Benefits Solutions Specialist

Benefit Solutions Specialist - I

Ensures platform configuration and readiness to support a client through their annual enrollment processes. This includes all project activities involved in coordinating ADP resources as necessary and ensuring that all necessary ADP-specific tasks are accomplished on time and as required. The Specialist is responsible for all hands-on configuration and related activities for both benefits administration and annual enrollment :

• Primary point of contact for Comprehensive Benefits clients
• Setup and management of benefit plans and annual enrollment
• WFN Benefits technology support
• Special benefits projects for clients
• Proactive client contact
• Consultative benefits support and best practices

Serves as primary point relationship owner for assigned Comprehensive Benefits clients, including Benefits Administration and Annual Enrollment. Supports / oversees the data gathering, requirements analysis and ADP project management activities associated with the maintenance of WFN / HRB and related interfaces / connections during the client's annual enrollment period. Coordinates and manages Benefits Administration and Annual Enrollment tasks, including coordination with back-office and off-shore teams to supplement execution of tasks / activities. Supports configuration and maintenance of WFN and other ADP products as it relates to Benefits. Secures / updates / confirms appropriate information / materials from enrollment-related internal and external sources (e.g., brokers, carrier account managers, client leadership, etc.) to support the configuration of the WFN / HRB application and associated integration / connections resulting in a successful annual enrollment event. Manages activities within the project management tool related to the analysis and preparation for the enrollment process, including required system / profile / information gathering, requirements analysis, system updates, quality testing, data migration, and resulting deliverables. Provides WFN Benefits expertise.

Manages, monitors data flow and integration including carrier connections, payroll and / or processes manual carrier updates. Works in conjunction with various team members to resolve errors, issues timely and accurately. Escalates failures appropriately and escalates programmatic issues to appropriate team members, connections development teams, carriers or other third parties as appropriate.

Researches and resolves issues identified through routine audits. Research and resolve complex employee benefit problems and questions. Coordinates with other Comprehensive Services associates.

Works with benefit providers to support client benefits administration, resolve eligibility, vendor invoicing and claims issues.

Coordinates with back office the audits, reconciliation and other processes that govern the regular deliverables such as vendor invoices, QA, transaction processing.

Provides service support related to the administration of health - welfare benefit programs to the client and internal business partners - service team via phone, CRM, email or in person, regarding standard or client operating procedure, best practice / business process, the resolution of participant benefit plan, insurance provider, WFN product and / or other client problems.

Coordinates communication with appropriate comprehensive benefits, internal business partners or third party resources to expedite responses to critical process, operating, client or participant situations. Utilizes extensive benefits / product / process experience to identify issues, troubleshoot client or service team problems and assist with a resolution. This would include but not be limited to issues related to participant coverage, administrative processes, compliance, carrier connections, payroll, and WFN functionality.

Continually upgrades knowledge and skill base relating to health - welfare benefit programs including compliance, standard operating procedures, administrative practices and process, WFN product and other products as applicable to increase proficiency in a support capacity. May champion and / or assist in assessing regulatory changes and process impact, process improvement, WFN product or other service application rollouts, and service training. Acts as a Liaison between the service center, relationship manager, and the client to explain benefits related processes.

Proactively works to identify problems and offer solutions to improve the internal operation and administration of the plans. Takes a proactive approach to establish systematic processes and procedures that will reduce or eliminate errors.

Provides consultative benefits support and best practices to assigned client book of business.

Manages the workflow (both manual and electronic) to ensure that benefits transactions are accurately processed by both ADP and non-ADP service providers such as Section 125 / FSA, COBRA, 401(k), etc.

2 Years of experience in Client Support or Benefit Administration functions. Bachelor's Degree in a Business related field or equivalent education and experience required.