Sr. Benefits & Leave Specialist 

Duties & Responsibilities

  • Counsels employees and management regarding leave policies and procedures. Maintains HRIS and Benefits Enrollment system(s), including: ensuring that all employee data is accurate, producing reports, and working with payroll so that employee transactions are processed appropriately. Provides training and auditing of quality of benefit and leave of absence work produced by team.

Insurance & 401(k) Administration

  • Administer employee benefit programs including group health, flexible spending/health savings accounts, dental and vision, accident and disability, life insurance, 401(k), and wellness benefits.
  • Provide employees with an explanation of benefits to ensure employees have an understanding of available benefits, eligibility and enrollment and claims procedures.  Continuously look for opportunities to educate employees on available benefits.
  • Maintains working knowledge of all summary plan descriptions, regulatory and legal standards and applies concepts appropriately.  Understands and ensures compliance with ERISA, ACA, HIPAA privacy Laws, and NYS Disability guidelines.
  • Provides excellent customer service assisting employees with benefits questions/issues, enrollment and qualified life events. Review benefit submissions and supporting documentation for completeness and accuracy.
  • Ensures proper and timely processing of eligibility, enrollments, and cancellations of all benefit plans in appropriate systems to ensure enrollment and premiums are managed accurately.
  • Lead the day-to-day administration of company 401(k) plan.
  • Monitoring and tracking of employee plan contributions in arrears and ensures appropriate correspondence and collection of payments due.
  • Conduct and review hours reporting to ensure compliance with ACA.
  • Regularly audit benefit enrollments to ensure accuracy of benefit levels, premiums and contributions.

Leave of Absence Administration

  • Processes and tracks all leaves of absence (e.g., FMLA, PFL, Disability, and COVID-19), providing timely notification/response in accordance with applicable state and federal laws and regulations, as well as company policy. Effectively interprets FMLA and ADA implications and escalates to management where necessary. Review and process employee requests for medical accommodations.
  • Maintains working knowledge of all summary plan descriptions, regulatory and legal standards and applies concepts appropriately.  Understands and ensures compliance with FMLA, ADA, HIPAA privacy Laws, and NYS Disability and PFL guidelines.

Workers Compensation/Safety Administration

  • Coordinate workers’ compensation claims with third-party administrator along with following up on claims and processing of incident reports.

Additional Duties

  • Partners with Benefits Manager on training of the Benefits/Leave Specialist.
  • Review and audit quality of processing of benefits and leave work.
  • Cooperate with other HR professionals when required to help the HR organization achieve objectives.  Perform other responsibilities and duties as assigned by leadership.

Minimum Qualifications:

  • Working knowledge of federal, state and local benefits law and strong understanding of benefit policies, procedures and practices.
  • Work experience with situational application of benefit plan documents and regulations.
  • Understanding of general human resources policies and procedures.
  • Proficient in Microsoft Office; HRIS systems.  Experience with UKG/Kronos a plus.
  • Able to work independently and produce accurate work.
  • Highly organized with attention to detail.
  • Excellent oral and written communication skills.
  • Aptitude in problem-solving.
  • Ability to manage and maintain confidential information.

Preferred Qualifications:

  • At least 5 years of previous work experience in human resources office responsible for benefit administration
  • Bachelor’s Degree in Human Resources or related field with HR courses
  • PHR Certification