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Job Code:  9561
Job Title:  benefits specialist
Creation Date:  12/03/99  
Revision Date:  05/31/08
FLSA Status:  Non-Exempt


JOB SUMMARY:

Provide quality, professional assistance and expedient customer service within a specialized area of Benefits Services by maintaining the service lines compliant with laws and regulations related to benefits administration. 

ESSENTIAL JOB FUNCTIONS:

  • Responsible for the coordination, testing and implementation of technical aspects of benefits administration.  Audit and revise process setup by initiating creative and intuitive searches and implementing changes to enhance administration process; specifically applications to reduce manual intervention by participating, implementing and communicating processes. 
  • Coordinate and/or assists with benefits related research projects and analysis.
  • Responsible for performing benefit enrollment administration.  Maintain the benefit system and updates.  Produce monthly enrollments for newly eligible participants, process coverage changes, default coverage, investigate eligibility problems and questions, complete payroll adjustments and perform audits.
  • Assist with the audit reconciliation and payment of insurance premiums to ensure proper eligibility, billing reconciliation and data set error corrections.  Work with various service entities and Benefit staff to maintain a productive and timely system for expediting the flow of benefit eligibility to our providers.
  • Responsible for conducting various benefits related in-services, which may include on-going training of benefit programs, plans and policies.
  • Responsible for the review, distribution and monitoring of various reports in accordance with current guidelines for quality assurance in processing and distributing notification of participants’ eligibility in various benefit programs.
  • Provide benefits interpretation and work with service entities in maintaining Human Resources policy and procedures related to benefits administration.  
  • Liaison related to Correctional Managed Care benefits.
  • Resolve employee issues while providing quality customer service in a compassionate and reassuring manner.
  • Adheres to internal controls and reporting structure.

MARGINAL OR PERIODIC JOB FUNCTIONS:

  • Performs related duties as required.

REQUIRED EDUCATION / EXPERIENCE: 

Bachelor’s degree or equivalent, and one year related experience.

EQUIPMENT:

Standard office equipment

WORKING ENVIRONMENT/LOCATION OF POSITION:

Standard office environment.  This position requires a high degree of visibility and interaction with all levels of employees including classified, executives and faculty, as well as some travel and minimum physical demands.   

OTHER:

Specific job requirements or physical location of some positions allocated to this classification, may render this position security sensitive, and thereby subject to the provisions of Section 51.215, Texas Education Code.

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ANY QUALIFICATIONS TO BE CONSIDERED AS EQUIVALENTS IN LIEU OF STATED MINIMUMS REQUIRE THE PRIOR APPROVAL OF THE VICE PRESIDENT FOR HUMAN RESOURCES AND EMPLOYEE SERVICES.  

 THE UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON IS AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION UNIVERSITY

 

 The University of Texas Medical Branch  is an Equal Opportunity / Affirmative Action University

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