Insurance & Benefits Specialist

Cypress-Fairbanks Independent School District•Cypress, TX

About The Position

The Insurance & Benefits Specialist administers the district’s employee benefits programs, including health care and insurance plans, benefit enrollment and changes, payroll adjustments, COBRA and FMLA benefit extensions, and workers’ compensation claims processing. The role interprets applicable healthcare and insurance laws and regulations, advises employees about benefits and qualifying events, and ensures required documentation and administrative deadlines are met. The position works with Human Resources, Payroll, and Information Systems staff to maintain employee benefit eligibility and pay through employment-status transitions, while protecting confidential information. The position is employed for 244 days, with a salary of $48,178 at pay grade CP-8; the salary range is based on experience and set by the Board of Trustees for the school year.

Requirements

High school diploma or GED equivalent.
Knowledge of employee benefits program administration.
Knowledge of the Patient Protection and Affordable Care Act and Section 125 IRS tax regulations.
Knowledge of COBRA, FMLA, and workers’ compensation statutes, regulations, and rules.
Ability to implement policies and procedures.
Ability to interpret complex data.
Critical decision-making skills.
Proficiency with Microsoft Word and Excel.
Strong organizational and problem-solving skills.
Competency in basic accounting.
Strong oral and written communication skills.
Excellent interpersonal skills.
At least three years of experience in employee insurance, benefits, and payroll procedures.

Nice To Haves

Bilingual ability.
Experience with Sungard payroll software and online enrollment systems.

Responsibilities

Become knowledgeable in all aspects of the district’s benefits programs.
Interpret complex healthcare and insurance laws and plan designs, including the Patient Protection and Affordable Care Act, Section 125 IRS tax regulations, and TRS-ActiveCare.
Educate and assist employees with all aspects of the benefit programs offered.
Evaluate employee qualifying events under Section 125 IRS tax regulations, advise employees, and determine the documentation required to support decisions.
Initiate benefit enrollments and changes and make payroll adjustments as required for employee benefits and payroll processing.
Manage COBRA and FMLA employee benefits extension programs and process workers’ compensation claims.
Meet state and federally mandated administrative deadlines for workers’ compensation, COBRA, HIPAA, and FMLA benefit extension programs.
Work with Human Resources, Payroll, and Information Systems staff to maintain benefit eligibility and pay during employment-status transitions.
Perform duties in a manner that ensures the integrity and confidentiality of a legally sensitive public entity department.
Perform other duties as assigned by the Assistant Director of Risk Management and Insurance.