Welfare Benefit Plan Specialist -LBS - 014762

Summary:

Under the direction of Assigned Management, this position drafts, reviews, and edits plan documents and summary plan descriptions (PDs/SPDs), summaries of benefits and coverage (SBC), plan amendments, and summaries of material modifications (SMMs), prepares and reviews Form 5500s and assistance with certain non-discrimination testing for certain welfare benefit plans for external clients. The incumbent establishes and maintains requisite client files and information. The position provides general benefit plan consulting services to internal clients regarding benefit plan design, compliance, and documentation.

Responsibilities

• Drafts, reviews, and edits welfare benefit plan documentation according to certain standards and processes.
• Prepares and reviews welfare benefit plan Form 5500s and assists external clients with filing, as requested.
• Provides external clients with access to the non-discrimination testing website and assistance with questions and any tests failures.
• Establishes and maintains client billing records.
• Works with internal departments with the implementation of plan design, responds to internal and external client inquiries with respect to plan design and plan documentation, and attends client meetings, as necessary.
• Acts as a resource to internal clients regarding the interpretation of welfare benefit plan documentation.
• Maintains accurate records and files of all written materials and communications regarding plan design and plan documentation.
• Consistently demonstrates high standards of integrity by supporting the Lifetime Benefit Solution's mission and values and adhering to the Corporate Code of Conduct and leading to the Lifetime Way values and beliefs.
• Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
• Regular and reliable attendance is expected and required.
• Performs other functions as assigned by management.

Minimum Qualifications

• Associate's degree in paralegal studies or a related field with a minimum of two years of employee benefits experience or a minimum of five years of claims processing experience including knowledge of coding (ICD9/10, CPT) and claim adjudication processes.
• Attention to detail; analytical ability; good organizational skills; ability to multi-task, work independently, prioritize work assignments and handle confidential information with discretion.
• Knowledge of relevant provisions of ERISA, Internal Revenue Code, HIPAA, COBRA, and Health Care Reform.
• Excellent oral and written communication skills.
• Demonstrates willingness and ability to learn about welfare benefit plan regulatory requirements, including the willingness and ability to keep up to date with such requirements.
• Knowledge of all Microsoft Office applications.
• Ability to multi-task, stay organized, and maintain a high attention to detail.
• Ability to travel to regions, as necessary

Physical Requirements

The Lifetime Healthcare Companies aims to attract the best talent from diverse socioeconomic, cultural and experiential backgrounds, to diversify our workforce and best reflect the communities we serve.

Our mission is to foster an environment where diversity and inclusion are explicitly recognized as fundamental parts of our organizational culture. We believe that diversity of thought and background drives innovation which enables us to provide leading-edge healthcare insurance and services. With that mission in mind, we recruit the best candidates from all communities, to diversify and strengthen our workforce.

OUR COMPANY CULTURE:

Employees are united by our Lifetime Way Values & Behaviors that include compassion, pride, excellence, innovation and having fun! We aim to be an employer of choice by valuing workforce diversity, innovative thinking, employee development, and by offering competitive compensation and benefits.

In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.

Equal Opportunity Employer

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)