Remote Benefits Specialist - Self-Insured Plans & Compliance

RecruiterForge; United States; A distancia; USD 90.000 - 103.000; Jornada completa

Descripción de la vacante

RecruiterForge is seeking a Benefits Specialist to manage health and welfare programs, with responsibility for a self-insured medical plan, claims analytics, and vendor performance across medical, dental, vision, life, disability, 401K, and wellness offerings.

Reporting to the HR Operations Director, you will lead enrollment cycles, ensure ERISA, ACA, HIPAA compliance, administer Workday benefits, and collaborate with payroll on billing and reconciliations; base pay ranges USD 90,000–103,000 for

Formación

• Bachelor’s degree in HR, Business, Finance, or equivalent experience.
• Five years of health and welfare plan administration experience.
• Experience with self-insured plans, stop-loss, TPAs, PBMs.
• Experience administering benefits in Workday.
• Advanced Excel skills for large claims datasets.
• Strong ERISA, ACA, HIPAA, COBRA, and IRS 125 knowledge.

Responsabilidades

• Analyze medical and prescription claims with actuaries and brokers to identify trends and cost drivers.
• Coordinate stop-loss renewals and submit carrier filings.
• Manage TPAs, PBMs, brokers, and carriers against service-level commitments.
• Work with Payroll on weekly and monthly billing and invoicing.
• Lead annual open enrollment and related audits.
• Administer enrollment changes and COBRA processing.
• Support disability programs and benefits during leaves.
• Maintain compliance with ERISA, ACA, HIPAA, COBRA, and FMLA.
• Prepare and update plan documents and Form 5500 filings.
• Coordinate 401K testing and audits.

Conocimientos

Excel

Pivot Tables

VLOOKUP/XLOOKUP

Data modeling

Analytical skills

Communication skills

Educación

Bachelor’s degree in HR/Business/Finance

Equivalent practical experience

Herramientas

Workday

Descripción del empleo

RecruiterForge is seeking a Benefits Specialist to manage health and welfare programs, with responsibility for a self-insured medical plan, claims analytics, and vendor performance across medical, dental, vision, life, disability, 401K, and wellness offerings.

Reporting to the HR Operations Director, you will lead enrollment cycles, ensure ERISA, ACA, HIPAA compliance, administer Workday benefits, and collaborate with payroll on billing and reconciliations; base pay ranges USD 90,000–103,000 for