Client Benefits Administrator

Gallagher•San Diego, CA

2d•Hybrid

About The Position

RPA San Diego, a subsidiary of Gallagher, is a third-party administration, consulting, and strategic management branch for collectively bargained benefit plans, pooled purchasing arrangements, and trusts. Its mission is to deliver high-quality, affordable, and accessible health care to members. The Client Benefits Administrator supports clients and members by responding to inquiries, resolving concerns, and maintaining accurate employee benefit data. The role coordinates employee benefit program administration, advises employees on benefit eligibility and provisions, maintains records, and assists with benefit communications. It also provides customer service to designated clients and members; processes enrollments, changes, eligibility files, claims, and reimbursement requests; supports invoicing, renewals, contracts, audits, and reporting; and uses company data and information systems. Depending on business needs, the role may specialize in areas such as COBRA, Medicare enrollment, employee eligibility, claims processing, or contribution files. The position works within defined limits and authority on routine assignments of low to moderate complexity. The administrator is expected to follow safe work practices and established policies, procedures, and directives, and to recommend ways to improve processes, products, delivery, and the experience of clients and members. The work is hybrid in San Diego, California: two days onsite and three days working from home.

Requirements

Bachelor’s degree and one year of related experience required.
Ability to work a hybrid schedule in San Diego, California: two days onsite and three days working from home.

Nice To Haves

Punctuality and adherence to scheduling.
Effective verbal, written, and general communication skills.
Ability to research and resolve issues involving benefit eligibility, billing, and coverage.
Patience, resilience, and tolerance of stressful situations.
Customer-focused approach and interest in assisting others.
Cooperative attitude and ability to work independently and as part of a team.
Focus and attention to detail.
Ability to meet tight deadlines while maintaining accuracy.
Ability to learn computer system applications.
Ability to learn and understand multiple products and benefit levels.
At least four years of experience in customer service, health care, or a related field.
Proficiency in Microsoft Word and Outlook.
Intermediate or advanced skill level in Microsoft Excel.

Responsibilities

Coordinate administration of employee benefit programs, including medical, dental, life insurance, pension, and other benefits.
Advise employees about benefit eligibility, plan provisions, and related matters.
Maintain benefits records and documents.
Assist with preparing employee benefits booklets and other benefits communications.
Serve as a point of contact for designated clients or districts and provide customer service to members.
Use data and information technology systems, including the proprietary ARES and Titan systems.
Research customer issues and refer them to internal or external resources when needed.
Process enrollment and change forms or eligibility data files, including entering member information.
Review, correct, and distribute monthly client invoices as required.
Assist in creating client or district renewal packets and producing final annual rate contracts.
Audit eligibility changes made by Operations.
Create assigned reports.
Process claims and reimbursement requests as necessary.
Follow safe work practices, directives, policies, and procedures to support a healthy and safe work environment.
Identify and recommend opportunities to improve processes, products, delivery, and the job, department, and client experience.
As assigned, provide customer service to COBRA members and post COBRA payments.
As assigned, determine and verify member eligibility for trusts and answer questions about eligibility requirements.
As assigned, process contributions to HRA accounts.
As assigned, prepare Trust Board Meeting materials.
As assigned, support the online enrollment tool during Open Enrollment.
As assigned, process Medicare enrollment and change forms or eligibility data files, including entering member information.
Perform other duties as assigned.