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Top 50 Benefits Analyst Skills

Below we've compiled a list of the most important skills for a Benefits Analyst. We ranked the top skills based on the percentage of Benefits Analyst resumes they appeared on. For example, 13.6% of Benefits Analyst resumes contained Benefits Administration as a skill. Let's find out what skills a Benefits Analyst actually needs in order to be successful in the workplace.

These are the most important skills for a Benefits Analyst:

1. Benefits Administration

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high Demand
Here's how Benefits Administration is used in Benefits Analyst jobs:
  • Recruited to work alongside VP of Human Resources to re-organize and establish operating processes and procedures for payroll and benefits administration.
  • Worked with Hewitt Associates to ensure data integrity for total benefits administration of complicated benefits plan involving multiple union environments.
  • Provided central HR office support to Benefits Coordinators in the design and implementation of process improvements for benefits administration.
  • Developed reports for analysis of benefits administration including annual enrollment election analysis and short-term disability utilization.
  • Worked on a variety of benefits administration tasks assigned by the Senior Pension Benefits Administrator.
  • Communicated and applied conceptual elements of Benefits administration and Human Resources rules and regulations.
  • Manage the day to day benefits administration including troubleshooting and handling escalated issues.
  • Collaborated in benefits administration activities for expatriate employees.
  • Configure and implement benefits administration systems for high profile international clients on time and according to project plans.
  • Provided keen oversight to PeopleSoft through the use of customized benefits administration processing for 20,000 U.S. employees.
  • Performed HRIS Analysts function for the Lawson program, with regards to Human Resources and Benefits Administration.
  • Updated Base Benefits and Benefits Administration tables to reflect new plans, events and eligibility rules.
  • Analyzed benefit plan costs; assist Benefits Manager on the health and welfare benefits administration.
  • Managed staff of three accountable for benefits administration and payroll functions.
  • Conducted full audit and clean-up of Benefits Administration system.
  • Lead junior team members in benefits administration tasks.
  • Documented procedure related to benefits administration.
  • Defined the business requirements and conducted extensive testing for the conversion and census files for the benefits administration outsourcing project.
  • Audited vendors' invoices and coordinated issues with the benefits administration outsource vendor to ensure accurate invoicing.
  • Leave of Absence/Benefits Administration Maintain Benefit Documentation Customer Service

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17 Benefits Administration Jobs

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2. Ensure Compliance

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high Demand
Here's how Ensure Compliance is used in Benefits Analyst jobs:
  • Review of salary transactions to ensure compliance with established policies, procedures, and accurate classification assignments.
  • Analyzed and modified compensation and benefits policies to establish competitive programs and ensure compliance with legal requirements.
  • Develop and establish and define country specific benefit offerings to ensure compliance and market competitiveness.
  • Maintain high standards of accuracy and quality to ensure compliance and data security and integrity
  • Researched new Human Resources legislation and develop appropriate policies to ensure compliance.
  • Partnered with internal and external stakeholders to ensure compliance and effective processes.
  • Performed regulatory analysis and recommended process/policy changes to ensure compliance.
  • Monitor post-implementation processes to ensure compliance.
  • Coordinated Accident/Sickness claim requests with the Benefits department to ensure compliance with Temple's LOA/FMLA policies and procedures.
  • Implemented Transit Benefit Program for California employees to ensure compliance with the Bay Area Transit Program employer mandate.
  • Assist with internal and external audit of 401(k) plans to ensure compliance.
  • Established tracking mechanisms to ensure compliance with federal regulations, policies, and institutional goals.
  • Coordinated all system changes to ensure compliance and support of state and federal mandates.
  • Analyzed and evaluated benefit policies and plans to ensure compliance with all legal requirements.
  • Analyzed long-term claims to ensure compliance with federal and state guidelines.
  • Created audit plan for Vendors to ensure compliance and high performance.
  • Monitored plans to ensure compliance with federal and state law.
  • Administered FMLA leaves to ensure compliance with Federal legislation.
  • Planned deadlines to ensure compliance with state law requirements.
  • Maintain clear and concise records to ensure compliance with Federal regulations eliminating the risk of fines.

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3. Long-Term Disability

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high Demand
Here's how Long-Term Disability is used in Benefits Analyst jobs:
  • Determined and processed eligibility for long-term disability benefits, extended medical coverage and disability retirement distributions.
  • Collaborate with health insurance carrier to administer short- and long-term disability and leave management claims.
  • Coordinated the tracking and management of short-term and long-term disability program.
  • Analyze information related to long-term disability benefit administration.
  • Managed short and long-term disability process.
  • Coordinated life and long-term disability plans.
  • Provided administrative support on short-term and long-term disability (STD/LTD) as well as military leaves.
  • Track and correspond with individuals on leave of absence (LOA's) through long-term disability.
  • Involved with the transition of 16,000 newly acquired TIAA/CREF long-term disability claims to ensure accuracy.
  • Processed death claims, waiver of premium applications and long-term disability applications for client base.
  • Reviewed regular export feeds for life insurance and short / long-term disability plans.
  • Acted as employee liaison for Long-Term Disability program.
  • Analyze and administer multi-state short-term and long-term disability (STD/LTD) and act as liaison between carrier and associates.

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4. Insurance Companies

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high Demand
Here's how Insurance Companies is used in Benefits Analyst jobs:
  • Utilized Other Party Liability Correspondence system to generate letters to members, providers and other insurance companies.
  • Facilitate and completed the prior authorization process with insurance companies and practitioner offices.
  • Coordinated benefits with other insurance companies for customers with multiple insurance policies.
  • Responded to correspondence from insurance companies.
  • Negotiated plan specifics with insurance companies.
  • Served as front desk coordinator and benefits analyst for clients - updating client spreadsheets and benefits information with major insurance companies.
  • Prepare complex reports for managed care organizations and insurance companies, ensuring full compliance with agency requirements and tight deadlines.
  • Fostered and maintained a positive and ongoing relationship with both the sales representatives of insurance companies and our clientele.
  • Worked as main liaison between large health insurance companies and the human resources departments of various commercial employers.
  • Served as liaison between insurance companies and employees, researched claims history and responded to appeals.
  • Included direct communication with Members, Company Contacts, Attorneys and other Insurance Companies.
  • Investigate claim discrepancies and work closely with insurance companies and broker to resolve issues.
  • Coordinated with primary insurance companies to determine correct processing and payment of claims.
  • Supervised the administration of large Employer Groups and Health Insurance Companies.
  • Acted as the liaison between the insurance companies and patients.
  • Processed claims and resubmitted claims denied by insurance companies.
  • Coordinated with insurance companies to resolve employee insurance issues.
  • Requested bids from insurance companies on behalf of clients.
  • Interviewed employees, healthcare providers, insurance companies, and subject matter experts in order to garner all relevant information.
  • Process invoices for medical insurance companies and made sure payment was disbursed amongst members and doctors.

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1 Insurance Companies Jobs

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5. HR

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high Demand
Here's how HR is used in Benefits Analyst jobs:
  • Developed strategic recommendations for program design through collaboration with benefits team, consultants and health care vendors.
  • Researched participant and plan administration issues on HR practices for performance management.
  • Supported operations through analysis of Key Performance Indicators and trends.
  • Support implementation of changes through Benefits Administration and Payroll.
  • Contribute to the success of customer s implementation through active participation in new and existing business account Management team meetings.
  • Identified process improvement opportunities (HR delays & quality problems), and recommended solutions.
  • Updated daily the DEV pending excel spreadsheet and sent to HR Generalist to track.
  • Work closely with vendors and HRIS team to resolve any issues with employee benefits.
  • Partner with senior-level management to create fair and consistent HR policies and procedures.
  • Provide central benefits support to 5 HR Representatives in other US locations.
  • Research and provide advice pertaining to employee issues and HR strategic initiatives.
  • Provided DEV outstanding list to HR Generalist and Benefits Manager daily.
  • Configure HRIS systems for various clients for Open Enrollment each year.
  • Enter and audit transactions and resolve errors in SAP HRIS system.
  • Researched and resolved HR and Employee Benefit questions and issues.
  • Determined the viability of current health plan product offerings for commercial healthcare products through extensive research and analysis.
  • Identified and corrected information gaps in HR system leading to successful company-wide reporting capabilities (i.e.
  • Scheduled and tracked timelines and milestones to ensure HR projects were driven to on-time completion.
  • Recommended ADA accommodations and solutions to HRBPs.
  • Create and run ad hoc HRIS reports to provide input for analysis, reporting, data integrity review, and correction.

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26 HR Jobs

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6. Customer Service

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high Demand
Here's how Customer Service is used in Benefits Analyst jobs:
  • Provide effective problem resolution and provide customer service to participants and vendors by responding to inquiries.
  • Leveraged knowledge base to provide both internal and external stakeholders a quality customer service experience.
  • Provide superior customer service and build effective working relationships with external and internal contacts.
  • Selected to train health care principles, insurance industry standards, and customer service to outsourced agency in Canada.
  • Resolved customer service issues, answered telephone and email questions from associates, regarding benefit issues and claim resolution.
  • Managed process across with cross-functional teams: Customer service, underwriters, and other business entities.
  • Provide prompt customer service to members, providers and other internal company entities regarding claims.
  • Worked with Customer Service Associates to ensure most effective HR issue resolution was facilitated.
  • Trained as well as prepared customized client training materials for customer service personnel staff.
  • Provide customer service to internal and external contacts via phone and email.
  • Resolved problems resulting from claims adjudication and customer service phone calls.
  • Perform customer service duties by answering telephone and responding to inquiries.
  • Branch Customer Service Supervisor, US BANK, Seattle, WA
  • Clerk Typist: Entry level customer service representative.
  • Provided customer service in a call center environment.
  • Systematized prompt and professional customer service to identify all request with highest priority.
  • Resolved participant issues escalated from Customer Service via workflows.
  • Provide 401(k) customer service and administration for all U.S. Timken associates.
  • Communicate frequently with clients to provide proactive approach to customer service ensur- ing quality and continuity of coverage.
  • Implented and Trained Customer Service Rep. On new Amisys System.

