Benefits Specialist

Digital Insurance LLC; United States; Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health benefits

Retirement plan

Paid time off

Learning & development

Job summary

OneDigital is seeking a Benefits Specialist to manage client benefits, maintain compliance, and enable efficient enrollment processes from a Rockwall, TX base. The role emphasizes accuracy, data integrity, and proactive problem solving within a collaborative benefits team.

Responsibilities include plan design support, ACA/workflow configurations, escalation management, and data-driven improvements to the benefits system. Remote work options may be available.

Qualifications

• Bachelor’s degree or 2 years benefits service experience.

Responsibilities

• Assist with specifications, development, testing and implementation of new plan designs for renewal or clients adding on new plans.
• Reports, policies, and procedures that relate to benefits administration and service.
• Support the benefits team as needed and daily support of client account managers, payroll and sales as needed.
• Work collaboratively with the team coordinating compliance and systems for clients.
• Maintain data integrity and system functionality of all benefits information to ensure accuracy of all benefits enrollments and benefits related data in system of record to provide vendors and the organization with accurate information.
• Optimize the performance of our benefits admin system, including gathering and analyzing data, developing, and implementing new benefits process, documenting processes, and making recommendations for improvement.
• Responsible for performing benefits analysis, validations, and audits to ensure quality control and adherence to established procedures.
• Resolve client inquiries, provide relevant information as requested internally and externally.
• Organizes and prioritizes work to ensure timely, effective, efficient, and economic delivery of services.
• Document customer interactions in the CRM system.
• Ensure proper triage, escalation, and effective resolution of all inquiries.
• Provide ACA configuration and support (1095’s) Designing and implementing workflows supporting routine benefits tasks.

Skills

Benefits administration

Customer service

Data analysis

Regulatory compliance

Education

Bachelor’s degree or 2 years benefits service experience

Tools

Prism HR

CRM systems

Job description

Are you looking to accelerate your career without having to hide your authentic self - a place where you can be you? A career that’s making a bigger impact on the world? At OneDigital, we are on a mission to help people do their best work and live their best lives. From the services we offer to the way we show up for each other each day, we are fueling dreams, achieving big goals, and embracing each other’s truest selves. We understand that pursuing a new job is a big deal. Maybe you’re afraid you won’t fit in. Well, here’s the good news. For us, the days of “fit in to get in” are over and being different is not a barrier to getting ahead. Greatness comes in all shapes, sizes, colors, and experience levels. If you are looking for a people-first culture that is wired for growth, driven to serve, and totally committed to having your back, give us a shot. Your best life awaits.

Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Our Newest Opportunity: Role Objectives

To make sure our customers can hire, onboard, and understand their benefits for themselves and to their employees. You will own your book of assigned clients and be responsible for developing their knowledge and maintaining compliance on their behalf. You will help define goals and visions for the benefits department. Integrity, a sense of urgency, and honesty are key drivers to success in this position. The Benefits team is a highly energetic and collaborative environment. Benefits Specialists should be regarded as subject matter and service experts within Resourcing Edge.

Key Responsibilities

• Assist with specifications, development, testing and implementation of new plan designs for renewal or clients adding on new plans (setting up benefit plans with multiple tiered pricing structures).
• Reports, policies, and procedures that relate to benefits administration and service.
• Support the benefits team as needed and daily support of client account managers, payroll and sales as needed.
• Work collaboratively with the team coordinating compliance and systems for clients.
• Maintain data integrity and system functionality of all benefits information to ensure accuracy of all benefits enrollments and benefits related data in system of record to provide vendors and the organization with accurate information.
• Optimize the performance of our benefits admin system, including gathering and analyzing data, developing, and implementing new benefits process, documenting processes, and making recommendations for improvement.
• Responsible for performing benefits analysis, validations, and audits to ensure quality control and adherence to established procedures.
• Resolve client inquiries, provide relevant information as requested internally and externally.
• Organizes and prioritizes work to ensure timely, effective, efficient, and economic delivery of services, including delivering or coordinating the delivery, as appropriate, of Resourcing Edge compliance and administrative solutions.
• Manages open cases to ensure problem resolution in the shortest amount of time possible, while keeping clients regularly advised of status and anticipated resolution date.
• Documents customer interactions in the CRM system.
• Ensures proper triage, escalation, and effective resolution of all inquiries.
• Responsible for taking initiatives and action towards professional development, taking on stretch assignments and additional projects, as well as staying advised of statutory and regulatory payroll and compliance practices.
• Provide ACA configuration and support (1095’s) Designing and implementing workflows supporting routine benefits tasks.

