Poway Unified School District · 11 hours ago
Insurance Benefits Specialist
Poway, CA
Full-time
Onsite
Mid Level
3+ years expPoway Unified School District is seeking an Insurance Benefits Specialist to support the District’s insurance benefits programs and services. The role involves providing information to employees regarding health and welfare benefits, coordinating open enrollments, and serving as a liaison between insurance companies and employees.
EducationPrimary EducationSecondary Education
Responsibilities
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
Qualification
Required
Two years of college-level course work in a related field
Three years of experience in a health care, health insurance, or related human resources environment
Skilled in typing/keyboarding at a minimum of 45 words per minute
Knowledge of District policies and procedures relating to bargaining unit agreements
Knowledge of applicable laws, codes, rules and regulations including COBRA regulations
Knowledge of various health and life insurance plans, coverage, and exclusions
Knowledge of record-keeping techniques
Knowledge of modern office practices, procedures and equipment
Knowledge of 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
Ability to coordinate the health and welfare program for employees, retirees, and Cobra participants
Ability to explain health plan coverage to employees
Ability to coordinate open enrollments
Ability to respond to requests and inquiries from District employees
Ability to interpret, apply and explain applicable laws, codes, rules, and regulations
Ability to assemble, organize and prepare data for records and reports
Ability to make mathematical computations with speed and accuracy
Ability to meet schedules and time lines
Ability to maintain records and files and prepare reports
Ability to compose correspondence and written materials independently
Ability to understand and resolve issues, complaints, or problems
Ability to type or input data at an acceptable rate of speed
Ability to communicate effectively both orally and in writing
Ability to establish and maintain cooperative and effective working relationships with others
Ability to operate a variety of office equipment including a computer and assigned software
Ability to maintain confidentiality of sensitive and privileged information
Ability to work independently with little direction
Company
Poway Unified School District
Welcome to the Poway Unified School District! We are a national leader in K-12 public education.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Christine Paik, APR
Chief Communications Officer
Tracy Williams
MIDDLE SCHOOL ASES PROGRAM SUPERVISOR
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