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4 Customer Service Jobs

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7. Cobra

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high Demand
Here's how Cobra is used in Benefits Analyst jobs:
  • Prepared and maintained statistical and financial records, including reconciliation for COBRA insurance programs and flexible spending accounts.
  • Administered notifications to eligible COBRA participants and maintained active COBRA participants.
  • Conducted audits and reconciliations of COBRA payments submitted by participants.
  • Coordinate Federal Government Cobra and its ramifications.
  • Performed COBRA controlling accounts receivable, posted accounts, and monitored for FML, Retiree, Student and Disability groups.
  • Processed disability and life insurance claims, leaves of absence, qualifying enrollment events, and initiates COBRA process.
  • Coordinated services of vendors for self-insured plans (medical, dental, flex, Cobra, etc.)
  • Processed mail, processed benefit requests and return and begin leaves along with activating or deactivating Cobra coverage.
  • Advise and coach members on insurance issues, including retiree, COBRA, disability, and Medicare.
  • Inform them of changes to their benefits, cobra, life insurance, and various payouts.
  • Manage monthly billing for Cobra, Vision, Group Legal and Long Term Care plans.
  • Assisted employees, COBRA participants, and retirees with benefits questions and claims.
  • Developed 401(k), Section 125 and COBRA employee communication documents.
  • Used report/spreadsheet to import information into COBRA database (FileMaker).
  • Provide orientation for new employees and COBRA documentation for departing employees.
  • Monitored COBRA compliance; responded and resolved inquiries and issues.
  • Automated leave accrual administration and carrier enrollment through COBRA.
  • Managed COBRA arrangements with terminated employees.
  • Created COBRA report in COGNOS for large scale COBRA mailing.
  • Handled customer questions/complaints regarding health, welfare and pension benefets including group medical, dental, vision, COBRA and retirement.

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8 Cobra Jobs

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8. Pension Plans

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high Demand
Here's how Pension Plans is used in Benefits Analyst jobs:
  • Managed union pension plans and maintained responsibility for all 401 plan administration.
  • Researched escalated member enrollment / eligibility classifications, including 401k pension plans.
  • Calculated pension plans for individual participants based on specific pension plans.
  • Performed audits and finalized pension plans for ongoing administration.
  • Specialized in administering pension plans and serving as subject-matter expert for corporate clients, including Southwestern Bell Co. (SBC).
  • Administer, research and/or resolve employee issues and concerns regarding health benefits, welfare benefits, savings and pension plans.
  • Serviced requests from Benefits Call Center and provided resolutions on 401(k), life insurance and pension plans.
  • Perform day-to-day administration of the Company's retirement benefits programs, including the 401(k) and pension plans.
  • Created and reviewed data files for use in Word-merge certificates for both pension plans and overall benefit plan summaries.
  • Gathered investment strategies and policies from all International pension plans offered by Colgate Palmolive around the world.
  • Handled various phases of pension plans, annuity updates, investments and benefit modifications.
  • Tested and validated calculator tool functionality after changes in the pension plans.
  • Administered and oversaw the payment of pension plans across various client bases.
  • Explained and addressed issues concerning benefits, pension plans and payment options.
  • Manage seven pension plans for the Pension Benefit Guaranty Corporation.
  • Prepared and filed 5500s for benefits and pension plans.
  • Ensured compliance of benefits and pension plans.
  • Issued resolutions and manually processed participant death benefit pension plans and escalated to Customer Service via workflows and daily processing.
  • Key Achievements: Became the subject-matter expert over multiple pension plans for both union and non-union employees.
  • supervised administration of corporate wide pension plans, profit sharing plan, self-funded insurance programs.

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5 Pension Plans Jobs

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9. Hris

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high Demand
Here's how Hris is used in Benefits Analyst jobs:
  • Identify opportunities to improve processes, including preparing and analyzing audit reports and ensuring integrity of the HRIS and other systems.
  • Utilized HRIS system, vendor on-line systems and other technology to efficiently administer plans and analyze data for health plan.
  • Prepared census data for actuarial assessments and partnered with HRIS on data extraction, contribution updates, and mapping.
  • Completed pay changes and benefit changes in HRIS system as a result of a work/family status changes.
  • Interact with Payroll, HRIS, and Compensation to ensure efficient work-flow process.
  • Processed all competency reviews, calculated merit increases and entered into HRIS system.
  • Perform standard or routine audits of HRIS database to ensure data integrity.
  • Open Enrollment, processing changes and updating employee information via HRIS.
  • Administer 401k changes and file uploads to vendor using HRIS system.
  • Work with HRIS and Payroll to streamline the Personnel Action Form.
  • Input employee benefits data to HRIS database and conducted audits.
  • Develop, implement and deliver end-user HRIS training programs.
  • Implemented HRIS system and conduct weekly audits of plans.
  • Maintained strong working knowledge of HRIS applications.
  • Processed benefit changes to HRIS system.
  • Maintain, add and revise HRIS tables.
  • Assisted IT group in updating, improving, and creating new applications, in/out bound files for the HRIS system
  • Identified data requirements and developed format of benefits portion of HRIS for implementation of new CSS Hrizon HRIS System.
  • Process death claims with the insurance comapany, input data with company HRIS system.
  • Identify opportunities for HRIS systems enhancements and increases in efficiencies.

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15 Hris Jobs

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10. Fmla

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high Demand
Here's how Fmla is used in Benefits Analyst jobs:
  • Manage and coordinate Disability, Workers Compensation and FMLA/ADA programs including communication with payroll department regarding salary continuance.
  • Partner with third party consultants and vendors for disability and FMLA leave administration, life insurance, COBRA and 401k plans.
  • Administer FMLA leave policies to guarantee compliance with collective bargaining unit rights, Federal and State laws, rules and regulations.
  • Spearheaded FMLA and STD for union and various states to include CFRA, ESD, and ISD employee populations.
  • Administered all FMLA, ESL, STD, Military, Personal, Voluntary Company Leaves and LTD claims.
  • Offer alternative leave options to employees if they do not qualify for FMLA or other state leaves.
  • Coordinated Family and Medical Leave Act (FMLA), COBRA, and workers' compensation.
  • Managed all employee leave programs including workers compensation, short-term & long-term disability and FMLA.
  • Managed administration of leave plans (FMLA, Sick Leave, Long Term Disability).
  • Coordinate Short Term Disability, Long Term Disability and FMLA for all eligible associates.
  • Administered FMLA and leave programs, Worker's Compensation and Return to Work programs.
  • Prepare all FMLA paperwork for temporary associates (no third party administrator).
  • Administered leave programs (STD, FMLA, Worker's Compensation).
  • Administered FMLA, STD, LTD plans, and Workers Compensation.
  • Process and track all FMLA/STD/LTD/Workers Compensation claims.
  • Gained knowledge of regulations/polices on FMLA, LOA, QDRO, QMSCO, COBRA, and ERISA laws.
  • Guaranteed compliance with COBRA, FMLA, HIPAA, and ADA regulations.
  • Maintained knowledge of ERISA/IRS regulations, FMLA, COBRA, and HIPPA.
  • Track FMLA/ADA/USERRA leaves and manager PTO.
  • Designed and presented policy presentations on FMLA administration, HIPPA and USERRA Designed an advanced tracking and communication system for FMLA issues

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2 Fmla Jobs

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11. Life Insurance

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high Demand
Here's how Life Insurance is used in Benefits Analyst jobs:
  • Review medical documentation to approve or disapprove disability waiver of premiums for Life Insurance Policies.
  • Designed and implemented quarterly analysis of life insurance programs ensuring efficient ongoing administration.
  • Coordinated necessary legal documentation for disbursement of disability life insurance claims.
  • Administer death benefits for survivors (including Group life insurance, medical, pension and 401(k)).
  • Process life conversions and claims for basic life, optional life, dependent life and retiree life insurance.
  • Subject Matter Expert of the Legacy Bank of New York Grandfathered Retiree Medical and Life Insurance Eligibility Design.
  • Enrolled employees in the Life Insurance programs including calculating the correct deduction according to age and rate.
  • Performed annual rating analysis for all medical, dental, short-term disability and life insurance plans.
  • Calculate value of Total & Permanent Disability Life Insurance payout, determine and pay appropriate beneficiary.
  • Liaised between employees and benefit vendors on Short and Long Term Disability and Life Insurance claims
  • Audit of benefits database to identify employees missing enrollments and life insurance age reduction issues.
  • Managed the employees Health, Tuition, Life Insurance and Disability benefits process.
  • Performed monthly reconciliation of Health, Tuition, Life Insurance and Disability plans.
  • Deal with 401k, life insurance on a daily bases.
  • Processed life insurance claims for active employees and retirees.
  • Administered Retiree programs and the Group-Term Life Insurance program.
  • Process death claims for Individual Life Insurance Policies.
  • Maintain City employee Life Insurance Beneficiary files.
  • Process all City employee Life Insurance claims.
  • Created procedures document for executive savings plan and life insurance audit Supported Proxy and 5500 reporting.

