STATE OF CONNECTICUT EXECUTIVE BRANCH JOBS

Benefits System Manager

Recruitment #201021-6500VR-001

Introduction

Who We Are
The Paid Family and Medical Leave Insurance Authority (Paid Leave Authority) is a quasi-governmental agency formed by statute and signed into law by Governor Ned Lamont in 2019. Its mission is to help Connecticut’s workforce navigate health challenges and life changes with greater financial security. 
Through a trust funded by employees, the Authority makes benefits payments to eligible employees when either the employee or their family member takes a leave from work to care for themselves or a family member.

The Role
The Paid Family and Medical Leave Insurance Authority (the “Authority), is looking for a Benefits System Manager. The Benefits System Manager manages the operations and administration of payment collection from employers and benefits payments to Connecticut’s workforce from the Authority’s Trust Fund. The Benefits System manager is responsible for working with the CEO and COO in creating and implementing a employee contribution system, and a claims intake and evaluation system, determining workflows for responding to claims requests, and coordinating payment efforts with employers, relevant state agencies (including, but not  limited to the Department of Labor, Department of Revenue Services and the Office of the Comptroller), and all other stakeholders. 

Selection Plan

All applicants must include a resume within the "Resume Tab" of their application.

At any point during the recruitment process, applicants may be required to submit additional documentation which support their qualification(s) for this position. These documents may include: performance reviews, supervisory references, college transcripts, licensure, etc., at the discretion of the hiring agency.

Should you have questions pertaining to this recruitment, please contact Raisa Capellan at Raisa.Capellan@ct.gov.  

EXAMPLES OF DUTIES

  • Develops and maintains excellent claims and benefits administration to assure optimal system operability, efficiency and integrity;
  • Works with the Office of the Treasurer (OTT), the COO and the CEO to closely monitor claims made, claims denied, benefits paid and Trust Fund’s liquidity in order to meet the Authority’s claims payments obligations;
  • Formulates the Authority’s goals and objectives as they relate to customer service, claims monitoring and fund liquidity;
  • Coordinates, plans and manages claims and benefit administration activities for claimants;
  • Develops workflows and policies for claims and benefits management process;
  • Analyzes claims and benefits payment data to ensure optimal systems and service operability and make corrections and improvements as needed;
  • Interprets and administers relevant laws; keeps abreast of all pertinent laws, regulations and policies related to healthcare and Family and Medical Leave claims benefits administration;
  • Maintains contacts with individuals, agencies, governing bodies and state and federal agencies who might impact claims and benefits payment activities;
  • Provides expertise to Information Technology (IT) staff on maintaining and enhancing the systems used to manage claims and benefit payments and recommends systems changes to increase efficiencies, resolve systems errors and ensure compliance with state and federal regulations;
  • Regularly communicates with the Office of the Treasurer to monitor the balance of the Authority’s Trust fund;
  • Reports regularly to the CEO, board Finance Committee and the Board of Directors, pursuant to the Authority’s Plan of Operations, the state of the Authority’s claims and benefits payment process;
  • Prepares for and coordinates all financial audit functions for the Authority and as it relates to claims and benefit payments; monitors with OTT any audits related to the Authority’s Trust Fund;
  • Represents the Authority at any meetings of the Board of Directors, the Governor and the Executive Branch, the Department of Administrative Services, the Secretary of the Office of Policy and Management and the Legislative Branch and the Legislative Committees of the General Assembly, regarding the Authority’s benefits and claims administration processes;
  • Appears as an expert witness at legislative budget hearings, fact findings, arbitrations and any other legal matters related to claims and benefits administration;
  • Performs any related duties as required.
This list of duties is not intended to be all-inclusive and may be expanded to include other duties and responsibilities that the Authority may deem necessary from time to time and as the Authority’s work and responsibilities demand. 

PREFERRED QUALIFICATIONS

  • B.A. or B.S. in management or finance; with a strong preference for a graduate degree or relevant work experience in claims and benefits administration;
  • Minimum of eight (8) years’ experience in developing, monitoring and managing a claims and benefits system of at least $100 million in claims payments;
  • Outstanding interpersonal skills, with a demonstrated ability to work cooperatively with teams to deliver excellent results and maintain a collegial work environment;
  • Excellent verbal and written communication skills; 
  • Considerable ability to analyze and evaluate complex financial and statistical data;
  • Considerable knowledge of relevant state and federal laws, statutes and regulations.
We'd also love to hear from you if you possess the following skills:

  • Outstanding interpersonal skills, with a demonstrated ability to work cooperatively with teams to deliver excellent results and maintain a collegial work environment;
  • Excellent verbal and written communication skills; 
  • Provides support, supervision, and strategic guidance to experienced colleagues across a range of issue areas;  
  • Demonstrated ability to share authority and responsibility in high stakes, complex and fast-moving work environment;  
  • Extremely strong project and time management skills, including a high level of organization, attention to detail, and follow-through, while balancing and prioritizing multiple activities and responsibilities;
  • Excellent relationship-building skills and ability to inspire collaboration, including success leading teams, projects, and people towards action through persuasion;
  • Demonstrated experience engaging in problem solving and taking initiative, while utilizing a solutions-oriented approach and exhibiting flexibility and good judgement in a complex organizational system;
  • Considerable experience in trust fund management and administration strongly preferred;
  • Willingness to travel throughout Connecticut and the northeast corridor, as well as periodic travel to other states as needed.

Conclusion

AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER

The State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities.