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Job Title

Benefits Administrator

Position Overview

Deliver concierge-level support by handling Health and Wellness inquiries from associates and their families via service center phone and delegated email. Understand and develop a strong knowledge base of benefit offering, plans, and policies. Promote and educate Wellness Programs and Health and Wellness offerings. Strive for first contact resolution by utilizing available resources, and escalate to subject matter experts, when necessary. Manage various benefits administration task within Workday and other vendor systems including, but not limited to, enrollments, system error resolution, claims review, and eligibility updates. Ensure compliance with plan guidelines and legal regulations. Maintain clear and empathetic communication, continuously improve knowledge, and collaborate with internal and external partners daily.

Primary Responsibilities

+ Answer Benefits and Health and Wellness inquiries by phone or e-mail.

+ Confirm eligibility and process benefits enrollment in Workday (e.g., New Hire & Open Enrollment, Benefit Change for Life Events, employment status changes).

+ Support Open Enrollment setup in Workday, including building plans, updating rates, testing events, and resolving system issues.

+ Promote and educate associates on Wellness Programs and Additional Benefit offerings (e.g., Be Well Condition Mgt, Tobacco Cession Program, Employee Assistance Program, Wellness Incentives).

+ Collaborate with vendors and internal partners to ensure accurate application of Wellness Incentives, including processing details, loading files, and ensuring compliance with program requirements.

+ Complete administrative actions in Express Scripts' client portal and interaction with Premise partners.

+ Verify eligibility and enroll associates in Healthcare Accounts (HSA/DCFSA); calculate and request deposits for elections, weekly/monthly payroll, and wellness incentives.

+ Complete or support daily Workday tasks, inbox actions, and error resolution.

+ Manage Benefits Billing tasks, including terminating coverage for nonpayment, reviewing Optum Financial data, coordinating with IS Operations, and resolving system issues.

+ Monitor Benefits process efficiency and reporting; resolve errors as needed.

+ Analyze data to identify trends, improve processes, and prevent or correct errors.

+ Assist with voluntary benefits escalations and support HR offices in claims filing and vendor interaction.

+ Administer Canadian, Expatriate, and Hawaii benefits and serve as customer service support for those associates and HR offices.

+ Prepare and distribute reporting to internal departments as needed.

+ Process vendor payments by verifying billing accuracy, coordinating approvals and payment methods, and resolving discrepancies with vendors.

+ Participate in vendor selection through data gathering, market research, and competitor review; participate in finalist meetings.

+ Research and respond to appeals and information requests promptly

+ Operate within HIPAA compliance.

+ Coordinate Medicare CMS responses, completion of Medicare benefit forms, completion of Qualified Medical Child Support enrollment, and response to family services.

Position Requirements:

+ High School Diploma/GED and 5+ years of work-related experience

+ Willingness to Work Partial Remote Schedule

+ Cross-training / Critical Process Backup

+ Excellent Customer Service

+ Attention to Detail

+ High Level of Confidentiality

+ Organized and Efficient

+ Clear Written and Verbal Communication

+ Proactive / Takes Initiative

+ Positive Attitude

+ Works Well with Teammates

Preferred Skills:

+ 1–2 years of benefits or related experience

+ Workday Experience

+ Strong customer service skills

+ Bilingual (English/Spanish) is preferred

Competencies

+ Manage work

+ Initiate action

+ Learn continuously

+ Demonstrate inclusive leadership

Notes:

An associate in this role should have advanced knowledge of benefits, have a strong ability to problem-solve, attention to detail, and great customer service. This role would be filled by an individual who has benefits administration experience.

Work Shift

8 Hr non-rotating shift, Hrs fall to in punch day, Observed Calendar, shift starts AM

Shaw Industries is an equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities.