Job Description:

The Employee Benefits Services Administrator’s primary function is to oversee the daily benefits services operation, provide customer service to health plan members (employees, dependents, and retirees), supervise subordinate employee benefits staff, and manage the eligibility of all participants in the Monroe County Board of County Commissioner’s (BOCC) health, pharmaceutical, life, dental and vision plans (enrollment, dependent coverage, terminations, and retirement). The position is also responsible for overseeing or directly processing benefits vendor invoices to ensure their appropriateness and submitting them for payment.

ESSENTIAL JOB FUNCTIONS

Oversees daily benefits services provided to members and external sources.

Supervises subordinate staff, Benefits Coordinator(s) or Senior Coordinator(s).

Determines eligibility of all members based on applicable standards, including employees, dependents, retirees, COBRA participants, etc., for the BOCC, constitutional offices, and related government entities.

Oversees and/or personally processes all new group insurance member enrollments. Includes data entry into medical, prescription, dental, vision, and life coverage vendor sites, as well as enrollment into health savings accounts if elected for employees of the BOCC, constitutional offices, and related government entities.

Oversees and/or personally processes member coverage changes: open enrollment, life events, qualified medical child support orders, and other similar and related actions for the BOCC, constitutional offices, and related government entities.

Oversees and/or personally processes member eligibility with the Health Insurance Third Party Administrator (TPA), Pharmacy Benefit Manager (PBM), dental and vision insurance carriers, life insurance carrier, and other related vendors that may require data entry in their respective systems.

Oversees and/or personally processes updates to the internal Benefits database with all changes relevant to this position’s duties, performs database maintenance, and evaluates potential software replacement as needed.

Oversees and/or personally notifies seven (7) payroll offices of any insurance premium deductions that are to be started, stopped, or changed for any reason.

Oversees and/or personally coordinates and promotes wellness activities for the BOCC, constitutional offices, and related government entities.

Oversees and/or personally produces or processes all COBRA documentation for the BOCC, constitutional offices, and related government entities: elections, terminations, and disability.

Oversees and/or personally certifies all backup to invoices (except for claims) related to the Group Insurance office for sufficiency of Finance Department standards.

Responsible for preparing and ensuring all necessary backup acquired per contracts, routing for signature all Employee Benefits invoices, and ensuring timely distribution of payments to approximately 16 vendors to avoid contract or policy cancellations or interruptions in vendor services. Maintains all invoice records on the County’s fiscal calendar.

Investigates and resolves detailed claims issues for members and plan participants from seven (7) constitutional entities.

Oversees and/or personally produces initial notification (regarding insurance benefits) of employee leave designations and follow-up on leave designations.

Oversees and/or personally processes group and supplemental life insurance claims for seven (7) constitutional entities.

Maintains employee benefits, new employee orientation presentation, and orients new employees on medical, prescription, dental, vision, life, and wellness benefits.

Responsible for research and preparation of special projects; including complex data queries from vendors, consultants, auditors, commissioners, internal and public.

Serves as the backup to Sr. Administrator on duties relating to group insurance.

Oversees and/or personally reviews prepared invoices and travel vouchers and enters purchase orders. Handles voids, stop payments, and other related transactions.

Responsible for preparation and timely submission of all reports for the group benefit plans. (Imputed income, Medicare Part D, data match, actuarial reports, retiree valuations-OPEB, PCORI, HSA, EGWP)

Assists Sr. Administrator in preparation and monitoring of budgets, requests for proposal, and agenda items.

Oversees and/or personally coordinates all employee benefits events. (EAP, Wellness, Fairs, Lunch/learns, on-site constitutional office benefit education, etc.)

Oversees Passport to Wellness Program and relationships with wellness vendors and wellness partners.

Assists subordinate staff with resolution of issues related to group insurance.

Responsible for end-of-year reporting and data for seven (7) constitutional employers and retirees participating in benefits. (1095, W-2 Insurance Values, 1099 Values, HIS)

Responsible for the establishment of domestic partnerships and subsequent benefit enrollment.

Responsible for transitioning employees from active to retiree status and enrollment.