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2 Life Insurance Jobs

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12. Open Enrollment

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high Demand
Here's how Open Enrollment is used in Benefits Analyst jobs:
  • Direct responsibility for operational aspects of yearly open enrollment process for organization with over 5,000 benefit eligible employees.
  • Provide benefit orientations for new hires and develop communications for open enrollment.
  • Coordinated open enrollment support for Health Savings Accounts education and enrollment.
  • Processed and/or assisted employees with open enrollment applications.
  • Delivered open enrollment meetings for clients annually.
  • Designed strategic internal communications for annual open enrollment including web/print content for 5,000 members across the company's 30 domestic locations.
  • Managed company-wide open enrollment process/activities on an annual basis; serving as subject matter expert to 30 Human Resources personnel.
  • Project managed mid-year and annual open enrollments for the company including project management, system testing, and auditing.
  • Answer over 70 calls daily during open enrollment, and over 40 daily to consistently meet metrics.
  • Processed Medical Support garnishments, Qualifying Events, Annual Open Enrollments, and New Hire benefit enrollments.
  • Analyzed, implemented and administered all benefits, including 2 open enrollments for 3,500+ associates.
  • Facilitated monthly open enrollment question and answer sessions with employees on benefit program updates.
  • Prepare benefit materials for health insurance committee and coordinate the open enrollment process.
  • Plan and support Health and Welfare and Non-Qualified open enrollments.
  • Organized all Request for Proposals for clients during open enrollment.
  • Assisted with employee questions during annual open enrollment process.
  • Plan annual open enrollment & health fair.
  • Assist with annual Open Enrollment process.
  • Enter employee open enrollment elections.
  • Performed open enrollment trainings to local and webinar audience.

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59 Open Enrollment Jobs

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13. Welfare Plans

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high Demand
Here's how Welfare Plans is used in Benefits Analyst jobs:
  • Administered the day to day functions of the Health and Welfare plans as well as Defined Benefit and Defined Compensation Plans.
  • Subject Matter Expert (SME) for Health & Welfare plans, Defined Benefit and Defined Contribution and Wellness program.
  • Answered complex benefits questions and provided employee consultation on the various benefit options this involved all health and welfare plans offered
  • Played a lead role in the transition of administrators for both the defined benefit and health and welfare plans.
  • Managed ongoing vendors and consultant relationships, all health and welfare plans including flexible spending accounts for 300 employees.
  • Assist department in responding to inquiries pertaining to the bank's health & welfare plans and pension plan.
  • Reconcile and pay invoices for health and welfare plans exceeding $200,000 per month for 250+ employees.
  • Coordinated employee benefit services including defined benefit programs, defined contribution, and health and welfare plans.
  • Organized, verified and paid invoices for fully insured welfare plans for active employees and retirees.
  • Gathered and analyzed data related to cost trends for the health and welfare plans.
  • Oversee day-to-day administration of Oracle PeopleSoft BenAdmin system for all health and welfare plans.
  • Managed the day-to-day operations of the Health & Welfare Plans, including Flexible Spending.
  • Provided support to 5,000+ bargaining and non-bargaining employees of health and welfare plans.
  • Resolved escalated issues related to the company's health and welfare plans.
  • Evaluate effectiveness and cost of various health and welfare plans.
  • Conducted employee new hire orientations for health and welfare plans.
  • Administered monthly claims analysis of health and welfare plans.
  • Administrated welfare plans for 6500+ employees and retirees.
  • Managed the implementation of both board of directors' health and welfare plans and deferred compensation program.
  • Process and oversee electronic transfer of information for internal and external system Health and Welfare plans.

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22 Welfare Plans Jobs

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14. Absence

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high Demand
Here's how Absence is used in Benefits Analyst jobs:
  • Processed leaves of absences and coordinated disability payments where appropriate.
  • Coordinate and monitor receipt of benefit premium payments for associates on leave of absence and ensure maintenance of benefit coverage.
  • Developed leave of absence policy, including FMLA, STD, LTD, pension disability, and waiver of premium.
  • Manage the leave of absence participant tracking and billing, ensuring benefit plans payments are processed timely and accurately.
  • Back up contact for Health and Welfare, Leave of Absence, Compensation, and Defined Benefit analysts.
  • Project lead for broad review and revision of all leave of absence policies for U.S. employees.
  • Administer, maintain and track leave of absence requests, disability claims and FMLA requests.
  • Worked with multiple systems to ensure smooth functioning of medical/dental/vision and Leave of Absence plans.
  • Processed Cobra for termed employees and for employees on an approved Leave of Absence.
  • Administer health and welfare, leave of absence, and other benefit programs.
  • Coordinated the paperwork and processed all leaves of absence, including FMLA.
  • Prepare and monitor monthly reports noting Disability and FMLA leaves of absences.
  • Manage all leave of absences for Associates and Professional Staff.
  • Supervised and monitored team employees in managers' absence.
  • Assist with Leave of Absence and Disability Benefit Plans.
  • Authorize Leave of Absence Paid Time Off releases.
  • Administered all leaves of absence.
  • Facilitated STD and FMLA leave of absences for employees of Kelloggs North America.
  • Coordinated Leaves of Absence in regards to FMLA, STD and/or LTD guidelines.
  • Coordinated stateside, Canadian and Puerto Rico Leave of Absences.

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49 Absence Jobs

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15. Health Care

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average Demand
Here's how Health Care is used in Benefits Analyst jobs:
  • Worked closely with medical providers and health care facilities to obtain medical records, assessments, nurses notes and care plans.
  • Developed formal strategy and recommendations for commercial group to comply with state and federal mandates under the Federal Health Care Reform.
  • Monitored, researched, and alerted senior management of aberrant trends and exceptional health care costs for a variety of plans.
  • Worked in cooperation with team in the development and implementation of redesigned health care programs for U.S. employees across the nation.
  • Implement innovative strategies to leverage on-site clinics to increase employee health care accountability through quality care in a convenient setting.
  • Submit weekly Cobra report updates with United Health Care, Blue Cross Blue Shield, Delta Dental and Vision.
  • Reconciled all billing for current Health care providers to maintain accuracy and timely payments for billing statements.
  • Utilized actuarial software during client meetings to advise the financial impact of Health Care Reform.
  • Designed, implemented and managed behavioral health care benefit programs for over 330,000 lives.
  • Tracked the distribution of information to appropriate health care provider or medical case reviewer.
  • Researched health care contracts and reviewed processing claims in deciding final approval.
  • Managed post retirement health care with an obligation of $880MM.
  • Assist in managing health care strategies with health and welfare benefits.
  • Monitor all admits and discharges from health care facilities.
  • Project managed impact of mandatory health care reforms.
  • Process Individual and Group Health Care claims.
  • Handle Health Care appeals and complaints.
  • Perform Health Care Reform benefit modification to the Product Inventory Benefit Administration System during open enrollment.
  • Home health care Accomplishments: Able to maintain 5 day turn around time for high profile acct.
  • Administered benefit plans for over 15,000 Aetna and Coventry Health Care pre-acquisition employees.

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11 Health Care Jobs

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16. Summary Plan Descriptions

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average Demand
Here's how Summary Plan Descriptions is used in Benefits Analyst jobs:
  • Reviewed and coordinated employee/retiree communication pieces including open enrollment materials, benefit booklets and summary plan descriptions.
  • Drafted two Summary Plan Descriptions and reviewed/edited employee benefits communications on a regular basis.
  • Reviewed and interpreted summary plan descriptions and plan documents to confirm benefits.
  • Reviewed and maintained Summary Plan Descriptions.
  • Assist with employee communications materials, plan summaries, summary plan descriptions, brochures, and other plan information.
  • Review, update, and/or coordinate the update and distribution of summary plan descriptions and benefit description booklets.
  • Interpreted and administered the Plan Documents, Summary Plan Descriptions, Summary Material Modifications and Plans Amendments.
  • Write (and update annually) all benefits plan Summary Plan Descriptions and Annual Enrollment Guides.
  • Update Summary Plan Descriptions and work with legal counsel on revising plan documents as required.
  • Developed summary plan descriptions for the 401(k) and pension plans.
  • Maintained the companies plan documents and summary plan descriptions for pension benefits.
  • Update policies, plan documents and summary plan descriptions.
  • Create communications and H&W Summary Plan Descriptions.
  • Updated and edited the companies Benefit Summary Plan Descriptions.
  • Developed Summary Plan Descriptions for Welfare Plans.
  • Review Summary Plan Descriptions, prepare and develop communications and educational materials regarding Benefit plans.
  • Review Summary Plan Descriptions (SPDs), assist with final proposal process and provide transition/ implementation support.
  • Assisted with updating Benefit Summary Plan Descriptions, vendor contracts and the preparation of the annual healthcare report.
  • Translate the client s healthcare Summary Plan Descriptions into plan builds in our proprietary audit rules engine.
  • Maintained Summary Plan Descriptions and worked closely with legal counsel to update Plan Documents.