Key Measurables

• Case management, closing cases in 3-5 days or less with a target of 75%.
• Service efficiency/Improvements and innovations.
• Utilize the data processing team for 80% or more of repetitive tasks.
• Update plans in Prism system for benefits elections and rates accurately after open enrollment target 99% accuracy.
• Complete quarterly goals.

Preferred Skills

• Provides accurate information in a friendly, professional, and empathetic manner translating to a positive customer experience.
• Previous payroll experience is a plus.
• Highly organized and detail oriented.
• Passion for working in a team environment.
• Ability to manage multiple projects running concurrently.
• Critical thinking, problem solving and time management.
• Knowledge of Prism HR platform is a plus, along with building benefit forms, workflows and validating enrollment processes strongly preferred.
• Experience with any HRIS incorporating benefits administration will substitute for direct Prism experience.

Required Experience

• Technical skills are mandatory and proficiency in Outlook, Microsoft Office Suite, Typing.
• Strong written and verbal communication skills with a talent for precise articulation of customer issues.
• Bachelor’s degree or 2 years benefits service experience.
• Great problem-solving mindset, thinking first from principles of customer care.

Work Environment

This job operates in an indoor office environment. Clean, pleasant, and comfortable office setting. Rockwall, TX (Home Office) is preferred, can be remote if need be. Equipment for daily performance will be provided.

Benefits

• Your base pay is dependent upon your skills, education, qualifications, professional experience, and location.
• In addition to base pay, some roles are eligible for variable compensation, commission, and/or annual bonus based on your individual performance and/or the company’s performance.
• We also offer eligible employees health, wellbeing, retirement, and other financial benefits.
• Paid time off, overtime pay for non-exempt employees, and robust learning and development programs.
• You will receive reimbursement of job-related expenses per the company policy.
• May receive employee perks and discounts.

Equal Opportunity Employment Statement

OneDigital is an equal opportunity employer. Not only as a matter of standard, but to honor and celebrate our differences. We believe that the power of ONE starts with you. We are committed to cultivating and preserving a culture that celebrates diversity, insists on equity and inclusion, and connects us. Ensuring our people feel seen, valued, respected, and supported is fundamental to our core values and business goals. OneDigital provides equal employment opportunities to all employees and applicants for employment regardless of their: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy (including childbirth, lactation and related medical conditions), national origin or ancestry, citizenship or immigration status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law (collectively, “protected characteristics”). A copy of the Federal EEO poster is linked here. Pursuant to local Fair Chance Ordinances, we will consider qualified applications with arrest or conviction records for employment. For applicable candidates, the following ordinances are linked here to inform you of your rights as an applicant: City and County of San Francisco City of Los Angeles County of Los Angeles Employment decisions shall comply with all other applicable federal, state and city/county laws prohibiting discrimination in employment. OneDigital complies with all criminal history inquiry [or ‘ban the box’] laws in California, Connecticut, Colorado, Hawaii, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New Mexico, Oregon, Rhode Island, Vermont and Washington. In short, we believe in hiring the most qualified applicant for the position, regardless of background.

Company Culture

OneDigitalis a growing organization of caring, collaborative, and driven professionals who have dedicated their careers toimproving the lives of millions of people every day. We arein the people business.

Working at OneDigital is more than a career,it isa calling to serve. It is “a career of consequence.” We set the bar high and the pace fast. We value growth and learning and always make time to celebrate our successes. We have each other's back and usewords like love and family in the same sentence with achievement and accountability.

Diversity, Equity, Inclusion, and Belonging

At OneDigital, we believe in living with purpose and thriving both as individuals and as communities.We call this