Benefits Technician GHI (Department Promotion Only)

Government of the Virgin Islands

5d•Hybrid

About The Position

Under the direct supervision of the Chief Group Health Insurance (GHI) or unit supervisor, this position is responsible for providing staff support for the efficient flow of services of the Group Health Insurance (GHI) unit. An employee in this class also ensures that beneficiaries receive life-insurance pay-outs and provides assistance with communicating the benefits packages to active employees and retirees. This is entry-level administrative support work that attends to a variety of staff support functions in and out of the GHI office. Work is performed in accordance with established policies and procedures where considerable initiative and good judgment is required in the application and interpretation of rules and regulations. Work is reviewed through meetings, consultations, reports, and various GHI related functions daily.

Requirements

Associate degree in Business Administration or any closely related field and two (2) years of experience in benefits administration.
OR High School Diploma or its equivalent from an accredited institution and four (4) years of experience in benefits administration.
Knowledge of the federal and local laws related to health insurance, departmental rules and regulations, policies, and procedures governing the group health insurance (GHI) plan.
Knowledge of health insurance policies, practices as it pertains to medical, dental, and life insurance benefits issued by the health insurance provider.
Skill in professionalism and customer service.
Skill in organization and time management.
Skill in computer software and applications including Microsoft Office, Excel, and other HR systems.
Ability to comply with government and local regulations and plan provisions to ensure equitable administration to GVI employees and beneficiaries.
Ability to show compassion to beneficiaries of deceased employees and retirees of the GHI program.
Ability to communicate both orally and in writing.
Ability to communicate effectively with all persons contacted during work.
Ability to maintain alphabetical and numerical files.
Ability to work independently in a fast-paced environment and address issues as they arise.
Ability to work effectively and efficiently within strict deadlines as part of a team.
Ability to operate a motor vehicle.
Ability to work after hours on weekends at unit events if necessary.

Responsibilities

Processes all death claims for the beneficiaries of deceased policyholders of the GHI program.
Informs beneficiaries of available benefits amounts and burial arrangements.
Verifies policy information with local or mainland funeral homes and funding companies.
Conducts research to provide assistance to families of unprocessed death claims.
Provides assistance to minor beneficiaries with receiving benefit pay-out at the age of eighteen (18).
Prepares monthly statistical reports of deaths reported and total amount of life insurance pay-outs.
Requests information and supporting documents on homicide cases with VIPD, Department of Justice, and the coroner’s office for death claim processing.
Provides assistance with the collection of unpaid premiums owed to the GVI to process claims.
Maintains all death records by filing, scanning, and uploading pertinent documents into the system.
Privy to highly confidential information, maintains confidentiality and employee confidence by keeping benefit information confidential.
Provides assistance with the coordination of wellness, open enrollment, HR Officers trainings, BenTek support weekly meetings, and all other GHI events.
Handles, processes, and distributes all incoming mail into the GHI office.
Logs all incoming payments including credit cards, checks, and money orders for insurance payments and delivers to Benefits Analyst.
Provides assistance to Benefits Analysts by providing client service support to active employees and retirees of the GHI program with the completion of enrollment forms for address change, updating beneficiaries, add/drop spouses or dependents, increase or decrease life insurance during open enrollment or a qualifying event.
Processes child support orders regarding health insurance coverage for employee’s dependents.
Verifies employee record of parents’ medical plan and return mail correspondences to PCSD.
Participates in training opportunities and professional development-related events to stay abreast of changing policies and procedures and maintain professional networks.
Provides customer service on benefits, resolves issues, and works directly with management to ensure results and solutions.
Performs other related duties as assigned.