Positions in this job family are assigned responsibilities involving the administration of various flexible benefits programs to employees and participating agencies. This includes assisting employees and agencies in enrollments in various plans, providing assistance on various problems and questions, interpreting laws and guidelines concerning those programs, and training agency coordinators on requirements for administering the program within individual agencies.
The functions within this job family will vary by level, but may include the following:
Assists employees and agencies in enrolling in various flexible benefits under state and federal laws and regulations.
Advises plan participants, agency coordinators and others on requirements for participation, enrollment and change procedures, reimbursement accounts, claims processing and other matters.
Responds to requests from vendors, medical providers and others concerning plan participants; coordinates with agency coordinators, plan participants and administrators as needed to correct individual accounts or other records.
Reviews and approves documents submitted for changes in benefit elections or plan participation.
Designs educational and training programs and publications to advise employees of available plans and policies; provides training to agency coordinators and others on various forms, procedures and other information.
KNOWLEDGE, SKILLS, & ABILITIES
Level I: Knowledge of IRS rules and regulations and state and federal laws concerning flexible benefits plans; of medical and dental programs and various types of providers; of claims processing procedures; of insurance terminology and concepts; and of the principles and practices of public administration. Ability is required to establish and maintain effective working relationships with others; to express ideas clearly and concisely; to conduct several projects simultaneously; to assist employers and employees in establishing effective benefit programs; and to work independently.
Level II: Those identified in Level I plus demonstrated ability to design and develop flexible benefits programs.
Level III: Those identified In Level II plus knowledge of supervisory principles and practices. Ability to supervise the work of others.
The Flexible Benefits Representative job family consists of three levels which are distinguished based on the level of responsibility assigned, the complexity of assigned duties and responsibilities, and the responsibility for providing leadership to others.
Level I: This is the career level of this job family where employees are assigned responsibilities at the full performance level in assisting with the administration of flexible benefit plans for state employees. This includes providing assistance to employees and agencies in enrolling and participating in available plans, making decisions based on applicable sections of the Internal Revenue Code and appropriate state and federal laws, providing various services to plan participants, and training agency benefits coordinators on required policies and procedures.
Level II: This is the specialist level where employees are assigned responsibilities for advanced level work involving the design and development of flexible benefits programs. This includes review and analysis of state and federal laws, IRS guidelines, publications and other information concerning available programs, reviewing and recommending approval of various benefits, and the coordination of program requirements with insurance representatives, third party administrators, health maintenance organizations, dental plans, and others. Some responsibility may be assigned for providing training and assistance to other employees in the completion of various tasks and activities.
Level III: This is the leadership level of the job family where employees are assigned responsibilities involving the supervision of other employees in addition to performing duties related to providing assistance to eligible employees and employers in participating in flexible benefits programs. This includes providing guidance and assistance to other staff, assigning and reviewing work, providing training, resolving complex problems and insuring the completion of required tasks and activities. It may also include responsibilities related to employee development, evaluations of performances, approval of leave and disciplinary actions.
Level I: Education and Experience requirements at this level consist of a bachelor’s degree and one year of experience in the administration, management, communication or marketing of group health or flexible benefits plans; or an equivalent combination of education and experience, substituting one additional year of qualifying experience for each year of the required education.
Level II: Education and Experience requirements at this level consist of those identified in Level I plus two additional years of qualifying experience.
Level III: Education and Experience requirements at this level consist of those identified in Level II.
Applicants must be willing and able to perform all job-related travel associated with this position.
CLASS: A31A; EST: 8/20/2007; REV: 7/2/2012 7:45:00 AM;
CLASS: A31B; EST: 8/20/2007; REV: 7/2/2012 7:45:00 AM;
CLASS: A31C; EST: 8/20/2007; REV: 7/2/2012 7:45:00 AM;