Senior Benefits Analyst

Aleut Career•Reston, VA

7d•Hybrid

About The Position

The Benefits Business Partner administers moderately complex benefits issues, conducts data audits, manages benefit invoicing, supports claims payment processes, and ensures compliance with plan rules and regulatory requirements. This role requires hands-on experience with self-funded medical plans and claims payment workflows

Requirements

Minimum 7 years of experience in benefits and leave administration.
Strong knowledge of ERISA, ACA, HIPAA, COBRA, FMLA compliance.
Proficiency with HRIS and benefits platforms; advanced Excel skills.
Experience with self funded medical plans.
Consultative communication and relationship-building
Analytical and problem-solving skills
Process improvement mindset
Confidentiality and sound judgment
Ability to manage multiple priorities in a fast-paced environment
Ability to work independently

Nice To Haves

Government contracting experience.
Service Contract Act (SCA) and Union Collective Bargaining Agreement (CBA) experience.
Experience with UKG Benefits Administration platform.
CEBS, CBP, PHR/SPHR, or SHRM certification.
Experience with multi-state compliance.

Responsibilities

Act as a trusted advisor for employees and HR Business Partners on benefit-related inquiries.
Provide guidance on complex claims, escalations, and plan interpretation.
Develop and deliver benefit education sessions and resources.
Oversee accurate processing of enrollments, life events, and terminations (delegating transactional tasks as needed).
Ensure data integrity across HRIS and vendor systems; perform audits and reconciliations.
Partner with Payroll for deduction accuracy and retro adjustments.
Administer company leave programs including FMLA, ADA, state-specific leaves, and company policies.
Serve as primary contact for employees and managers regarding leave eligibility, documentation, and return-to-work processes.
Coordinate with third-party leave administrators and ensure compliance with federal and state regulations.
Maintain accurate leave records and ensure timely communication with stakeholders.
Partner with HRBPs on complex leave cases and accommodations.
Monitor compliance with ERISA, ACA, HIPAA, COBRA, FMLA, and other applicable regulations.
Support annual compliance activities (5500 filings, nondiscrimination testing, required notices).
Maintain plan documents and ensure timely distribution of compliance notices.
Coordinate open enrollment activities, including system setup, testing, and employee communications.
Assist in the creation of, and maintain benefit guides, FAQs, and intranet content.
Review, reconcile, and process benefit invoices for medical, dental, vision, life, disability, and other vendor programs.
Collaborate with Finance to ensure timely and accurate payment of claims, premiums and administrative fees.
Identify and resolve billing discrepancies through proactive auditing and vendor coordination.
Lead initiatives to streamline benefits and leave processes and enhance employee experience.
Collaborate on wellness programs and emerging benefit offerings.