Corporate Overhead - Benefits and Claims Coordinator

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Join our HR team as a Benefits and Claims Coordinator!

Job Description

Benefits and Claims Coordinator

DEPARTMENT: Human Resources

JOB FAMILY: Corporate

FLSA STATUS: Non-Exempt

REPORTING STRUCTURE:

Reports to: VP, Human Resources

Indirectly Reports to: Corporate Shared Services Team

Objective / Purpose

Responsible for coordinating and supporting initiatives relative to the administration of all employee benefits programs and the evaluation, processing, and handling of insurance claims, including workers’ compensation, vehicle accidents, and general liability/property claims for the Company. Ensures compliance with applicable laws and required benefit notices.

Major Responsibilities And Functions

Claims Management (Worker's Compensation, Vehicle, and General Liability)

• Responsible for the company's workers’ compensation claims management program, including drug and alcohol testing, data entry, and reporting.
• Coordinate workers' compensation claims with the carriers and follow up on claims.
• Review and evaluate all work-related accident reports for completeness and clarity of data.
• Analyze claims data to ensure compliance with company policy and regulatory requirements.
• Partner with senior HR and Safety teams to coordinate and participate in strategic planning aimed at reducing the frequency and severity of losses through claims data reports.
• Partner with workers’ compensation carriers to maintain current employee status, upcoming appointments, and needed paperwork or information.
• Partner with and assist defense attorneys, when necessary, to provide employee information, settlement suggestions, and work status.
• Responsible for the company's vehicle claims management program, including data entry and reporting.
• Contact drivers and managers to ensure completeness and accuracy of vehicle accident reports, and coordinate damage estimates and repairs with the insurance adjuster and body shop.
• Work closely with the insurance carrier to coordinate and assist with general liability claims.
  
  

Benefits Administration & Compliance

• Serve as the primary contact for various employee benefits programs, including group health, flexible spending accounts, dental and vision plans, accident and disability coverage, life insurance, 401(k) plans, and wellness benefits.
• Prepare for, set up, and conduct meetings designed to help employees obtain information and understand company benefits, as well as other related incentive programs.
• Maintain employee benefits electronic filing systems within BenefitFirst and ensure that benefit changes are entered accurately in Dayforce, the payroll system, for payroll deduction purposes.
• Verify the calculation of monthly premium statements for all group insurance policies, process payments via the VEBA Trust, and maintain statistical data relative to premiums, claims, and costs.
• Assist the HR team in obtaining statistics and information for the renewal process of health, life, and retirement plans.
• Ensure distribution of required employee notices.
• Oversee the administration of COBRA.
• Resolve administrative problems with carrier representatives.
  
  

HR Support & Reporting

• Participate in leave management compliance and administration in relation to workers’ compensation claims.
• Maintain Human Resource Information System records, perform integrated data analyses, and compile reports.
• Prepare and review eligibility reports for full-time and part-time employees.
• Maintain and update company organizational charts, phone directory, and other requested reports as needed.
• As directed, participate in the investigation and resolution of ongoing employee relations problems.
• Maintain compliance with federal and state regulations concerning employment.
• Participate in administrative staff meetings and attend other meetings and seminars; assist with HR projects as needed.
• Travel to branch & field offices and/or customer sites as needed.
• Perform other related duties as required and assigned.
  
  

Required Skills/Abilities And Experience

Competencies

• Extensive knowledge of employee benefits and applicable laws.
• Experience in Worker's Compensation claim handling, laws, and regulations.
• Knowledge of basic medical terminology, diagnosis, and treatment protocols preferred.
• Strong investigative, fact-gathering, and problem-solving skills.
• Ability to comprehend and analyze facts.
• Excellent written and verbal communication skills.
• Excellent organizational and time management skills.
• Outstanding customer service skills and ethical conduct.
  
  

Position Specifications

• Education: Associates or Bachelor's Degree required
• Experience:
• Minimum of two years of experience in employee benefits administration.
• Claims experience preferred.
• Some Human Resources experience preferred.
• Technical:
• Working knowledge of current PC software, such as Google, Word, and Excel.
• Proficient with Microsoft Office Suite or similar software.
• Certifications/Other:
• PHR, SHRM-CP, and CEBS professional designations preferred.
• OSHA 10 Hour General Industry preferred.
  

Physical Demands: The physical demands described here are representative of those met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit. The employee is occasionally required to stand; walk; use hands to finger, handle, or feel, reach with hands and arms; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 35 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, and the ability to adjust focus.

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.