Benefits and Self insurance Administrator

Benefits & Self-Insurance Administrator

Position Summary

We are seeking a detail-oriented and experienced Benefits & Self-Insurance Administrator to oversee the administration of employee benefit programs and support the management of a self-funded health plan. This role will serve as a key resource for employees, vendors, and internal stakeholders while ensuring compliance, accuracy, and exceptional service delivery across all benefits-related functions.

The ideal candidate will have hands-on experience administering self-insured medical plans, coordinating with third-party administrators (TPAs), managing benefit enrollments, and ensuring compliance with applicable federal and state regulations. This individual will work closely with Human Resources, Finance, Payroll, and insurance partners to support a growing, multi-state workforce.

Key Responsibilities

Benefits Administration

• Administer employee benefit programs including medical, dental, vision, life, disability, voluntary benefits, and retirement plans.
• Manage new hire enrollments, qualifying life events, terminations, and annual open enrollment processes.
• Serve as the primary point of contact for employee benefit inquiries and issue resolution.
• Conduct employee benefit orientations and educational sessions.
• Ensure timely and accurate processing of benefit elections and changes.

Self-Insurance Administration

• Coordinate day-to-day administration of the self-funded health plan.
• Partner with third-party administrators (TPAs), stop-loss carriers, brokers, and vendors to ensure effective plan management.
• Review claims reporting, utilization trends, and plan performance metrics.
• Assist with stop-loss renewals, claims analysis, and cost-containment initiatives.
• Support plan audits and reconciliation activities to ensure accuracy and compliance.
• Monitor eligibility files and maintain data integrity between HRIS, payroll, and benefits systems.

Compliance & Reporting

• Ensure compliance with ERISA, ACA, COBRA, HIPAA, FMLA, Section 125, and other applicable regulations.
• Assist with preparation and distribution of required employee notices and benefit communications.
• Support annual audits, reporting requirements, and plan documentation updates.
• Maintain accurate benefits records and confidential employee information.

Vendor & Employee Support

• Build and maintain strong relationships with benefit vendors and insurance partners.
• Escalate and resolve complex employee claims and coverage issues.
• Participate in vendor meetings and benefit strategy discussions.
• Assist with evaluating benefit offerings and identifying opportunities for process improvements.

Qualifications

Required

• 3 years of benefits administration experience.
• Experience administering self-funded/self-insured medical plans.
• Working knowledge of ERISA, ACA, COBRA, HIPAA, and related benefits regulations.
• Experience working with TPAs, stop-loss carriers, and insurance vendors.
• Strong analytical, organizational, and problem-solving skills.
• High level of attention to detail and confidentiality.
• Proficiency with Microsoft Office Suite and HRIS/benefits administration systems.

Preferred

• Bachelor's degree in Human Resources, Business Administration, or a related field.
• CEBS, SHRM, PHR, or benefits-related certification.
• Experience supporting large multi-state employee populations.
• Knowledge of leave administration and workers' compensation programs.

Key Performance Indicators (KPIs)

• Benefits enrollment accuracy
• Employee inquiry response time
• Compliance and audit results
• Open enrollment execution
• Vendor management effectiveness
• Claims resolution efficiency
• Benefits data accuracy
• Employee satisfaction and service levels

Compensation & Benefits

• Competitive compensation package
• Health, dental, and vision coverage
• 401(k) with company match
• Paid time off and holidays
• Professional development opportunities
• Career growth potential