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15 Summary Plan Descriptions Jobs

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17. Erisa

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average Demand
Here's how Erisa is used in Benefits Analyst jobs:
  • Generated various PBGC correspondence interpreting ERISA, and relevant pension legislation and terminology.
  • Monitored ERISA, COBRA, FMLA, ADA, OSHA and Worker's Compensation regulation, compliance and reporting.
  • Work with internal and external ERISA counsel to develop and maintain Benefit Plan Documents, Amendments and SPD's.
  • Calculated and presented pension and medical benefit estimates to retirees in accordance with ERISA as a 3rd party Administrator.
  • Administered 401(k) plans and ensured amendments were adopted timely to maintain compliance with ERISA regulations.
  • Supervised FLEX and COBRA unit to ensure compliance with ERISA, IRC, and Department of Labor regulations.
  • Standardized and documented procedures to ensure compliance with COBRA, HIPAA, VEBA and ERISA guidelines and regulations.
  • Ensured compliance with HIPAA, ERISA, internal policies, and state and federal regulations.
  • Collaborated with Legal department regarding ERISA lawsuits, benefit appeals, and employee relations problems.
  • Managed ERISA, HIPAA and other compliance requirements including discrimination testing and 5500 reporting.
  • Process allocations according to ERISA guidelines; verify vesting and vesting service years.
  • Interpret benefit policies and ensure compliance with ERISA and other regulatory agencies.
  • Prepared ERISA Form 5500, annual and renewal reports for clients annually
  • Ensured compliance in areas of Sarbanes-Oxley, HIPAA and ERISA.
  • Interpreted and implemented ERISA, DOL and IRS laws.
  • Maintained HR records to ensure compliance with HIPPA, PII, ERISA, and IRS standards.
  • Supported efforts to maintain compliance with ERISA/IRS/DOL rules and regulations Ensured data integrity by auditing information entered into UltiPro.
  • Worked with 5 retirement plan vendors in preparation of amendments for subsidiaries retirement plans which resulted in 100% ERISA compliance.
  • Filed all 5500 government reporting forms for ERISA based benefit programs.
  • Owned compliance in areas including ERISA, COBRA, 5500, HIPAA, FMLA, ADA, Sarbanes Oxley, OSHA.

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18. Plan Design

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Here's how Plan Design is used in Benefits Analyst jobs:
  • Administered benefit programs and recommendations plan design improvements.
  • Perform testing and QA functions such as moving plan design implementations and/or changes into a Production status upon completion of review.
  • Analyze market data and provide recommendations to senior management on benefit plan designs to ensure our programs are competitive.
  • Partnered with consultants to generate cost/savings reports, create budget projections and develop financial models of plan design alternatives.
  • Assist internal consultants in the procurement and preparation of marketing and renewal of benefit plans and plan designs.
  • Directed and managed audits, completion of 5500's, PBGC filings and plan design and administration.
  • Train third party call centers on organization culture, plan design and upcoming changes for plan year.
  • Manage Annual Enrollment and the ongoing process from a plan design and plan management perspective.
  • Worked directly with the Health Plan Design Team in order to assure data accuracy.
  • Negotiated contracts with vendors as well as discussed variables and solutions to plan designs.
  • Assist with managing the implementation of vendor changes and/or plan design changes.
  • Assist in acquisitions, annual enrollment and plan design implementation.
  • Assist with the development of benefit plan design and strategy.
  • Improved employee awareness of benefit value and plan design.
  • Offer suggestions for the improvement of plan designs.
  • Assisted with plan design and benefit program selection.
  • Implemented plan design changes accordingly.
  • Assisted with contracts, open enrollment planning, health plan designs, and frequently communicated with healthcare vendors.
  • Performed benchmarking analyses of clients' current and future plan designs to ensure competitive programs.
  • Open Enrollment - Analyze and recommend plan design and pricing structures.

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30 Plan Design Jobs

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19. Retirement Planning

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Here's how Retirement Planning is used in Benefits Analyst jobs:
  • Coordinate educational seminars for employees on retirement planning and investment options for the Defined Contribution plan and Deferred Compensation Plans.
  • Created employee retirement planning/financial education program.
  • Project management - Successfully managed highly visible employee education initiatives including the employee health fair and MetLife Retirewise retirement planning projects.
  • Co-led successful implementation of financial education webinars and workshops for retirement planning as well as other significant life events.

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1 Retirement Planning Jobs

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20. Plan Documents

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Here's how Plan Documents is used in Benefits Analyst jobs:
  • Interpreted plan documents and prepared specifications used to produce annual enrollment election materials and confirmation statements.
  • Performed legal due diligence benefit reviews on qualified retirement plan documents prior to acquisitions.
  • Maintained timely documentation of process flows, plan documents/administrative summaries and operating procedures.
  • Analyze pension plan documents and follow administrative procedures related to performing pension calculations.
  • Prepared benefit program materials, including plan documents and summary plan descriptions.
  • Provided plan documents and followed administrative procedures related to benefit calculations.
  • Drafted pension administration forms and interpreted pension plan documents.
  • Plan administration adhering to plan documents and government regulations
  • Interpreted and summarized pension and group benefit summary plan documents (SPD's) to develop and maintain project documentation manuals.
  • Review plan documents and adoption agreements for various Profit Sharing Plans, Money Purchase Plans and 401(k) Plans.
  • Resolved problems based on company policy, plan documents, and related practices, precedents, and procedures.
  • Generate and review pension calculations using proprietary calculation systems, plan documents, and Microsoft Excel spreadsheets.
  • Maintain and update all benefit plan documents and assist in coordination of Annual Enrollment.
  • Conduct New Hire Orientation and distribute required plan documents/plan policies to new hires.
  • Develop an in-depth knowledge of numerous plan documents and related plan provisions.
  • Interpret plan documents and summary plan descriptions.
  • Provided plan documents and followed Human Resources procedures related to benefits Managed, reviewed and monitored ongoing client issues.
  • Worked with vendors on updating the plan's SPDs, plan documents, and their communication materials.
  • negotiated STD and LTD contract content and pricing and composed Summary Plan Documents.
  • Calculate pensions for multiple clients Analyze pension plan documents Answer participant calls and follow-up with research

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25 Plan Documents Jobs

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21. Hipaa

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Here's how Hipaa is used in Benefits Analyst jobs:
  • Provided ongoing HIPAA (Health Insurance Portability & Accountability Act) training / consultations for new employees and human resources representatives.
  • Led the professional development of HR team members with focus on section 125 and HIPAA privacy and security requirements.
  • Prepared and mailed yearly notices - SBC's, CHIPRA, Medicare Part D and HIPAA for compliance purposes.
  • Maintained all compliance regulations when programming plans in the system and handled medical data in accordance to HIPAA.
  • Maintained ongoing compliance with Federal laws and regulations such as COBRA, HIPAA and the FMLA.
  • Processed life event election forms benefit open enrollments, HIPAA certificates for current and former employees.
  • Resolved tier 3 account issues, verified HIPAA guidelines, while ensuring problem remained contained.
  • Prepare federal filings and compliance reports, including SARS notices and HIPAA Privacy Rule notices.
  • Developed and managed online HIPAA training module for employees with access to protected health information.
  • Analyzed claim eligibility based on facts derived from multiple sources while maintaining HIPAA compliance standards.
  • Ensured all departmental duties were undertaken in strict compliance with HIPAA privacy guidelines.
  • Followed all policies, guidelines related to HIPAA and Data Privacy Laws.
  • Spearheaded major compliance initiative to review and update HIPAA policies and programs.
  • Maintain knowledge of up to date best HIPAA practices.
  • Developed HIPAA procedure manual and forms for company compliance.
  • Process terminations, including life conversions and COBRA/HIPAA information.
  • Developed the HIPAA Policy to ensure compliance.
  • Trained in HIPAA and Privacy Compliance.
  • Ensured HIPAA compliant at all times.
  • Monitor company compliance with ADA, FMLA, WC, ADEA, ADA, USERRA, HIPAA Regs.

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22. Peoplesoft

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Here's how Peoplesoft is used in Benefits Analyst jobs:
  • Benefit administration: benefits enrollment audit, plan comparison, appeals, and review profiles for benefit eligibility using PeopleSoft.
  • Assisted information technology with updating PeopleSoft system in preparation for open enrollment or critical plan changes.
  • Participated in PeopleSoft development and ongoing maintenance.
  • Participated on implementation team for PeopleSoft conversion.
  • Processed hires, terminations and transfers using HCMS as well as created reports and analyzed data in PeopleSoft and payroll systems.
  • Manage PeopleSoft reporting (headcount, turnover, pay changes, hiring, demographics, audit etc) for senior management.
  • Process and manage weekly payroll in a high volume PeopleSoft environment (16 divisions; 560 employees).
  • Answer any questions and assist with the open enrollment of 1,300 employees through PeopleSoft.
  • Enter annual focal review ratings into PeopleSoft so that bonuses can be calculated.
  • Manage and conduct annual Open Enrollment period including programming of PeopleSoft 9.1.
  • Verified 401(k) electronic uploads into the PeopleSoft payroll system.
  • Collaborated with IS department to ensure the accuracy of PeopleSoft mapping codes.
  • Coordinate Data from Vendors and PeopleSoft to identify status changes and update
  • Conferred and trained field personnel on compliance issues and PeopleSoft training that relates to data integrity in regards to benefits.
  • Served as primary lead for benefits testing during system conversions for both the MyBenefits and PeopleSoft systems.
  • Worked with the Benefits Team and the PeopleSoft consultant to implement the online eBenefits enrollment program.
  • Create and process PeopleSoft and Disability reports to update Leave Record.
  • Key Achievements: Served as team lead for PeopleSoft consolidation project.
  • Streamlined Open Enrollment and new employee onboarding within PeopleSoft 9.1.
  • Utilize Peoplesoft, Kronos and Cognos Impromptu for reporting purposes.

