Note: The job is a remote job and is open to candidates in USA. Lakeshore Talent is partnering with a growing organization in Denver to hire a Benefits Operations Analyst for its People/Benefits team. The role focuses on benefits administration, billing reconciliation, data integrity, compliance, systems management, process improvement, and providing Tier 2 support for complex employee benefits questions.
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
- Experience working with HRIS/benefits systems
- 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 in a more complex benefits environment is highly valued
- Leaves and Accommodations experience is a strong plus
- Workday experience strongly preferred
Benefits
- 100% Remote
- Temporary with potential for permanent consideration
- Potential for the role to expand into Benefits & Leaves Administration over time
- Strong potential for long-term conversion for the right candidate
- Opportunity to take ownership of processes and make meaningful operational improvements
Company Overview