Benefits Administrator: Self-funded Plans & Wellness Lead

City of Lincoln; Pacific Grove (CA); On-site; USD 37,000 - 48,000; Full time

Benefits offered by this job

Competitive pay

Health, dental, vision, and life ins.

401(k) with company match

Employee dining—lunch provided

Employee golf privileges

Discounts at Pebble Beach restaurants/

Job summary

Pebble Beach Company in Pebble Beach, CA is seeking a Benefits Administrator to oversee health and welfare programs, including self-funded medical, dental, vision, life, and disability plans. You will manage enrollments, data reconciliation, and vendor coordination, ensuring compliance and excellent employee experience.

Responsibilities include liaising with TPAs, supporting HRIS data integrity, and generating benefits metrics.

Qualifications

• 2-3 years of experience in benefits or related administrator role.
• Working knowledge of self-funded medical plans and related benefit regulations.
• Strong attention to detail, problem-solving, and organizational skills.
• Proficiency in Excel and ability to work with data.
• High-level customer service and communication skills.
• Familiarity with Medicare, ACA, HIPAA, COBRA, ERISA regulations.
• Bachelor's degree in HR, Business, Finance, or related field; or equivalent combination of education and experience.

Responsibilities

• Administer day-to-day operations of health and welfare programs, including self-funded medical, dental, vision, life, disability, voluntary benefits, and COBRA.
• Manage employee eligibility, enrollments, and changes with high accuracy.
• Reconcile and monitor data across HRIS, payroll, and provider systems.
• Serve as primary contact for employee inquiries and issue resolution.
• Support Health Fair activities, communications, and education programs.
• Support Health & Wellness Center daily operations and utilization tracking.
• Act as liaison with TPAs, vendors, and consultants for self-funded plan administration.
• Review claims reports, eligibility records, and billing data to identify discrepancies and drive resolution.
• Monitor plan performance, utilization, and cost-containment opportunities.
• Assist with dependent verification, stop-loss reporting, and claim issue resolution.
• Participate in vendor meetings and plan enhancements.
• Provide benefits-related reporting and metrics with Finance and HR.

Skills

Benefits administration

Excel proficiency

Regulatory compliance

Customer service

Education

Bachelor's degree in HR, Business, Finance, or related field

Tools

HRIS

Benefits administration system

Job description

Pebble Beach Company in Pebble Beach, CA is seeking a Benefits Administrator to oversee health and welfare programs, including self-funded medical, dental, vision, life, and disability plans. You will manage enrollments, data reconciliation, and vendor coordination, ensuring compliance and excellent employee experience.

Responsibilities include liaising with TPAs, supporting HRIS data integrity, and generating benefits metrics.