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23. Special Projects

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Here's how Special Projects is used in Benefits Analyst jobs:
  • Provide support to special projects and perform any additional responsibilities as requested or assigned.
  • Worked on special projects benefit-related both U.S. and international based.
  • Manage and lead benefit implementation special projects.
  • Assisted with coordination of special projects, mailings and in-house reporting requirements, including annual testing and tax preparation.
  • Provide support for special projects and other tasks as needed and Assist with training of new employees as needed.
  • Participated in special projects including open enrollment, audits, redesign of plans and market trends.
  • Work closely with the CFO on special projects and entering approved Power of Attorney forms.
  • Enrolled and processed paperwork to insurance providers, participated in special projects as.
  • Requisitioned, supervised and trained Temporary Hires as needed for special projects.
  • Assisted with general administrative duties and special projects as needed.
  • Involve in special projects to address health care reform challenges.
  • Managed part-time staff of 2 employees and special projects.
  • Assist Management with the execution of special projects.
  • Worked with providers on special projects.
  • Selected to work on special projects.
  • Perform special projects, as assigned.
  • Work on special projects as assigned.
  • Negotiated and initiated the discount on high dollar claims.Handled special projects assigned by management.
  • Handle special projects including gain/loss calculations of trade discrepancies, earnings adjustments, plan fund changes, and QDROs.
  • Work on Special Projects and meet deadlines .

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24. IRS

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Here's how IRS is used in Benefits Analyst jobs:
  • Organized and managed health in the workplace programs, health fairs, blood drives, on-site flu shots and seminars.
  • Assist employees with any issues escalated from the Benefits Associate who is the first point of contact in benefits.
  • Achieved 95% participation in retirement consultations by implementing and coordinating retirement health fairs in 4 U.S. cities.
  • Designed, coordinated and delivered company's first Total Compensation Statements for 1,500 U.S. Employees in 2010.
  • Provide necessary data for annual IRS 401(k) testing requirements and assist with annual audits.
  • Reconcile accounts for First Union, Wells Fargo, United National Bank and other trustees.
  • Set up macros in working status report monitoring allocation, testing, and IRS reports.
  • Key member of the team that completed an IRS Audit of all benefits plans.
  • Managed the coordination of benefit audits and IRS 401(k) testing.
  • Completed monthly adjustments for IRS with-holdings, State Taxes and Insurance changes.
  • Reconciled assets, provided compliance testing, and completed IRS forms.
  • Supported the annual IRS filings for company benefit and retirement plans.
  • Calculated and processed plan corrections based on IRS/DOL correction methods.
  • Coordinated Open Enrollment process and benefits fairs.
  • Serve as the first point of contact for all technical and application/hiring process inquiries Manage the system settings and user accounts.
  • Used analytical and critical thinking skills to process first level appeals for employee benefit issues.
  • Created Forrester's first 401(k) Advisory Committee.
  • Organized Wellness Fairs for all stores.
  • Produce and administer wellness activities for multiple locations: onsite biometrics, walking contest, and wellness fairs.
  • Conduct presentations for educational fairs and webinars to associates and HR business partners.

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25. STD

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Here's how STD is used in Benefits Analyst jobs:
  • Managed day-to-day health and welfare programs for four outsourcing clients to include medical, dental, vision, FMLA and STD.
  • Oversee outsourced MetLife Leave of Absence administration of STD, FMLA and LTD programs by monitoring Met Link system.
  • Conducted new employee benefits orientations -- health, dental, Life, STD, LTD, and pension benefits.
  • Managed process with TPA's on the administration of FMLA, STD, Worker's Compensation and COBRA.
  • Authored and implemented FMLA, STD and Military Leave: procedures, policy and documents.
  • Administer Leave of Absence program (FMLA, STD, Personal, and Military).
  • Interviewed vendors for Request for Proposal (RFP) for new STD vendor.
  • Managed administration of leave (Parental, STD, LTD and FMLA).
  • Send documents to disability vendor for STD/LTD benefits on employee's behalf.
  • Implemented procedures to reduce duplication of STD and Worker's Compensation payments.
  • Coordinated absence management (FMLA, STD/LTD) with vendor involvement.
  • Responded to STD, LTD and death benefit claim issues.
  • Initiate or follow STD/LTD claims and EOI requests.
  • Assist with life insurance and STD/LTD claims escalations.
  • Referred potential STD claimants to LTD analyst.
  • Key liaison with leave management/STD carrier.
  • Processed FMLA, STD, and LTD for eligible employees.
  • Trained Eaton human resources personnel on new STD and LTD benefit procedures and administration.
  • Identified overpayments in excess of $20,000 in STD and Military Leave payments.
  • Implemented new STD and Military Leave procedures to end overpayments to employees.

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26. Data Entry

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Here's how Data Entry is used in Benefits Analyst jobs:
  • Performed benefit maintenance updates and interfaces with counterparts in the divisions to ensure benefit data entry and process standardization.
  • Performed project management Processed and reviewed pension benefits packages for completeness Performed data entry of retirement payments.
  • Implemented documentation system to monitor data entry of client information.
  • Prepared appropriate forms for financial and non-financial data entry.
  • Coordinated with Payroll and Data Entry departments to ensure employee costs were correctly and accurately entered and deducted from paychecks.
  • Conducted open enrollment meetings and was responsible for the system data entry of member selection.
  • Performed data entry of all new hires, terminations and changes into BeneTrac and Fidelity.
  • Completed data entry, Answered phones, responsible for filing, faxing and copying documentation.
  • Performed specialized data entry to ensure error free and transparent client benefit processing.
  • Verify accuracy of analyses and data entry of team members' work.
  • Audit and edit data entry of forms done by data entry personnel.
  • Perform data entry of monthly/quarterly enrollments, claims, and utilization data.
  • Performed data entry of claims on an as needed basis.
  • Provided data entry, researched unpaid patient claims.
  • Coached/supervised 20-28 data entry and claims processors.
  • Reduced manual data entry by 50%.
  • Reduced redundant data entry by 100%.
  • Perform general data entry using SAP, Microsoft Excel, Word, LifeWorks, SalesForce, and Ariel Vu.
  • Managed benefit call center including day-to-day calls, data entry, and training for all call center representatives.
  • Analyzed claims for payment Analyzed and resolved customer and provider complaints Performed data entry Operated multi-phone system Created spreadsheets

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1 Data Entry Jobs

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27. FSA

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Here's how FSA is used in Benefits Analyst jobs:
  • Maintained knowledge and ensured compliance of benefit-related legislation, including ERISA, COBRA, HIPAA, FMLA, ADA and FSA.
  • Represented Supplemental Benefit Programs to employee base (Life Insurance, FSA, AD&D, and Retirement Savings).
  • Exemplified skills in handling the benefits open enrollment for health, life, FSA, ESPP, and deferred compensation plans.
  • Audited 401K Deferral, Loan and FSA compares questions, claim issues and processed Leaves of Absence and vendor invoices.
  • Maintained matrix for maintaining health plans, insurance plans, COBRA, and Flexible Spending Accounts (FSA).
  • Manage relationships with all FSA clients including supporting their employee inquiries, reporting, and explained policy and procedure.
  • Reconcile and process Medical, Dental, Vision, Gym, EAP, Pet Assure and FSA invoices.
  • Implement Transit, COBRA and FSA Benefits while improving the overall employee experience and enrollment process.
  • Administered COBRA, FSA, tuition reimbursement and service award programs including managing vendor issues.
  • Audited Payroll deduction (HSA Funding and FSA plans) and payroll interface files.
  • Developed client and vendor relationships, coordinate annual enrollment processes and day-to-day FSA issues.
  • Coordinated COBRA and FSA through TPA and ran file feeds bi-monthly.
  • Processed and managed reports for Reinsurance and FSA accounts reimbursement.
  • Changed FSA vendors and eliminated a health plan.
  • Conduct quarterly audit of FSA enrollments/terms.
  • Administered Health and Dependent FSA accounts
  • Point liaison for all Ocean Spray for COBRA and FSA issues.
  • Key Highlights: Seamlessly handled FSA and 401K plan non-discrimination testing and 401K external audit.
  • Administered multi-state employee benefits including 401k, Health and Welfare, FSA/HSA, EAP.
  • Assisted with RFP process for FSAs and COBRA administration.

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28. Plan Administration

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Here's how Plan Administration is used in Benefits Analyst jobs:
  • Provide timely follow-up and resolution to questions and issues relating to plan administration, performing pension estimates and calculations.
  • Manage the day-to-day retirement plan administration including participant inquiries, import/export file audits, and communication plan development.
  • Develop test plans based on specification documentation to ensure the accuracy of health and welfare benefit plan administration.
  • Resolve complex and escalated issues related to benefit plan administration and oversee the performance of vendor administrators.
  • Coordinated monthly client status meeting and presented metrics demonstrating successful plan administration.
  • Performed discrimination testing and ensured consistency in plan administration and regulatory compliance
  • Maintained Plan Administration Manual and other client specific procedures.
  • Worked closely with vendors responsible for plan administration.
  • Designed and implemented retirement plan administration requirements.
  • Mentor team members on the rules and regulations concerning all aspects of defined benefit plan administration and support for career growth.
  • Aided in retirement plan administration and compliance, testing, auditing, government and national filings, and leave administration.
  • Develop SQL queries and/or reporting to support plan administration and compliance requirements for employee benefit plans.
  • Performed routine and recurring plan administration tasks for clients defined benefit plans, i.e.
  • Coordinate transfer of data to external contacts for services, premiums and plan administration.
  • Collaborated with vendors, auditors and consultants for services, premiums and plan administration.
  • Worked with client's administrators and supervisors to ensure proper plan administration.
  • Worked on Health & Welfare plan administration on an as needed basis.
  • Worked directly with brokers and vendors on plan administration and renewals.
  • Developed Plan Administration Manual (PAM).
  • Performed recurring plan administration and customer service for client's defined benefit plans.

