How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Work Shift
Job Summary:
Responsible for responding to and resolving team members' benefit questions and requests; processing benefit
transactions, communicating with insurance vendors regarding eligibility and other benefit issues, inputting data
into and retrieving information from HR/Payroll, Timekeeping and Benefit Enrollment systems related to
benefits, managing benefit documentation, conducting benefit audits with vendors, managing plan responsibility
and assisting with the open enrollment process.
Core Responsibilities and Essential Functions:
ADMINISTER AND MAINTAIN LEAVE OF ABSENCES FOR ASSIGNED PROCESS LEVELS (FMLA,
WELLSTAR EXTENDED LEAVE, NON-FMLA, MILITARY).
Educate and guide team members and managers on the Leave Processes and Procedures with
regard to FMLA, WellStar Extendend Leave, Non-FMLA, Military, Block, Intermittent and
Reduced Work Schedule.
Calculate Team Member Eligibility to determine FMLA, PTO and EIB available.
Ensure Proper Benefit Documentation is received, recorded and communicated to team
members and appropriate team members.
Supervise and process all Benefit Arrears (payment recording/payment collection/payment
processing/demand letters/benefits discontinuation/accounting and payroll reporting).
Manage Leave Time with team members and managers regarding intermittent time, leave
extensions, recertifications and/or return to work.
When necessary, work with Risk Management regarding any leaves that are Workers
Compensation cases.
When necessary, work with HR Operations and Employee Health regarding return to work
with restrictions for purposes of ADA.
Maintain Leave Spreadsheet for management on an ongoing basis as source of record for
leave administration.
Keep Leave Status Updates consistent between HRIS, benefit enrollment and time keeping
systems.
Maintain organized and thorough Leave Files electronic whenever possible.
MANAGE ASSIGNED PLAN VENDOR RELATIONS, PROCESSES, BILLING, BENEFITS, ESCALATED
ISSUES AND BENEFIT COMMUNICATIONS.
Responsible for all implementations, contracts, amendments and benefits for Assigned Plan
Vendors (i.e., teleconferences, plan binders, archives, contacts, etc.)
Coordinate with plan vendors and HRIS to ensure Systems and file feeds are sent, received
and processed accurately and timely.
Manage and reconcile Plan Invoicing monthly. Create and utilize billing standards to address
issues with inaccuracy.
Manage Escalated Plan Issues from other staff and report back information in a timely
manner.
Identify improvement areas with regard to Plan Changes, reporting and team member
education.
Apprise management on changes with Plan Account Processes, Guidelines and
Communications.
RESPONSIBLE FOR ALL CUSTOMER SERVICE INQUIRES ON BENEFIT RELATED ISSUES IN
ACCORDANCE WITH VENDOR AGREEMENTS AND BENEFIT SUMMARY PLAN DOCUMENTS. THIS
INCLUDES MEDICAL, DENTAL, VISION, LIFE, SPENDING ACCOUNTS, DISABILITY, LIFE AND AD&D
INSURANCE, VOLUNTARY BENEFITS, WORK LIFE BENEFITS, COBRA AND LEAVES - WALK-INS,
EMAILS, TELEPHONE CALLS, VOICE MAIL MESSAGES AND MAILING SERVICES.
Follow-up with team members whose issues were not resolved within 24 hours to provide a
status update at the least.
Respond to Voice Mail and Email messages within 24 hours. When necessary, refer to another
team member. Contact the team member to inform them that their issue is being handled by
the person to whom you sent the inquiry.
When necessary mail correspondence USPS; however, normally use email for official
communications.
Keep Adequate Records of all phone calls, emails and any other forms of correspondence with
team members for future reference and for call/email log reporting.
In the case of absence, ensure that team members have information directing them to
assigned benefits team members for help as needed. Use auto-emails with format for
benefits team.
LEARN AND OVERSEE HRIS AND BENEFIT ENROLLMENT ADMINISTRATION SYSTEMS
(MYBENEFITS) FOR BENEFIT ENROLLMENTS/CHANGES.
Oversee the Status Change Reports and send Status Change Letters to team members within
24-48 hours of receiving the report.
Work and correct all Discrepancy Reports as they are received.
Audit process level reports for accuracy, changes and terminations per pay period.
Troubleshoot with HRIS Team when necessary. (work through assigned Sr Benefits Analyst)
Input Enrollment/Change Data in a timely manner to coordinate with transmittal to vendors
and internal payroll.
Complete and send Payroll Deduction/Reimbursement Requests by Payroll deadline (subject
to management sign-off).
Monitor and update Team Member Communication Materials (electronic and paper), as they
relate to assigned plan responsibility.
ASSIST WITH NEW HIRES, STATUS CHANGES, LIFE EVENTS, ANNUAL OPEN ENROLLMENT AND
SEPARATION PROCESSES AND PROCEDURES.
Ensure accuracy and timeliness of Team Member Communication Materials.
Attend Department Staff Meetings for your process level with benefit team members and HR
consultants to provide resources to leaders and staff.
Schedule process level Benefit Enrollment Center Rooms for annual open enrollment (and
translation services when needed).
Update Management on changes in plan structures, benefit changes and team member
communications for annual open enrollment.
Assist in testing of Benefit Enrollment System and provide feedback for corrections.
Support team members by helping with Issues or Complaints, and follow-up in a timely
manner.
Participate in review of Annual Open Enrollment.
Reconcile post annual open enrollment Reports with HRIS system for accuracy.
PERFORM OTHER JOB-RELATED DUTIES ASSIGNED AND PARTICPATE IN DEVELOPMENT SESSIONS.
Attend Town Halls (work with your process levels HR) as needed to learn of ongoing
concerns and issues as well as assist with benefit related questions.
Produce Metric Reporting as needed and/or requested.
Be present at all benefit related Training Sessions and Benefit Staff/HR Meetings.
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct.
Required Minimum Education:High School Diploma General or GED General or Associates General-Preferred or Bachelors General-Preferred
Required Minimum License(s) and Certification(s):
All certifications are required upon hire unless otherwise stated.
Required Minimum Experience:
Minimum 1-2 years of work experience in Human Resources, with 6 months or more
of employee benefits experience Required and
Required Minimum Skills:
Basic knowledge of Employee Benefits;
skills in communication, customer service, problem solving and benefits administration.
Benefits compliance knowledge a plus.
Experience in multitasking and prioritizing multiple responsibilities.
Must possess good communication skills verbally and in writing, interact and work effectively with all
people including those from diverse ethnic and educational backgrounds, and be able to maintain safety in the workplace, including maintaining confidentiality in all aspects of the job.
Basic knowledge of legislation and regulations affecting benefit plans such as ERISA, PPACA, COBRA, FMLA, ADA, USERRA, FLSA, etc.
Operating knowledge and experience with computers, including Microsoft Word, Excel and Power Point proficiency.
Knowledge of HRIS/HRMS systems as well as bswiift and/or other benefits administration applications/platforms preferred.
Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.