PURPOSE

Perform a variety of technical duties in support of FWCS group insurance programs to provide District employees with enrollment in and continuation of coverage for health, life and disability plans; serve as a technical resource and liaison concerning employee insurance programs.

 

IMPORTANT DETAILS

 

MINIMUM QUALIFACTIONS

Any combination equivalent to: a bachelor’s degree and two years working with employee benefit administration or related field.  The employee must have strong office, computer and oral and written communication skills. Incumbents must possess knowledge of the technical aspects, methods, processes, principles, practices, procedures and terminology used in assigned field. 

 

ESSENTIAL FUNCTIONS

  1.  Process the day-to-day operations of FWCS group insurance programs; perform related enrollment, billing, adjustment and record-keeping functions; provide eligible employees with benefits according to established policies and procedures.

 

  1. Distribute, collect, review, prepare, process and evaluate enrollment and other insurance forms and applications for health, life and disability plans; verify and assure accuracy and completeness and make corrections as needed.

 

  1. Serve as a resource to employees and retirees concerning employee insurance programs; respond to inquiries and provide technical information concerning related group plans, forms, options, requirements, policies and procedures; research and resolve issues and problems as needed.

 

  1. Coordinate and conduct open enrollment activities for District employees; enroll, add and delete employees to and from various insurance plans; assist employees with completing a variety of enrollment forms and applications.

 

  1. Coordinate and process benefit adjustments needed for ongoing insurance coverage; make adjustments in response to changes in beneficiary information, termination of health coverage or application for disability benefits; calculate, revise and update records with changes.

 

  1. Compile information and prepare and maintain a variety of records, reports and files related to employee benefits, insurance programs, plans, forms, billings, personnel claims and assigned activities; establish and maintain filing systems; distribute reports as needed.

 

  1. Receive, process and prepare and verify insurance billings for payment; reconcile insurance billings and audit for accuracy; prepare and submit additions, changes and terminations; arrange for insurance billings and collect and process payments.

 

  1. Input, update and extract a variety of benefits data and information in an assigned computer system; establish and maintain automated records and files; initiate queries and generate computerized reports; assure accuracy of input and output data.

 

  1. Meet with employees concerning employee benefits; conduct benefit orientations for new employees; distribute informational materials, insurance packets and enrollment forms and explain health, life and disability plans, programs and options.

 

  1. Maintain current knowledge of various insurance policies; coordinate policy booklet updates as necessary.

 

  1. Serve as a benefits liaison between employees, insurance representatives and various outside agencies concerning insurance plans and claims; resolve issues, conflicts, discrepancies and concerns as necessary; Assist Health Insurance Committee concerning rates and plan design.

 

  1. Attend a variety of meetings, workshops and conferences to maintain current knowledge of applicable laws, codes, rules, and regulations.

 

  1. Perform related duties as assigned by the Administrator to meet the particular needs of the building/unit.

 

 

PROBATIONARY PERIOD

 

PHYSICAL REQUIREMENTS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

 

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to speak and hear. The employee is required to have dexterity of hands and fingers. The employee is required to sit or stand for extended periods of time. They may be occasionally required to bend at the waist, kneel or crouch. Specific vision abilities required by this job include close vision, and ability to adjust focus. While performing the duties of this job the incumbent is seated or walking at will. The incumbent will be required to lift, carry and/or push 25 pounds or more as assigned. While performing the duties of this job, the employee is frequently exposed to outside weather conditions.