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HR Employee Benefits Specialist

Human Resources
Adventist Health System Corporate Office

If you want to be a part of a place that provides nothing less than extraordinary compassionate care, then Adventist Health System is the place for you!

We are currently seeking qualified candidates for an Employee Benefits Specialist position that will be based in our Human Resources Shared Services department. This position will be based in our Solutions Center in Altamonte Springs, FL.

The Employee Benefits Specialist is an individual contributor supporting Adventist Health System’s employee benefits administration functions. The Benefits Specialist acts as a subject matter expert (SME) in the benefit plans offered to the AHS employee population, and liaises with benefit vendors on behalf of employees. The Benefits Specialist processes benefit documents and oversees approval workflows for benefit-related changes, including enrollments, terminations and post-employment benefit offerings. The Benefits Specialist also researches, analyzes and resolves benefit-related issues on behalf of AHS employees and provides guidance to employees on their health and welfare benefits. The Benefits Specialist is responsible for staying up to date on applicable legal and regulatory changes, updates to internal policy and processes, and new system functionality.

Specific job duties include:

  • Act as a subject matter expert in the management of benefit documents, workflows and employee inquiries as it relates to employee benefits, including group health plans, ancillary plans, paid days off, grandfathered paid leave plans and retirement options

  • Provide guidance on benefit plan information to employees and dependents, including, but not limited to, new hire enrollment, open enrollment, continuation of coverage information, evidence of insurability applications, death claims and government required notices and compliance documents

  • Maintain a broad knowledge of company policies, benefit plan documents and legal and regulatory updates as it relates to employee benefits and group health and welfare plans

  • Apply documented procedures, policies and other reference materials to accurately resolve employee inquiries, utilize sound judgment and make appropriate determinations where the details are not available or are ambiguous

  • Liaise and maintain appropriate relationships with benefit vendor representatives, corporate Benefits team members, internal Shared Services and HRIS teams, and facility level HRBP’s as applicable

  • Ensure AHS compliance with HIPAA, maintaining employee privacy where appropriate, including confidentiality and protection of sensitive information

  • Analyze enrollment reports and issues, performing appropriate troubleshooting actions in the HCM software

  • Process benefit plan enrollments and terminations in compliance with AHS policy, IRS section 125 guidelines and benefit plan documents

  • Process all ACA related offers of medical coverage; update employees upon coverage termination

  • Calculate and produce invoices for unpaid leaves of absences and manage benefit changes for employees on an unpaid leave, including FMLA, medical, personal, educational, military and immigration types of leaves; stay abreast on FMLA policy and legal requirements regarding benefit maintenance during periods of protected leave

  • Manage the accurate and timely updates of all benefit-related premium adjustments in Payroll and respond to payroll inquiries as it relates to benefits and retirement deductions; review and reconcile arrears and recycle reports from payroll

  • Track, investigate, update, and close cases within the case management tool; answer phone calls and respond to emails within established service-level agreement timelines

  • Create and implement standard operating procedures for the position

  • Meet professional obligations through efficient work habits such as, honoring work schedules, meeting deadlines, and coordinating resources in an effective and timely manner


Education Requirements:

  • Bachelor’s degree in Human Resources, Business or Health Administration, or a relevant field, or the equivalent in education and/or related experience required

Experience Requirements:

  • Two years’ experience in support of employer-sponsored group health and welfare programs in a Human Resources team environment required

  • Basic proficiency in Microsoft Office Suite required, including Outlook and Excel required
  • Experience in a large employer setting with complex and varied benefit programs and policies preferred
  • Human Capital Management (HCM) experience, specifically PeopleSoft preferred

Knowledge & Skills Required:

  • Knowledge and understanding of general benefits administration, including common state and federal regulations surrounding FMLA, HIPAA, PPACA (ACA), ERISA and IRS regulations

  • Ability to collect and evaluate data relating to group health insurance and retirement benefits; Ability to research and analyze information and make sound decisions

  • Skilled in understanding and applying applicable rules, regulations, policies, and procedures relating to group health insurance and retirement benefits

  • Good communication skills, both verbally and in writing

  • Skilled in providing quality customer service, including the ability to listen and understand information being presented, as well as the ability to deescalate issues and resolve complaints with “win-win” solutions whenever possible

  • Demonstrated ability to collaborate and work with a diverse group of people to meet goals and objectives

  • Strong organizational skills, including the ability to prioritize and manage multiple projects while adhering to service-level agreements and other tight deadlines

Licensure, Certification or Registration:

  • Applicable Industry certification such as CEBS (Certified Employee Benefits Specialist) or PHR/SHRM-CP (Professional in Human Resources) Certification, preferred

If this position sounds like a great match for your skills set and experience, please apply online now!

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