Flexible Benefits Specialist, Sr

Title: Flexible Benefits Specialist, Sr.

Department: Claims
Union: UFCW 3000 Bothell Grade: 9

Position Summary

The Flexible Benefits Specialist, Sr administers flexible benefits for assigned clients in accordance with Company guidelines, client needs, and regulatory requirements.

"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."

Key Duties and Responsibilities


* Reviews and processes claims and receipts submitted by employee to ensure compliance with department turnaround time and accuracy standards, plan guidelines and IRS regulations.


* Enters and maintains relevant data related to claims and adjustments in Flexible Benefits system.


* Provides exceptional customer service by responding in a timely manner to communications from members and clients.


* Answers questions, conducts research, and resolves discrepancies including debit card inquiries.


* Educates members and clients on Plan benefits by providing detailed information and direction to appropriate plan documents.


* Maintains and updates flexible spending account records of participants.


* Posts and reconciles flexible spending account contributions and demographics of participants.


* Performs data exchanges with client vendors and resolves discrepancies.


* Monitors check register, processes checks, handles voids and stop payments, posts disbursements, and balances accounts.


* Implements new client accounts; reviews requirements, completes and tests system set-up and files; ensures all incoming/outgoing data and files are functioning as expected.


* Maintains client updates or changes in the system; reviews, tests, and verifies changes are made to client specifications.


* Produces reporting and data for distribution to internal and external partners as requested.


* Maintains department reference materials for assigned clients.


* Assists with new hire and technical training as needed.


* Completes required department documentation; maintains client-specific SOP's.


* Attends Open Enrollment or Membership meetings as required.


* Performs other duties as assigned.

Minimum Qualifications


* High school diploma or GED.


* Three years of experience as Flexible Benefits Rep, Sr or five years of related experience such as accounting, bookkeeping, or claims processing.


* Highly developed sense of urgency, integrity, and commitment to customer satisfaction.


* Ability to solve practical problems and deal with a variety of variables to achieve desired outcomes.


* Strong organizational skills with an attention to detail.


* Ability to communicate clearly and professionally, both verbally and in writing.


* Computer proficiency including 10-key and Microsoft Office tools and applications.

Preferred Qualifications


* Experience working in a third-party administrator or Taft-Hartley environmen...