Sr. Benefits & Leave Administrator

HaloMD

Who We Are :

HaloMD specializes in Independent Dispute Resolution (IDR) through The No Surprises Act and state regulations for out-of-network healthcare providers, leveraging advanced technology and deep industry expertise to secure optimized reimbursements.

Job Summary :

The Senior Benefits & Leave Administrator ensures accurate, timely administration of HaloMD’s health & welfare benefit plans and manages end-to-end leave processes (FMLA, ADA, STD, LTD, state leaves). This role serves as the primary employee contact for benefits and leaves, partners with vendors / carriers, maintains compliance (ACA, COBRA, ERISA, HIPAA), and coordinates closely with Payroll, HRBPs, and managers to deliver a high-touch employee experience.

Essential Job Duties and Responsibilities :

• Administer day-to-day benefits (medical, dental, vision, HSA / FSA, life / AD&D, disability, EAP, retirement), including new hire enrollment, life events, and terminations.
• Conduct eligibility audits; reconcile monthly invoices and resolve discrepancies with carriers / vendors.
• Lead / open enrollment execution : project plan, testing, communications, employee support, and file / data validation.
• Manage COBRA events (in-house or through TPA) and ensure timely notices.
• Maintain plan documents / SPDs / SMMs and partner with broker / carriers on renewals and plan changes.
• Track and report ACA data; support 1095-C / 1094-C, 5500, nondiscrimination testing, and other required filings.
• Own the leave lifecycle : intake, eligibility, designation, required notices, tracking, and return-to-work.
• Coordinate STD / LTD claims with carriers and align leave pay with payroll calendars; track benefit premium arrears during unpaid leaves.
• Facilitate the ADA interactive process (medical documentation, reasonable accommodations, periodic reviews) and document outcomes.
• Partner with managers / HRBPs on scheduling, coverage plans, and communication cadence while protecting confidentiality.
• Maintain accurate leave records in HCM and prepare status reports / metrics (open cases, upcoming RTWs, expirations).
• Ensure compliance with ACA, ERISA, HIPAA, COBRA, FMLA, ADA, and applicable state leave laws; monitor regulatory changes and update processes / policies accordingly.
• Maintain SOPs, workflows, templates, and employee communications for benefits and leaves.
• Prepare routine dashboards : enrollment counts, OE completion, invoice variances, open leave cases, RTW timelines, and SLA adherence.
• Process enrollments / changes through the HCM / benefits platform (e.g., UKG / Workday / Oracle) and validate carrier feeds (EDI).
• Provide high-touch employee support via ticketing / email / office hours; resolve complex issues and escalate to carriers / broker when needed.
• Develop concise guides / FAQs and deliver brief trainings for managers and employees (OE, life events, leave basics).

Experience & Education :

Specialized Skills / Knowledge

Perks & Benefits :

What's Next?

If you're ready to bring your skills and passion to our growing team, we want to hear from you! Apply today and help us create a future where success is the standard.