Benefits Auditor

Partnership HealthPlan of California; Fairfield (CA); On-site; USD 88,000 - 110,000; Full time

Job summary

Partnership HealthPlan of California is seeking a Benefits Auditor to ensure accuracy, compliance, and timely administration of employee benefit programs. You will perform bi-weekly audits, reconcile invoices, and coordinate with ADP and vendors across HRIS, payroll, and benefits systems.

The role emphasizes data integrity, policy adherence, and attention to detail, with responsibilities spanning eligibility, enrollment changes, deductions, and COBRA processing.

Qualifications

• Bachelor’s degree in Business, Human Resources or related field with 3–5 years of related experience.
• Advanced knowledge of ADP Workforce Now and ADP Benefits Solutions.
• Strong skills in MS Word and Excel; accurate data entry (40 wpm).

Responsibilities

• Maintain internal database files and develop custom reports for management and staff.
• Serve as primary billing contact for benefit plan vendors and third-party administrators.
• Audit and reconcile monthly benefit vendor invoices and resolve discrepancies with carriers.
• Process HSA and Retirement Plan Contributions.
• Audit benefits accounts including HSA closure and COBRA.
• Process employee Medical and Dental/Vision credit audits.
• Evaluate eligibility according to plan documents and state/federal laws.
• Conduct biweekly ADP new hire and payroll change entry audits.
• Manage COBRA program, including notices, enrollments, coverages, and payments.
• Maintain ACA compliance and 1095C forms at year-end.
• Coordinate annual HR Benefits Portfolio project and ADP upload.
• Manage EDI feeds between ADP and insurers and fix data errors.
• Support ADP HR Benefits module updates for setup and open enrollment.
• Maintain confidentiality of all employee and payroll information.

Skills

ADP Workforce Now

ADP Benefits Solutions

Excel

MS Word

Typing 40 wpm

Education

Bachelor’s degree in Business, Human Resources or related field

Job description

Overview

The Benefits Auditor is responsible for ensuring accuracy, compliance, and timelyadministration of employee benefit programs through detailed auditing, reconciliation, andbilling support activities. This role conducts regular audits of benefit enrollments, deductions,and vendor data to identify and investigate discrepancies and ensure data integrity. The positionperforms bi-weekly audits to validate employee eligibility, enrollment changes, payrolldeductions, and benefit plan records across HRIS, payroll, and vendor systems. Ensures andmaintains compliance with company policies and federal and state laws.

Responsibilities

Essential Duties and Responsibilities

• Maintain internal database files and tables and develop custom reports to meet therequirements of company management and staff.
• Serve as primary billing contact for benefit plan vendors and third-party administrators.
• Audit and reconcile monthly benefit vendor invoices. Resolve discrepancies with carriers.
• Process HSA and Retirement Plan Contributions.
• Audit benefits accounts including HSA account closure and COBRA.
• Process employee Medical and Dental/Vision credit audits.
• Evaluate benefit eligibility according to benefit plan documents and state and federallaws.
• Conduct biweekly ADP new hire and payroll change entry audits.
• Manage COBRA benefit program. Process COBRA notices, enrollments, coverages,notices, terminations, reporting, and premium payments.
• Maintain ACA compliance and reporting, audits and correct 1095C forms at year-end.
• Manage annual HR Benefits Portfolio project including reporting, auditing, and ADPupload.
• Manage and monitor electronic data interchange (EDI) eligibility and enrollment feedsbetween ADP and insurance carriers and investigate and correct eligibility, coverage, anddemographic data errors affecting carrier feeds.
• Support with ADP HR Benefits module updates including benefit plan set up, benefitproviders, new hire and open enrollment profiles, rate structure, and benefit settings.
• Maintain confidentiality and privacy of all employee and payroll information and files.

Secondary Duties and Responsibilities

• Process ADP changes per approved PAF, including schedule changes, telework changes,etc.
• Assist with Benefits Guidebook annual updates.
• Assist with annual benefit open enrollment. Enroll and delete individuals on benefitplans, change benefit status, review enrollment forms and other documents for accuracyand forward to appropriate carries.
• Back up to Benefits Coordinator/Program Coordinator as needed.
• Collaborate with Training and Development to provide necessary trainingresources/support to meet end users’ needs.
• Update and/or order and distribute compliance posters.
• Assist with employee separation meetings or termination packets.
• Assist with Worker’s Compensation claim requests.
• Support with researching, scheduling, organizing, Flu Shot Clinic.
• Leads, assigns, and participates in special projects as needed.
• Assists in planning and coordinating employee events and activities as needed.
• Assist with EEO-1 compliance and reporting.
• Other duties as assigned.

Qualifications

Education and Experience

Bachelor’s degree in Business, Human Resources or related fieldpreferred; three (3) to five (5) years of experience in related areas suchas employee benefits administration; or equivalent combination ofeducation and experience which would provide the required knowledgeand abilities.

Special Skills, Licenses and Certifications

Advances knowledge in MS Word and Excel. Advanced knowledge ofADP Workforce Now and ADP Benefits Solutions. Typing speed of 40wpm and proficient use of 10-key calculator. Knowledge of generaloffice business machine operation.

Performance Based Competencies

Excellent oral and written communication skills. Strong analyticalskills, attention to detail, and the ability to manage multiple deadlinesare essential for success in this role. Excellent organization skills withthe ability to coordinate and maintain multiple tasks simultaneouslyand to deliver responses and results within established time frames.Excellent interpersonal skills. Ability to use good judgement, maintainconfidentiality of personnel and payroll files and information, andhandle sensitive issues with tact and diplomacy.

Work Environment And Physical Demands

Ability to work at a computer terminal for 8+ hours/day. More than80% of work time may be spent in front of a computer monitor.Includes frequent, repetitive motion including computer typing,sitting/standing for most of the day. Ability to lift, carry, or moveobjects of varying size, weighing up to 25 lbs

All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$88,154.59 - $110,193.23

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.