task or issue and create a resolution that aligns with policies, practices or procedures and is in compliance with laws regulations or statutes.

Education: Bachelor’s Degree or equivalent experience

Work Experience:

•   Minimum 8 years of benefits specific experience.

•   Extensive knowledge of applicable state and federal regulations (ERISA, FMLA, Section 125 etc.).

•   Broad experience across all benefit plans (Health & Welfare, Retirement and Disability).

Other:

•   Familiarity with HR systems such as Pracle HCM Cloud, PeopleSoft, HR Reporting, Case Management, etc.

•   Proficiency with Microsoft Office products (Excel, Word, PowerPoint).

•   Possess in-depth knowledge of benefit plans.

•   Ability to research information and analyze situations to arrive at valid conclusions, recommendations, and plans of action.

•   Ability to juggle both customer case load and administrative deadlines.

•   Ability to represent ideas clearly and concisely, both orally and in writing.

•   Ability to deal with people in a manner which shows sensitivity, tact, and professionalism.

•   Ability to maintain composure in stressful situations.

•   Ability to prioritize, problem solve and apply critical thinking skills.

•   Excellent attention to detail and follow through skills.

•   Possess strong analytical skills.

Competencies:

•   Customer Focus

•   Priority Setting

•   Decision Quality

•   Organizing

•   Action-Oriented

•   Conflict Management

•   Listening

•   Problem Solving

•   Analytical

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