Act as internal consultant to customers regarding benefit programs
Serve as a subject matter expert in health plan compliance issues
Manage external compliance supplier work and coordinate schedules, reviews and leadership presentations for retirement compliance work
Draft plan documentation (e.g. summary plan description, plan amendments, summaries of material modifications, etc.) in accordance with legal requirements for review, approval and appropriate distribution
Review and analyze all relevant information pertaining to a benefit appeal (e.g. plan documents, past precedents prior appeals, etc.) and prepare draft response and present to management
Monitor and analyze legislative and regulatory actions that may impact benefit plans to develop recommendations as appropriate
Review and analyze benefit plan provisions and recommend potential solutions for the restructuring to meet company objectives
Review and monitor data information feed files to ensure accuracy and resolve discrepancies
Review and analyze benefit data; respond to general inquiries, audits, document requests; prepare draft response for approval by management and submission to requesting agency
Support union negotiations regarding benefits, present proposed benefit package to union, analyze benefit questions that arise during negotiations, respond to benefits related questions and compare proposals to other contracts (internal and external) to affect a solution

10+ years of experience in the employee benefits legal or compliance field
5+ years of experience with FMLA, ACA, ERISA, COBRA, and Federal and State labor laws
5+ years of experience managing multiple projects simultaneously, prioritizing tasks, and meeting deadlines in a fast-paced environment
Juris Doctor (JD) or equivalent law degree
Bachelor’s degree or higher in Human Resources, Business Administration, or a related field
Professional certification (e.g., CEBS, PHR, CPA)

Lead Benefits Compliance Specialist

Key skills