Insurance Benefits Specialist at Poway Unified School District Share on X   Print Application Deadline

12/29/2025 4:00 PM Pacific

Date Posted 12/15/2025 Contact Deborah Batchie
Number of Openings 1 Salary Pay Range
67308.80 - 86174.40 Annually Length of Work Year 12 months Employment Type Full Time Job Summary Job Summary

Under the direction of the Assistant Superintendent or Director of Personnel Support Services, perform a variety of specialized duties in support of the District’s insurance benefits programs and services; provide information to District employees regarding health and welfare benefits; coordinate open enrollments and enroll employees; serve as a liaison between insurance companies and employees.

Job Description / Essential Elements:    Print    INSURANCE BENEFITS SPECIALIST

 

 

BASIC FUNCTION:

 

Under the direction of the Assistant Superintendent or Director of Personnel Support Services, perform a variety of specialized duties in support of the District’s insurance benefits programs and services; provide information to District employees regarding health and welfare benefits; coordinate open enrollments and enroll employees; serve as a liaison between insurance companies and employees.

 

DISTINGUISHING CHARACTERISTICS:

The Insurance Benefits Specialist provides work direction to the Insurance Benefits Technician and performs a wide range of complex and highly technical and analytical duties as they relate to benefit programs.  Additionally, the Insurance Benefits Specialist provides input to the negotiation process with bargaining units.  The Insurance Benefits Technician independently performs duties to support the insurance benefits programs, providing information and guidance to employees and retirees through every phase of the benefit process. The Insurance Benefits Assistant is the entry level of the series, receiving training to learn rules, laws, policies and procedures associated with the group employee benefit programs. 

 

 

REPRESENTATIVE DUTIES:

 

Perform a variety of specialized duties in support of the District’s insurance benefits programs and related services; assure compliance with applicable laws, codes, rules, and regulations.  

 

Meet with individual and groups of new hires and employees to discuss and clarify District health and welfare benefits; enroll employees and dependents into District health plans; enter coverage codes into computer; mail enrollment forms to carriers and mail verification letters and benefit summaries to employees.  

 

Provide information and assistance to employees in the process of changing existing health benefits as employees experience a change in dependent eligibility; make appropriate changes in codes; mail changes to the carries and verification letters and reports to employees.  

 

Serve as a liaison between employees and insurance company representatives and agents; remain current on vendor and legislature policy changes; organize and maintain information, procedures and forms regarding insurance benefit programs provided by the District for employees; distribute insurance brochures to employees.  

 

Coordinate District-wide open enrollments; compose related communications; organize publication and distribution of insurance packets; attend insurance meetings; forward enrollment forms to insurance carriers; provide code/premium updates and forward verification letters to employees.  

 

Communicate with District employees and outside agencies to provide clarification regarding benefit claim submission information, contract language, and denied/pending claims; assist employees in the resolution of claim payment and coverage discrepancies.  

 

Provide COBRA letters to eligible employees or dependents experiencing a loss of benefits; provide monthly payment coupons to individuals extending coverage; serve as a liaison between the District and the insurance consultant.  

 

Prepare monthly billing audits for services and carriers including medical, life, vision, and dental agencies; issue payment requests to the accounting department based on audits and in accordance with established timelines.  

 

Process life insurance claims; assure proper paperwork is completed; mail appropriate forms.  

Prepare correspondence to retirees and employees on a leave of absence; provide annual, semi-annual, or quarterly billings as required; calculate premiums and post payments.  

 

Monitor flexible spending accounts including Medical and Dependent Care reimbursements; audit and balance accounts; verify and resolve discrepancies; receive checks; prepare and submit deposits. 

 

Establish and maintain a variety of records, files and reports related to insurance benefit information and employees; cost out benefit projections as requested; provide budget estimates as requested.  

 

Operate a variety of office equipment including a computer and assigned software.  

 

Attend a variety of meetings, conferences, and workshops as assigned.

 

Perform related duties as assigned as they relate to the classification.

 

KNOWLEDGE AND ABILITIES:

 

KNOWLEDGE OF:

District policies and procedures relating to bargaining unit agreements

Applicable laws, codes, rules and regulations including COBRA regulations

Various health and life insurance plans, coverage, and exclusions

Record-keeping techniques

Modern office practices, procedures and equipment

Operation of a computer and assigned software

Interpersonal skills using tact, patience, and courtesy

Correct English usage, grammar, spelling, punctuation, and vocabulary

Oral and written communication skills

Mathematical computations

 

ABILITY TO:

Perform specialized duties related to various employee benefits programs

Coordinate the health and welfare program for employees, retirees, and Cobra participants

Explain health plan coverage to employees

Coordinate open enrollments

Respond to requests and inquiries from District employees

Interpret, apply and explain applicable laws, codes, rules, and regulations

Assemble, organize and prepare data for records and reports

Make mathematical computations with speed and accuracy

Meet schedules and time lines

Maintain records and files and prepare reports

Compose correspondence and written materials independently

Understand and resolve issues, complaints, or problems

Type or input data at an acceptable rate of speed *

Communicate effectively both orally and in writing

Establish and maintain cooperative and effective working relationships with others

Operate a variety of office equipment including a computer and assigned software

Maintain confidentiality of sensitive and privileged information

Work independently with little direction

 

EDUCATION AND EXPERIENCE:

 

Any combination equivalent to:  two years of college-level course work in a related field and three years of experience in a health care, health insurance, or related human resources environment.