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27 Plan Administration Jobs

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29. Process Improvement

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Here's how Process Improvement is used in Benefits Analyst jobs:
  • Analyze, identify and resolve functionality issues and process improvement areas in order to deliver appropriate solutions to end-users.
  • Created standardized procedures, documentation as well as thought partner on business process improvement.
  • Researched and resolved escalated issues and performed root cause analyses to execute process improvements.
  • Identify revenue building projects and process improvements through the implementation of Lean methodology.
  • Developed and documented benefit/comp related processes and guidelines to recommend process Improvements.
  • Recommend process improvements to complete assigned work within deadline and quality standards.
  • Communicated with third party vendors to address client/participant issues and process improvements.
  • Lead initiatives on process improvements and development within our corporate retirement plans.
  • Create and maintain user training manuals and materials including documentation of the standard policy and procedures for process improvements.
  • Analyzed all ongoing business processes as well as Cost, Delivery, Quality metrics to identify process improvement opportunities.
  • Implemented process improvement that resulted in a 50% increase in accuracy of daily processing.
  • Identify process improvement opportunities to make the processing of plan design requests more efficient.
  • Identified process improvements by determining; issues, process delays, and errors.
  • Identified process improvements and training gaps and communicated them to the management team.
  • Identify problems and issues within the process and work on process improvements.
  • Identify and implement process improvements that will improve the overall process.
  • Identify, analyze, and assist in implementing process improvements.
  • Identify, suggest and implement ongoing process improvements.
  • Participated in numerous Computer Process Improvement Projects-standards, workflows, and system upgrades.
  • Consult clients on process improvements and legal compliance issues and legislations.

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2 Process Improvement Jobs

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30. Plan Provisions

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low Demand
Here's how Plan Provisions is used in Benefits Analyst jobs:
  • Interpret and explain retirement plan provisions and related legal and regulatory requirements to participants and employer representatives.
  • Learned and adhered to current knowledge of government regulations toward DB retirement plan provisions and administrative services.
  • Followed and interpreted Plan Provisions for calculation accuracy and used as guidelines for each retirement plan location.
  • Resolved complex benefit issues for participants and implemented plan provisions and best practices when resolving escalations.
  • Deconstructed complex Defined Benefit Plan Provisions and documented into common language for the development team consumption.
  • Gathered and analyzed pension plan differences and similarities and made recommendations for consolidated plan provisions.
  • Accompanied Account Executives to Trustee meeting to determine plan provisions improvements and appeal determinations.
  • Responded to inquiries regarding account balances and interpretation of plan provisions.
  • Expand knowledge of defined benefit administration rules and specific plan provisions
  • Compiled and summarized active employee and retiree benefit plan provisions and data after initializing contact and collecting from client.
  • Serve as sole contact for participants in regard to employee benefit plans including plan provisions and eligibility requirements.
  • Fielded daily participant inquiries regarding plan provisions, enrollment options, and completion of forms.
  • Created a summary of plan provisions and process flow to simplify the administration process.
  • Conducted ongoing coaching and training of peers on plan provisions and regulatory changes.
  • Respond to employee questions on benefit eligibility, plan provisions and options.
  • Assist in calculation of pension benefits in accordance with plan provisions.
  • Interpret plan provisions, procedures and policies.
  • Counseled employees on plan provisions and administrative procedures so that eligible employees could make informed benefit enrollment decisions.
  • Researched complex participant benefits issues and formulated resolutions by analyzing fact patterns and applying plan provisions/best practices.
  • Administer plan procedures for the Avaya Pension Plan, responding to participant inquiries on plan provisions.

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18 Plan Provisions Jobs

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31. Claims Processing

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Here's how Claims Processing is used in Benefits Analyst jobs:
  • Executed payments; investigated and resolved system policy and/or claims processing issues.
  • Delivered customer service and medical claims processing training to associates.
  • Selected by management to train new employees on claims processing, adjustments, and other tasks performed in our office.
  • Led training and education of all new and current team members; wrote and designed Medicare claims processing training curriculum.
  • Direct responsibilities include claims processing, retirement, saving plans, administration, and other group related activities.
  • Research and respond to all claims processing inquiries from Client Management, Clinical, and other internal department.
  • Review, research and adjudicate long-term care insurance claims, including knowledge of Medicare claims processing.
  • Provided prompt and accurate payment of claims and calling doctors and patients regarding claims processing.
  • Analyze customer requirements and their impact on current benefit design and claims processing systems.
  • Required to pass all Federal and State quality testing for claims processing guidelines.
  • Assist in creating Standard Operating Procedures (SOP) for timely claims processing.
  • Reviewed and documentation received by my team in relation to ERISA claims processing.
  • Benefit codes new or existing product changes into the NASCO claims processing system.
  • Documented and created business and system requirements for the legacy claims processing systems.
  • Performed membership, claims processing, and customer service audits.
  • Entered HCFA1500 and UB92 into an online claims processing system.
  • Subject Matter Expert for out-source claims processing teams
  • Maintained a good monthly claims processing percentage.
  • increase claims processing and maintaining turn around time.
  • Processed life status changes, survivor benefits claims processing and completed special projects within designated timeframes.

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32. RFP

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Here's how RFP is used in Benefits Analyst jobs:
  • Participated as project leader for the RFP, implementation and integration of retirement plan provider and relocation administrator.
  • Assisted in RFP analysis and benefits new benefits implementation.
  • Assist in the RFP process to include development of specifications, summaries, experience data, and analysis of responses.
  • Created learning guides for Compliance and RFP analysis including overall process, helpful resources, common questions, and links.
  • Assist with the evaluation and selection of new vendors, including leading and participating in the RFP process.
  • Managed Wellness Program strategy and plan design, including RFP for services and implementation of new vendors.
  • Send out standard request for proposal (RFP) to health insurance and ancillary carriers.
  • Collected responses to RFP and crafted a report/presentation on findings for Mid-Atlantic President.
  • Researched analysis of RFP proposals, small product enhancements and product projects.
  • Researched and created (RFP) document/template for transparency tool vendors.
  • Develop RFP's for outside vendors and determine overall financial impact.
  • Presented RFI and RFP information to the different clearinghouses.
  • Managed RFP process for new Broker.
  • Prepare & bind proposals, RFP s, contracts, addendums, sales & customer visit packets.
  • Managed all RFPs, the selection and implementations of all new disability and WC carriers.
  • Support Account Management with client renewals by submitting medical, dental and ancillary RFPs.
  • Attended trainings led by Program Managers explaining our delivery model and RFP process.
  • Researched, prepared and edited RFPs for prospective clients in all business sectors.
  • Prepare and submit carrier Request-for-Proposals (RFPs) to the Mercer marketplace.
  • Prepared and processed RFPs & special projects, as assigned.

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33. ADP

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low Demand
Here's how ADP is used in Benefits Analyst jobs:
  • Managed benefits implementation during conversion from ADP to ExponentHR.
  • Implemented new ADP HRIS/Benefits/Recruiting Software Platforms.
  • Input flat file data requests for 834 EDI feeds between the carriers and ADP using file structure supplied by my clients
  • Project Management and point person for PeopleSoft system enhancements, upgrades and process improvements from ADP PayForce to Vantage.
  • Single point of contact for HR and Payroll system related issues and upgrades for PeopleSoft and ADP.
  • Perform weekly and monthly plan audits via HRIS/ADP reports which are driven by negotiated union contracts.
  • Coordinated work in ADP to process benefit enrollment, verify salary, and manage required reporting.
  • Perform HRIS system maintenance on systems such as PeopleSoft, ADP Vantage, CRI Benefit Program.
  • Improved efficiency by creating a non-discrimination testing program for the (ADP/ACP) testing.
  • Submit ADP payroll adjustments to correct employee contribution amounts that involve earnings calculations.
  • Project manager for vendor implementation (ADP Benefits Online & Prudential STD/LTD).
  • Assisted in a full payroll system conversion (UltiPro to ADP EV5).
  • Performed QC review for ADP refunds, plan corrections, and document review.
  • Maintained personnel changes in ADP/EV3, ADP Canada, and Workday systems.
  • Generate reports from HRIS System, using ADP Report Smith and Access.
  • Used ADP PC Payroll for Windows and ReportSmith report writer daily.
  • Performed ADP/ACP testing, Section 415 testing, and Non-Discrimination testing.
  • Developed and maintained an automated refund process for ADP/ACP Test excesses.
  • Update, and track and resolve 401(k) and EDC changes in ADP.
  • Key Accomplishments: Updated benefits system to more efficient ADP EV4 payroll and benefits systems.

