Note: The job is a remote job and is open to candidates in USA. Lakeshore Talent is a Colorado-based staffing and recruiting firm partnering with a growing Denver organization to connect talented professionals with meaningful opportunities. The Benefits Operations Analyst will manage benefits administration, billing reconciliation, data integrity, compliance, systems integrations, employee support, documentation, and process improvement while serving as a Tier 2 resource for complex benefits issues.
Responsibilities
- Execute monthly billing reconciliations across Medical, Dental, Vision, and ancillary benefits
- Compare carrier invoices against enrollment data and investigate and resolve discrepancies
- Take ownership of benefits billing processes and identify opportunities to improve accuracy and efficiency
- Manage large census and enrollment files with a high degree of accuracy
- Own weekly benefits file feeds across carriers and vendors, including Collective Health, Kaiser, Forma, VSP, TouchCare, Helpr, Unum, and others
- Troubleshoot file feed errors and investigate root causes independently
- Conduct ongoing data audits, including SSN verification, age-26 dependent audits, passive enrollment events, and other eligibility reviews
- Navigate Workday and understand how employee data flows through benefits systems and integrations
- Support required benefits compliance activities and filings, including ACA 1095s, MA HIRD, and San Francisco HSCO
- Support annual benefits notice distribution
- Manage COBRA administration and related processes
- Apply knowledge of ACA, ERISA, COBRA, and other applicable benefits regulations to day-to-day operations
- Manage the benefits inbox and Workday Help cases
- Serve as a Tier 2 resource for complex eligibility, enrollment, and benefits questions
- Investigate escalated employee issues and follow them through resolution
- Serve as an intermediary between employees and the benefits brokerage
- Take a holistic approach to employee questions by considering how life events may impact multiple benefit plans and proactively addressing related issues
- Provide a high level of customer service while maintaining technical accuracy
- Support logistics for benefits engagement initiatives, including webinars and employee communications
- Assist with creating and posting benefits-related content and communications
- Help ensure employees have clear, accurate, and timely benefits information
- Serve as the primary owner of internal benefits SOPs and documentation
- Update documentation when processes, systems, or file feeds change
- Regularly review existing SOPs to ensure documentation accurately reflects current processes
- Identify recurring questions, errors, and process gaps and address the underlying issue rather than relying on workarounds
- Help create and implement improved processes that increase operational accuracy and efficiency
Skills
- 3+ years of hands-on experience in benefits administration or benefits operations
- Strong foundational knowledge of employee benefits, including deductibles, out-of-pocket maximums, Qualified Life Events, HSA/FSA plans, eligibility, and enrollment
- Strong knowledge of benefits compliance and regulatory requirements, particularly ACA ; working knowledge of ERISA and COBRA
- Experience with benefits billing reconciliation and/or carrier invoice auditing
- Advanced Excel skills, including VLOOKUP/XLOOKUP, Pivot Tables, and working with large data sets
- Strong analytical and problem-solving skills with the ability to investigate issues and determine root causes
- Excellent written and verbal communication skills
- Strong customer service orientation and the ability to communicate complex benefits information clearly to employees
- Highly organized and detail-oriented with a strong commitment to data accuracy
- Ability to independently manage competing priorities and follow issues through to resolution
- Strong documentation and process-improvement skills
- Ability to ask thoughtful questions, learn quickly, and take ownership of work
- Experience working in a more complex benefits environment is highly valued
- Experience working with HRIS/benefits systems; Workday experience strongly preferred
- Experience supporting a complex benefits environment —particularly experience with multiple carriers, integrations, compliance requirements, billing reconciliation, and escalated employee issues—will be especially valuable and may place a candidate toward the higher end of the compensation range
- Leaves and Accommodations experience is a strong plus
Benefits
- 100% remote work arrangement
- Potential for permanent consideration
- Potential for the role to expand into Benefits & Leaves Administration based on business needs and performance
- Strong potential for long-term conversion for the right candidate
- Join a collaborative and supportive Benefits team
- Opportunity to make an immediate impact in a highly visible operational role
- Exposure to benefits systems, compliance, billing, integrations, and employee support
- Opportunity to take ownership of processes and make meaningful operational improvements
Company Overview