 

SELF-CERTIFICATION OF TYPING/KEYBOARDING SKILLS:

 

* This classification requires that incumbents be skilled in typing/keyboarding at a minimum of 45 words per minute.  A typing test will not be given.  Applicants must certify in writing that they have such skills.  Demonstrated proficiency will be expected during the probationary period for the class.

 

WORKING CONDITIONS:

 

ENVIRONMENT:

Office environment

 

PHYSICAL DEMANDS:

Hearing and speaking to exchange information in person and on the telephone

Dexterity of hands and fingers to operate a computer keyboard

Seeing to read a variety of materials

Sitting for extended periods of time

Bending at the waist, kneeling or crouching to file materials

 

 

This classification description describes the general nature of the work performed, representative duties, as well as the typical qualifications needed for acceptable performance.   It is not intended to be a complete list of all responsibilities, duties, work steps, and skills required of the classification. 

 

 

Requirements / Qualifications

Applications will be screened, and those candidates whose backgrounds best match the requirements of the position will be invited to participate in a competitive examination process, which may include any combination of the following: Training & Experience evaluation (T&E), multiple-choice question test, job-related performance exercise, and technical/ oral appraisal interview. Examination procedures are subject to change as deemed necessary by the Director of the Personnel Commission. Candidates who pass all of the examination processes are ranked on an eligibility list according to their score(s). Selection for the position will be made from among the top three (3) ranks of candidates.

The current vacancy is 8 hours per day, 12 months per year, located within our Human Resources Office at the District Office. The eligibility list will be used for hiring purposes and will be active for six (6) months (Merit Rule 50.100.1). EDUCATION AND EXPERIENCE: Any combination equivalent to: two years of college-level course work in a related field and three years of experience in a health care, health insurance, or related human resources environment.

Requirements / Qualifications

Applications will be screened, and those candidates whose backgrounds best match the requirements of the position will be invited to participate in a competitive examination process, which may include any combination of the following: Training & Experience evaluation (T&E), multiple-choice question test, job-related performance exercise, and technical/ oral appraisal interview. Examination procedures are subject to change as deemed necessary by the Director of the Personnel Commission. Candidates who pass all of the examination processes are ranked on an eligibility list according to their score(s). Selection for the position will be made from among the top three (3) ranks of candidates.

The current vacancy is 8 hours per day, 12 months per year, located within our Human Resources Office at the District Office. The eligibility list will be used for hiring purposes and will be active for six (6) months (Merit Rule 50.100.1). EDUCATION AND EXPERIENCE: Any combination equivalent to: two years of college-level course work in a related field and three years of experience in a health care, health insurance, or related human resources environment.

Comments and Other Information Poway Unified School District offers an excellent benefits package for eligible contract employees who are contracted for 20 (twenty) or more hours per week. Benefits include: Retirement – CalPERS Holidays – 16 paid holidays per year (based on 12-month employment contract) Vacation – Starting at 12 days per year for 12-month employees, increasing with length of service Sick Leave – 12 paid sick days per year Medical and Prescription Insurance Dental Insurance Vision Insurance Life Insurance Travel Insurance Flexible Spending Accounts Wellness/Mental Health Benefit Flexible Benefit Plan Options For further information regarding our benefits, please visit our website at: https://www.powayusd.com/apps/pages/benefits Comments and Other Information
Poway Unified School District offers an excellent benefits package for eligible contract employees who are contracted for 20 (twenty) or more hours per week. Benefits include: Retirement – CalPERS Holidays – 16 paid holidays per year (based on 12-month employment contract) Vacation – Starting at 12 days per year for 12-month employees, increasing with length of service Sick Leave – 12 paid sick days per year Medical and Prescription Insurance Dental Insurance Vision Insurance Life Insurance Travel Insurance Flexible Spending Accounts Wellness/Mental Health Benefit Flexible Benefit Plan Options For further information regarding our benefits, please visit our website at: https://www.powayusd.com/apps/pages/benefits Links Related To This Job View Other Job Desc. / Ess. Elem. CalPERS Links Not all postings qualify for CalPERS. Informational Only. CalPERS Retirement Benefits ADD TO WISHLIST VIEW JOB WISHLIST APPLY (Current Employees ONLY) APPLY QUICK APPLY