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34. Retirement Benefits

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low Demand
Here's how Retirement Benefits is used in Benefits Analyst jobs:
  • Counseled employees anticipating retirement, calculated retirement benefits for employees and prepared necessary retirement paperwork.
  • Implemented retirement benefits bridging program to standardize Honeywell employee benefits post merger.
  • Reviewed eligibility for retirement benefits including health, survivor and annuity benefits.
  • Supported Benefits Consultants and AVP in initiating and completing retirement benefits calculations.
  • Interpreted and explained tax regulations and ruling applicable to retirement benefits payments.
  • Calculated retirement benefits of educators in Louisiana.
  • Respond to participant inquiries regarding retirement benefits.
  • Handled high volume of incoming phone calls regarding retirement benefits and qualifications for Macy's employees and their sub stores.
  • Present comprehensive information regarding retirement benefits and options in various forums throughout Hinds County and to the state agencies.
  • Work with payroll operations as needed to correct coding and other issues that may impact employees retirement benefits.
  • Researched and resolved employee retirement benefits issues to assist employees and mitigate potential plan losses.
  • Oversee the administration and day-to-day operations for all Health & Welfare and Retirement benefits plans/programs.
  • Prepare Retirement Benefits and Pensions for large retirement, insurance, and investment company.
  • Directed staff responsible for operation of health, welfare, and retirement benefits.
  • Manage health & welfare and retirement benefits program for company.
  • Provided a variety of standard and non-standard services of calculation of retirement benefits, explanations of the calculation components and options.
  • Partnered with outside plan administrator, trustee, auditor and actuary, managing workflow and delivering legally compliant retirement benefits.
  • Administered all US healthcare and retirement benefits and oversaw International benefits.
  • Worked with vendor to transition a 17 page 457 enrollment form to a single page form Led annual retirement benefits audit.
  • Trained and coached new employees on organization requirements Analyzed participant requests Calculated retirement benefits Expert on client plan provisions

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35. Ensure Accuracy

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low Demand
Here's how Ensure Accuracy is used in Benefits Analyst jobs:
  • Maintained customer-focus to ensure accuracy of information and help employees understand their retirement options under their contract or special retirement incentive.
  • Determined retiree medical plan benefit eligibility; audited retiree SPD and suggested edits to ensure accuracy and compliance.
  • Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of recorded data.
  • Prepared semi-monthly benefit deductions interfacing with payroll to ensure accuracy of data.
  • Reviewed and edited reports of benefits and pension payments of retirees and terminated vested employees to ensure accuracy and consistency.
  • Coordinated with actuaries (Watson Wyatt) to ensure accuracy of domestic and international pension and OPEB valuations.
  • Reviewed and developed reports and system edits to ensure accuracy, identify trends, and recommend solutions.
  • Completed 401k data clean up and vesting review to ensure accuracy of employee records and account balances.
  • Follow government guidelines for all participants' files to ensure accuracy in distribution of pension benefits.
  • Maintain records and conduct periodic audits, validations, and reconciliations to ensure accuracy and compliance.
  • Review and audit benefit and payroll related reports to ensure accuracy with employee data with vendors.
  • Reviewed leaves for all plant and corporate locations to ensure accuracy in time and compliance.
  • Run reports and queries weekly and analyze data to ensure accuracy of employee benefit information.
  • Communicate with Client Services to ensure accuracy with regard to plan development and installation.
  • Calculate, review and evaluate benefits for clients on daily basis to ensure accuracy.
  • Audit of accounts to ensure accuracy Making sure plans were in compliance.
  • Provided quality assurance checks for my team members to ensure accuracy.
  • Reviewed the benefits set up by co-workers to ensure accuracy.
  • Audited 2000 employee records to ensure accuracy.
  • Audit reports to ensure accuracy.

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36. Plan Changes

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low Demand
Here's how Plan Changes is used in Benefits Analyst jobs:
  • Interpreted benefit plan changes from Corporate and Marketing and implemented mainframe group and individual insurance benefits.
  • Facilitated implementation of new disability vendor, including process and plan changes and improvements.
  • Followed emerging trends and legislation in field and developed proposals for policy/plan changes.
  • Provided carrier plan changes and or termination notifications.
  • Assisted with the annual open enrollment period for approximately 2,400 employees and creating communication plan changes to employees.
  • Reviewed and updated queries to reflect version 7.5 to 8.8 changes as well as new yearly plan changes.
  • Work with Corporate HR and 3rd party H&W Administrator to update appropriate plan changes.
  • Update medical management system on all open cases on a quarterly basis of any plan changes.
  • Prepare financial spreadsheet presentations for client reviews, renewals, plan changes, and new coverage.
  • Create communications for plan changes, enrollment and various systems and tools available to participants.
  • Conduct annual benefit cost analysis with broker for all benefit plans and implement plan changes.
  • Assisted with annual testing of the third party administrator's system for annual plan changes.
  • Conducted testing of annual plan changes with medical, dental, and prescription drug vendors.
  • Process investment fund, Lincoln product and Plan changes for existing Lincoln clients.
  • Provide recommendations on plan changes, amendments, and additions of new features.
  • Interpreted information concerning plan changes, new sources, and record layouts.
  • Develop and distribute benefit communications for plan changes and annual Open Enrollment.
  • Process benefit enrollments and mid-year plan changes (Section 125).
  • Implement and test benefit plan changes and new programs.
  • Leveraged and analyzed trend data and knowledge of past experience to identify and drive strategic benefits plan changes.

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6 Plan Changes Jobs

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37. Data Integrity

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low Demand
Here's how Data Integrity is used in Benefits Analyst jobs:
  • Liaised with other departments/bureaus throughout the organization, including internationally, ensured data integrity and provided support for day-to-day business functionality.
  • Created custom reports and modified existing templates in PeopleSoft to support internal audit processes for data integrity and compliance requirements.
  • Analyzed and corrected discrepancy reports and developed cause-and-effect write-ups to prevent repeat of errors, ensured data integrity.
  • Developed and implemented auditing processes of HR data within PeopleSoft to ensure data integrity.
  • Developed policies and documented processes to ensure compliance and data integrity.
  • Ensured data integrity by creating and generating reports and analyzing data.
  • Manage termination process to ensure data integrity and accurate billing.
  • Maintain benefits records within Workday to ensure data integrity and data export to Payroll by auditing various benefits events and plans.
  • Streamline Payroll process with vendors to ensure quality, data integrity, and reduce time spent on daily processing activity.
  • Managed data integrity of the MyTotal Rewards benefit website utilized by 125,000 employees in conjunction with external vendor.
  • Create test scenarios and partner with IT to ensure data outputs and data integrity mirrored business requirements.
  • Utilized Microsoft Access to analyze, validate and perform audits on carrier files for data integrity.
  • Ensured quality of HR data and delivered functional system for client by testing data integrity.
  • Managed data integrity of retirement records and applied entries on the benefits and payroll systems.
  • Conduct data audits between HR, Vendors and Payroll regularly to ensure data integrity.
  • Monitor the transfer of new hire data between systems to ensure data integrity.
  • Maintained data integrity between Payroll, Benefits, and Retirement systems.
  • Review, troubleshoot and resolve data integrity issues.
  • Managed retiree data integrity through Ceridian payroll system.
  • Submit all Disability and FMLA related data request changes and paper EARs for processing to Data Integrity.

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2 Data Integrity Jobs

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38. Vendor Relations

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low Demand
Here's how Vendor Relations is used in Benefits Analyst jobs:
  • Managed vendor relationships and negotiated/administered contracts.
  • Managed vendor relationships through management meetings and performance assessments to assure delivery of services met company expectations.
  • Established and maintained vendor relationships, interpreted and carried out vendor contracts and evaluated vendor performance.
  • Maintained positive vendor relationships to investigate benefit issues and provide information in non-routine situations.
  • Organized all information technology needs along with managing vendor relations and contract management.
  • Managed vendor relationships including plan record keeper and financial education services.
  • Managed all benefit provider and other various vendor relationships/contracts.
  • Restored vendor relationship by reducing company debt.
  • Manage vendor relationships with ADP Benefit Services and OptumRx to ensure contract terms and performance guarantees are met.
  • Managed plan administration and vendor relationships for 401(k) Retirement Savings Plan, U.S.
  • Managed third party vendor relationships to ensure a high level of service to our employees.
  • Supported annual enrollment process, leading communication, vendor relations, and status validation.
  • Lead key client and vendor relationships independent of partners and principals when necessary.
  • Managed vendor relationships for 401k, Pension, and Deferred Compensation plans.
  • Manage vendor relationship with CitiStreet through weekly calls and daily interactions.
  • Managed vendor relationships for all benefit plans.
  • Manage carrier and vendor relationships.
  • Managed vendor relationships through clear communication and adherence to timelines.
  • Manage vendor relationships in regards to benefit programs, ensure vendors are meeting contractual obligations and providing high levels of service.
  • Major accomplishments include: * Manage a $50m Health & Welfare budget including 9 vendor relationships.

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39. ACA

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low Demand
Here's how ACA is used in Benefits Analyst jobs:
  • Managed and processed vendor and executive invoices during Benefit Manager's long-term position vacancy.
  • Vacation Time Management Calculated and input industry vacation entitlements and amounts for distribution.
  • Calculate vacation time payout for terminated associates.
  • Analyzed and developed policies and benefit plans covering accident and health insurance coverage, income continuance, stocks, and holidays/vacations.
  • Created and implemented reports regarding vendor billing, job coding, new employees, vacation accruals, terminations, etc.
  • Administered and managed 401 K and ERP payroll reporting and wires during Benefit Manager's long-term position vacancy.
  • Educated clients regarding ACA laws: deadlines, penalties, eligibility, explanation of benefits, etc.
  • Configured ACA component and tested ACA process to send 1094 and 1095 forms to employees and IRS.
  • Acted as lead for ACA compliance compiling coverage data and certifying 1095 data for form generation.
  • Partnered with external vendors to ensure compliance with ACA including tracking and reporting.
  • Maintained ACA database information with HRIS-Payroll system data (Darwin, CRM).
  • Manage annual ACA reporting and ongoing tracking and reporting process, ensuring compliance.
  • Ensured our benefits were in compliance with all federal regulations including ACA.
  • Implement and communicate plan design changes that ensure compliance with PPACA.
  • Tested ACA forms for Active, Retirees and Cobra employees.
  • Monitored our plan with current PPACA guidelines.
  • Collect data for ACA compliance.
  • Managed federal and state compliance requirements for all clients- ERISA, COBRA, PPACA, FMLA and HIPAA.
  • Lead project analyst on ACA Administration Lead project analyst in open enrollment coordination and execution for all Unions and Non-Represented Employees.
  • Trained on healthcare standards such as FMLA, COBRA, HIPAA, and ACA.

