Benefits Coordinator

Act for Health, Inc; Colorado; On-site; USD 56,000 - 77,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401(k)

Company Paid Short Term Disability

Flexible Spending Account (FSA)

Health Savings Account (HSA)

Paid Time Off

Voluntary Benefits

Job summary

PCM, Professional Case Management, seeks a Benefits Coordinator to support leave of absence and workers’ compensation inquiries, administer benefits enrollment, and deliver exceptional service across the organization. You will work with multiple departments to ensure compliance with federal/state laws while maintaining confidentiality.

You must coordinate medical information, manage STD/LTD programs, COBRA, and open enrollment, and liaise with carriers to resolve invoices and ensure timely

Qualifications

• Associate’s degree in HR or related field required.
• Bachelor’s degree preferred.
• Experience in HR with benefits is preferred.
• Strong knowledge of Microsoft Office, Word and Excel.
• Proficient in HRIS and carrier enrollment sites.
• Detail-oriented with good judgment and prioritization skills.
• Capable of working independently.
• Articulate and professional in written and verbal communications.
• Maintain a high level of confidentiality.
• Experience coordinating across departments and geographies is a plus.

Responsibilities

• Serves as primary resource for all leave of absence questions from employees and management.
• Administers leave programs in line with FMLA, ADA, USERRA, and related laws.
• Manages workers’ compensation program per OSHA and related laws.
• Independently approves/denies leave cases based on medical information.
• Coordinates medical information and enforces HIPAA and privacy guidelines.
• Submits reportable workers’ compensation claims to vendor within 48 hours.
• Collaborates with associates to submit completed medical documentation for review.
• Maintains contact with associates on leave and coordinates return-to-work processes.
• Administers STD/LTD programs and coordinates with FMLA/claims.
• Assists in enrollment of benefits (health, HSA/FSA, dental, vision, disability, 401(k)).
• Liaises with insurance and savings providers; reconciles benefit invoices.
• Assists COBRA administration and benefits orientation/open enrollment.
• Creates communications about benefits changes and participates in special projects.
• Performs other duties as assigned.

Skills

HR compliance

Attention to detail

Independent worker

Professional communication

Education

Associate’s degree in Human Resources or related field

Bachelor’s Degree preferred

Tools

MS Office (Word, Excel)

HRIS

Carrier enrollment sites

Job description

Put your talents to work at PCM! Whether you work in our Home Care, Clinical Research, Impairments, or Catastrophic Care division, you will support our mission to deliver care and other services that enhance the quality of life of our clients. Be a part of our dynamic client-focused team and make a difference in your career!

Position Summary

The Benefits Coordinator position assists employees with leave of absence and Workers Compensation inquires. Effectively coordinates all cases/claims and ensures compliance with the Family and Medical Leave Act and all related employment laws. As well as assisting with the administration enrollment of company benefit programs, interact with employees at all levels of the organization and provide exemplary customer service.

Qualifications

• An Associate’s degree in Human Resources or related field.
• Bachelor’s Degree preferred.
• Prior work in human resources, with benefits experience preferred.
• Strong knowledge of Microsoft Office to include Word and Excel.
• Proficient in various HRIS and navigating carrier enrollment sites.
• Detail-oriented, with good judgment and prioritization skills.
• Capable of working independently.
• Articulate and professional in all verbal and written communications.
• Ability to maintain a high level of confidentiality.
• Experience interacting across different departments, job classifications and geographies a plus.

Essential Functions/Areas of Accountability

• Serves as primary resource for all and leave of absence related questions of employees and management.
• Administers leave programs and policies in accordance with the applicable federal and state employment laws (FMLA, ADA, USERRA, Pregnancy Discrimination Act, etc.).
• Ensures that the workers’ compensation program is managed in accordance with applicable OSHA and workers’ compensation laws.
• Independently approves and/or denies leave cases based on relevant medical information.
• Coordinates and organizes all medical information and ensures that HIPAA and Employee Privacy guidelines are closely monitored and effectively executed.
• Ensures that all reportable workers’ compensation claims are submitted to the company’s vendor within 48 business hours from the date of the incident.
• Works closely with associates to ensure that all relevant completed medical documentation is submitted for timely review.
• Maintains appropriate contact with all associates on leave and coordinates all aspects of return to work for associates on leave.
• Administration of STD/LTD programs.
• Ensures that STD claims are coordinated with FMLA or general medical leave cases.
• Assists in the administration and enrollment of various benefits programs, such as group health, flexible spending accounts, dental and vision, disability and 401(k).
• Assists with liaising with insurance and savings providers on behalf of employees and the company.
• Reconcile benefit invoices and resolve discrepancies with carriers.
• Assists in the administration of COBRA.
• Assists in conducting benefits orientation.
• Assists in Open Enrollment process.
• Assists with creating communications regarding benefits plan changes, issues and or general notifications.
• Participates in special projects.
• Perform all other duties as assigned.

The typical base pay range for this role is USD $56,160 - $76,960 per year. Individual base pay depends on various factors, in addition to primary work location, complexity and responsibility of role, job duties/requirements, and relevant experience, skills and other market-based factors.

Available Benefits

• Medical
• Dental
• Vision
• 401(k)
• Company Paid Short Term Disability
• Flexible Spending Account (FSA)
• Health Savings Account (HSA)
• Paid Time Off
• Voluntary Benefits

Professional Case Management is an Equal Opportunity Employer.

At Professional Case Management (PCM), our mission drives us. We have a growing team of over 4,000 employees who are passionate about delivering care that enhances the quality of life of clients in the most healing of environments - the home. We believe that aligning genuine, caring team members with this purpose is life-changing for our clients, customers, and teammates alike. And it’s our goal to consistently stretch ourselves - and the organization - to ensure we’re always learning, growing, and elevating our standards of service. In everything we do, we share a strong set of core values: We Work As A Team, We Do The Right Thing, We Figure It Out, We Pursue Growth, and We Take Ownership.

PCM has been an industry leader in delivering specialized in-home care and other services to clients for over 30 years. Our Home Care division is the nation’s premier Home Healthcare provider to former nuclear weapons and uranium workers, upholding the highest standards of care through accreditation by the Accreditation Commission of Health Care (ACHC).