Job Description


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HR Benefits Administrator

  • Ref: 300012
  • Type: Option-to-Hire
  • Location: Hawthorne, NY
  • Industry: Healthcare
  • Job Level: Experienced Non-Manager
  • Pay: $50,000.00 - $60,000.00/yr

Opportunity Description

Experienced Human Resources professional with benefits experience needed for expanding healthcare corporation located in the mid-Westchester area. This position is responsible for the daily administration of all benefit plans.

Job Duties

  • Work with insurance carriers, employees, retirees, and benefit plan administrators
  • HRIS database and external administrators’ eligibility systems management
  • Process benefits enrollments, changes and terminations for all plans, including medical, dental, prescription drugs, vision, flexible spending accounts, COBRA and retirement
  • Maintain and update eligibility database and ensures proper enrollment of employees based upon eligibility guidelines, terminations and changes as required
  • Provide explanations of benefit programs to employees as well as departmental representatives to facilitate administration of these programs
  • Create reports as needed with HRIS database and Excel spreadsheets
  • Communicate with representatives from insurance companies to discuss benefits and claim issues
  • Audit and reconcile benefit plan invoices and eligibility files and processes monthly invoices for payment
  • Provides necessary data concerning enrollments, terminations, leaves without pay, and Medicare reimbursement claims as required
  • Analyze and interpret new or revised requirements or programs for the purpose of determining their impact upon existing administrative and procedural activities
  • Assists in coordination of annual enrollment for plan participants ensuring all changes are processed correctly
  • Assist in the annual change of health benefit option open enrollment campaign and ensures that all appropriate changes in enrollment status are recorded and processed accurately.

Experience & Skills Required

  • Associate’s degree required, Bachelor’s degree preferred and 2-5 years of relevant experience performing employee benefits functions and assisting in the administration of health insurance plans, which included responsibility for identifying problems, obtaining and analyzing relevant information, and determining solutions
  • Advanced MS Excel skills
  • Knowledge of various health insurance and retirement programs, including benefit limits, eligibility criteria, and administrative and procedural requirements
  • Good knowledge of basic medical and insurance industry terminology; knowledge of third party and medical provider billing and payment procedures; knowledge of Medicare procedures and benefits

Other Information