Prepares annual open enrollment documents and supports employees in the benefits election process, reporting changes to vendors and payroll processors for seven (7) constitutional employers.

Responds to requests for benefit information/surveys from various sources, including Kaiser Foundation, chambers of commerce, and various employers.

Performs other related job duties as assigned.

In the event of special, emergency, or disaster situations, employees may be required to work schedules other than those for which they are regularly scheduled in any capacity deemed appropriate.

QUALIFICATIONS

Education and Experience:

Associate’s degree in business, public administration, health care management, or related field required. Bachelor’s degree or higher preferred. Other education, certification, training, or experience may substitute for the formal education requirement. Three (3) to five (5) years minimum of prior related work experience.

Special Qualifications:

None.

Knowledge, Skills, and Abilities:

Ability to oversee the work of a team engaged in providing specific services, completing specific projects, or assisting other units.

Ability to perform work encompasses advanced technical, scientific, legal, or mathematical concepts. My work directly contributes to the implementation of specific policies, programs, or initiatives of the organization.

Ability to make decisions that govern activities of others. My decisions impact how our unit provides services and support to internal and external customers.

Ability to oversee and manage more than two employees in the organization performing similar work.

PHYSICAL DEMANDS

The work is light and requires exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force to move objects. Additionally, the following physical abilities are required:

Balancing: Maintaining body equilibrium to prevent falling while walking, standing or crouching on narrow, slippery, or erratically moving surfaces. The amount of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium.

Crouching: Bending the body downward and forward by bending leg and spine.

Feeling: Perceiving attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips.

Grasping: Applying pressure to an object with the fingers and palm.

Handling: Picking, holding, or otherwise working, primarily with the whole hand.

Hearing: Perceiving the nature of sounds at normal speaking levels with or without correction. Ability to receive detailed information through oral communication, and to make the discrimination in sound.

Lifting: Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. Occurs to a considerable degree and requires substantial use of upper extremities and back muscles.

Manual Dexterity: Picking, pinching, typing, or otherwise working, primarily with fingers rather than with the whole hand as in handling.

Mental Acuity: Ability to make rational decisions through sound logic and deductive processes.

Pulling: Using upper extremities to exert force in order to draw, haul or tug objects in a sustained motion.

Pushing: Using upper extremities to press against something with steady force in order to thrust forward, downward or outward.

Reaching: Extending hand(s) and arm(s) in any direction.

Repetitive Motion: Substantial movements (motions) of the wrist, hands, and/or fingers.

Speaking: Expressing or exchanging ideas by means of the spoken word including the ability to convey detailed or important spoken instructions to other workers accurately and concisely.

Standing: Particularly for sustained periods of time.

Stooping: Bending body downward and forward by bending spine at the waist. Occurs to a considerable degree and requires full motion of the lower extremities and back muscles.

Talking: Expressing or exchanging ideas by means of the spoken word including those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.

Visual Acuity: Have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; and/or extensive reading.

Walking: Moving about on foot to accomplish tasks, particularly for long distances or moving from one work site to another.

WORK ENVIRONMENT

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.

Monroe County has the right to revise this job description at any time. This description does not represent in any way a contract of employment.

Equal Opportunity Employer: Monroe County does not discriminate on the basis of race, color, national origin, gender, religion, age, disability, or military service in employment or the provision of services.

Empleador de Igualdad de Oportunidades: El Condado de Monroe no discrimina por motivos de raza, color, origen nacional, género, religión, edad, discapacidad o servicio militar en el empleo o la prestación de servicios.

Veterans Preference according to Florida State Statute 295.07: Certain service members and veterans, and the spouses and family members of the servicemembers and veterans, receive preference and priority in employment by the state and are encouraged to apply for the positions being filled.
Preferencia de Veteranos de acuerdo con el Estatuto del Estado de Florida 295.07: Ciertos miembros del servicio y veteranos, y los cónyuges y familiares de los miembros del servicio y veteranos, reciben preferencia y prioridad en el empleo por parte del estado y se les alienta a solicitar los puestos que se están llenando.