6/29/2025 11:55 PM Pacific
Date Posted 6/16/2025 Contact Michelle Woods(805)498-4557 7409 Number of Openings 1 Salary Add'l Salary Info $4,907.27 - $5,934.20 Monthly Length of Work Year 12 Employment Type Full Time Job Description / Essential Elements: Print
BASIC FUNCTION
Under the direction of an assigned supervisor, perform a variety of technical duties in support of employee insurance and benefits programs including, but not limited to: health, dental and vision; organize and maintain information, procedures and forms regarding health and welfare insurance benefit programs, and provide information and assistance to employees regarding benefit coverage, claims and related procedures.
DISTINGUISHING CHARACTERISTICS BETWEEN RELATED CLASSES
The employee in the job classification of Benefits Specialist is subject to possessing in-depth knowledge of the job domain to carry out job-related activities independently; receives initial on-the-job training to understand the intricacies of the District’s health benefit programs and plans in order to self-direct in problem solving related to enrollment, claim resolution and consultation services to the District’ staff, benefit consultants, and account managers of the various insurers.
REPRESENTATIVE DUTIES/RESPONSIBILITIES
Determine employee eligibility to participate in District health and welfare insurance programs, and enroll employees into appropriate programs based established eligibility; assist employees with completing required enrollment paperwork.
Set-up and/or utilize web-based data information systems for record management of employee benefits eligibility status, and changes in program enrollment as it pertains to employees, retirees, dependents and terminated workers; monitor, control and keep detailed reconcilable records; notify employees of eligibility changes and prepare change records and distributes to necessary parties.
Calculate buy-in rates for part time employees, provide payroll deduction information to payroll staff; calculate reimbursements for changes in payroll deduction and track necessary data using appropriate record management system(s).
Maintain records required by carriers’ guidelines, such as birth and marriage certificates, social security numbers, and employment information; employee demographic information for use of health benefit carriers, up-to-date beneficiary information for Standard Life Insurance; retiree status tracking, and conduct annual re-check of college age dependents to verify student status and send out related correspondence. Maintain employee files with documents.
Contacts carrier representatives to discuss and resolve problems regarding plan coverage.
Identifies opportunities to streamline enrollment processes and provides insight on any pro-posed health care policy changes and/or amendments
Analyzes laws, rules, and publications relative to health benefit administration.
Provides input to District management for decisions regarding policies, regulations, collective bargaining agreements, and operational procedures as related to employee benefits programs.
Coordinates the District’s annual open enrollment period; prepare memos and send out information regarding open enrollment; provide forms and explanations of coverage; obtain completed enrollment forms and provide information to the appropriate District department(s).
Coordinate mailings of informational packets related and provide information in person, by phone or by mail to disseminate information and respond to inquires regarding COBRA / OBRA benefits, benefit program options for employees planning retirement, the drop of coverage, adding dependents, paying claims and related matters.
Collects and processes benefits-related accounts receivables; collects monies from retirees and employees on COBRA or leaves of absence; posts, reconciles and submits payments; generates invoices of payments due; audits accounts to send overdue notices or adjustment notices for underpayment or overpayment of account.
Reconcile billings with carriers including, but not limited to: Anthem BlueCross, Kaiser, Delta Dental, VSP, Standard, and appropriate stop loss carrier, and employees with regard to their health benefits coverage and/or claims; liaison between CVUSD and third party program administrator(s).
Compile, analyze, and provide information regarding employee benefit statistics to District administrators, the Health Benefits and Wellness Committees.
Performs other job-related duties as assigned.
KNOWLEDGE & ABILITY REQUIREMENTS
Knowledge of:
ü General methods, practices, terminology and procedures used in benefits administration including insurance, enrollment, eligibility, carrier claims and billing
ü District health and welfare benefit and insurance programs.
ü COBRA benefits and regulations
ü Correct English usage, grammar, spelling, punctuation and vocabulary
ü District organization, operations, policies and objectives relating to personnel activities
ü Record keeping and reporting techniques
ü Oral and written communication skills
ü Telephone techniques and etiquette.
ü Interpersonal skills using tact, patience and courtesy
Ability to:
ü Learn and apply rules and regulations involved in assigned job functions
ü Maintain the security of confidential materials
ü Analyze situations accurately and adopt an effective course of action
ü Comprehend and follow directions given verbally and in writing
ü Demonstrate mental acuity sufficient to perform the essential functions of the position
ü Communicate effectively both orally and in writing
ü Maintain records and prepare reports
ü Establish and maintain cooperative and effective working relationships with others
ü Meet schedules and time lines
ü Work independently under general direction
ü Be motivated to produce high quality work product
ü Maintain a work pace appropriate to the position
TOOLS/EQUIPMENT
In order to effectively perform the essential functions of the classification, an incumbent is subject to properly operating the following tools/equipment with or without reasonable accommodation and/or on-the-job training upon job entry.
ü Operate a variety of office equipment including a personal computer and job-specific software applications, and related peripheral equipment, including, but not limited to fax machine, copier, and printer.
ENTRANCE QUALIFICATIONS
Education/Experience:
High school diploma, or an equivalent, supplemented by college level course work in business, accounting, benefits, human resource management, insurance or related field AND two years of work experience performing fiscal record management related to business accounting, employee benefits administration, risk management and/or human resources.
*Alternate variations of education/experience may be considered by Personnel Commission staff as acceptable to qualify for participation in the examination process resulting in an eligibility list.
Licenses/Certifications/Special Requirements
ü Valid California Class C Driver’s License
Requirements / Qualifications
For more information on Requirements/Qualifications, please contact the employer.
Comments and Other InformationFor more information on Comments and Other Information, please contact the employer.
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