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9 ACA Jobs

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40. Benefit Calculations

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low Demand
Here's how Benefit Calculations is used in Benefits Analyst jobs:
  • Developed 2-3 complex systems requirements, technical specifications, and functional specifications for new client benefit calculations per year.
  • Interpreted plan documents to make determinations and perform benefit calculations for defined benefit pension plans.
  • Assisted in developing innovative software packages to streamline pension benefit calculations.
  • Review of company plan documents to provide custom retirement benefit calculations.
  • Computed benefit calculations and prepared pension benefit paperwork for participants.
  • Verify benefit calculations and set-ups performed by Benefit Associates.
  • Processed benefit calculations based on plan documents.
  • Prepared moderately complex benefit calculations and trust instructions
  • Generated calculation detail summaries and other reports for clients, as well as process complex benefit calculations for executive team.
  • Interpret, analyze, and resolve day-to-day complex benefit calculations for sixteen clients based on defined benefit plan documentation.
  • Prepare benefit calculations for complex/ non-standard situations (executive retirement, QDRO, 70.5, etc).
  • Update and/or correct MS Excel spreadsheets being used to check benefit calculations according to client requirements.
  • Prepare benefit calculations of various complexity including death, QDRO, disability and RMD calculations.
  • Drafted clients benefit statement reports and audited clients' monthly pension benefit calculations.
  • Perform complex benefit calculations for a caseload of 25 plan sponsors.
  • Analyze benefit calculations using MS Excel.
  • Conduct user acceptance testing Perform manual benefit calculations.
  • Prepare and review pension benefit calculations by reading and interpreting contract language to find allowable options and methods of calculation.
  • Benefit calculations - Responsible for completing complex benefit calculations - QDRO, executive non-qualified, disability and inter/intra plan transfers.
  • Performed benefit calculations accurately Constructed detailed Microsoft Excel spreadsheets to show extensive calculation work Trained newly hired calculation analysts

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41. Vendor Management

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low Demand
Here's how Vendor Management is used in Benefits Analyst jobs:
  • Managed all aspects of leave administration, including employee notifications and vendor management, disability programs and health benefits.
  • Improved results with benefit offerings through vendor management, engagement and analyzing data to drive decisions.
  • Managed and implemented all aspects of annual total compensation statement project, including vendor management.
  • Open enrollment meetings and communication, vendor management.
  • Included open enrollments and vendor management.
  • Manage risk and compliance for benefit plans including compliance reporting, internal audits, external audits and vendor management.
  • Lead role in vendor management for non-U.S. retirement plans (contract review/negotiations, regular status calls).
  • Support the administration of all benefits plans including plan design review, cost analysis and vendor management.
  • Served as primary day-to-day resource for clients, including vendor management and employee issues.
  • Assist in the vendor management of multiple insurance carriers.
  • Planned and executed annual open enrollment including vendor management, employee communications and IT interface.
  • Assist with ongoing vendor management activities- monitoring vendor performance and implementation of new processes.

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42. HMO

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low Demand
Here's how HMO is used in Benefits Analyst jobs:
  • Maintain interactive relations with HMO provider representatives to interpret plan requirements.
  • Managed payments to outside vendors such as HMO's, and daily interaction with all internal accounting aspects of the department.
  • Developed and performed analyses that saved the company over $1 million (annually) in HMO premiums.
  • Processed HMO, PPO, Traditional, Managed Care, Medicaid, Medicare, and home lending products.
  • Reconciled monthly employee benefits deductions and employer contributions toward various HMO plans offered by the University of Missouri.
  • Process group medical claims under Indemnity, HMO, Third Party, and Coordination of benefits.
  • Processed and produced high quality, error-free claims processing of various medical HMO health plans.
  • Implemented full-replacement to CDHP medical plans from traditional PPO, EPO, and HMO options.
  • Assisted in the development and implementation of the self-funded HMO and PPO medical plans.
  • Project manager - HMO conversion initiative - saved company over $10 million.
  • Interact and resolve issues with HMO s, insurance companies and medical groups.
  • Processed PPO and HMO claims for large accounts on a production basis.
  • Processed indemnity and HMO medical claims under all types of benefits.
  • Submitted payments to HMO companies, in accordance with plan participation.
  • Educate and mentored new HMO members regarding their insurance benefits.
  • Maintain system software dictionaries and tables Evaluate HMO benefit plans and group activity to set up dictionaries and file tables.
  • Direct contact with vendors and clients Process all types of medical claims for HMO, PPO and Indemnity groups.
  • Processed EDI and hardcopy PPO, HMO, POS, and indemnity medical claims.
  • Establish and maintain all phases of reinsurance filing for five HMO plans .
  • Load HMO benefits for all plans .

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43. Medicaid

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low Demand
Here's how Medicaid is used in Benefits Analyst jobs:
  • Calculated and approved covered monthly earnings based on policy language and State mandated rules around SSI/Medicaid/Medicare laws.
  • Interviewed aged and/or disabled clients to determine eligibility for Medicaid benefits.
  • Processed benefit claims in accordance with Virginia State Medicaid regulations.
  • Adjudicated medical claims for state-funded Medicaid product.
  • Interpreted and applied Local Medical Review Policy and the Centers for Medicare and Medicaid (CMS)/Medicare regulations and guidelines.
  • Managed and coordinated with clients on changes to Medicaid plans with high accuracy, always meeting or exceeding turnaround time.
  • Well versed in Medicare Part D and Medicaid regulations; Understanding of HIPAA and other regulatory requirements and audit needs.
  • Interpreted and explained food stamps and Medicaid policies and procedures to applicants to ensure accurate understanding of their benefits.
  • Worked face to face helping clients complete applications for Food Stamps and Medicaid Programs and processed the applications.
  • Adhere to the claim processing policies and guidelines, as set forth by the Centers for Medicare/Medicaid.
  • Researched and skilled in policy contract analysis and government benefits: Medicare, Medicaid, and Partnership.
  • Assisted customers regarding program inquiries and account resolutions for all facets of State of Illinois Medicaid Benefits.
  • Researched all aspects of COB, NF, WC, Commercial, Medicare and Medicaid claims.
  • Coordinated benefits with Medicare, Medicaid, and other third party private insurance carriers.
  • Coded pharmacy benefits for Medicaid clients; primary coder for Molina Medicaid plans.
  • Submit case for coding, QA Cases for Medicaid & Commercial cases.
  • Plan and coordinate the operational activities of medicaid plans in the organization.
  • Process Medicaid and Medicare HMS and TPL files.
  • Obtain guideline information of Worker's Compensation, Motor Vehicle, and Third Party Liability, Medicare, and Medicaid issues.
  • Researched and resolved claims issues for Providers & Medicaid Medicare Program.

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44. PPO

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low Demand
Here's how PPO is used in Benefits Analyst jobs:
  • Provided technical support in the delivery of corporate employee benefit statements, flexible employee benefit enrollments and interactive telephone communication projects.
  • Evaluate information, reconcile conflicts, break down high-level information and summarize detailed information to make recommendations to support company initiatives.
  • Supported implementation of new transaction and file processes - Supported Benefit Delivery Manager by analyzing expenditures through financial management activities.
  • Analyze and interpret contract/plan related documentation, and provides recommendations to support and troubleshoot change.
  • Maintain and updates contract systems/databases with complex detailed contract information to support membership and contracts.
  • Supported Labor Relations in the successful renegotiation of benefit contracts for twenty-three Union locations.
  • Perform root cause analysis to uncover business opportunities.
  • Support union negotiations regarding plans.
  • Provide internal support to Human Resource Business Partners and Employer Relations Consultants on features of our benefit programs.
  • Support leadership with implementation and administration of U.S. benefits for 22,000 associates.
  • Review and process Qualified Medical Child Support Orders in addition to inquiries.
  • Lead analyst providing support for the administration of all employee benefit plans.
  • Provide training to Human Resource administrative support in all phases of payroll.
  • Provide support to develop, maintain and support new/existing contracts changes.
  • Provided second level support on benefit plans for Employee call center
  • Provide support for external personnel and venders regarding benefit related issues.
  • Conducted systems requirement assessment in support of regulatory changes.
  • Appointed as implementation lead to onboard multiple new self-funded and fully insured health plans.
  • Support SOX compliance audit requests Organize financial wellness fairs across all corporate locations
  • Utilize Salesforce on a daily basis One of 11 training, mentoring and serving as second level support to 300 Benefit Administrators

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5 PPO Jobs

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45. CPT

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low Demand
Here's how CPT is used in Benefits Analyst jobs:
  • Process claims to determine payment or denial using superior knowledge of ICD9/CPT4 medical coding in a timely and error-free manner.
  • Adjudicated medical claims with high accuracy, utilizing my extensive knowledge of ICD9 and CPT4 coding and past claims experience.
  • Applied knowledge of processing all types of medical claims using CPT4, DXCD, and HCPCS codes.
  • Reviewed members' claims history for recoups and pay and chase criteria involving CPT and ICD-9 codes
  • Call providers to verify DX, CPT codes, and various other questions regarding claims.
  • Verify diagnosis and procedure codes using ICD-9, CPT-4, HCPCS, and Crosswalk publications.
  • Interpret ICD-9, CPT-4, HCPCS-Rev Codes, and benefit mnemonics into common language.
  • Utilize strong working knowledge of medical terminology, CPT and ICD-9 codes.
  • Performed CPT/HCPCS code and fee schedule updates in Diamond payer system.
  • Input benefit information into database using ICD-10 and CPT codes.
  • Code ICD9/CPT4 codes based on clinical information provided.
  • Experience in CPT Procedure and ICD-9 claims coding
  • Performed CPT Codes and ICD9 verification.
  • Utilize ICD 9, ICD 10, CPT, and HCPC codes to process claims.
  • Review ICD9 CM codes and CPT codes that are billed on claim for compliance.
  • Load ICD-9, CPT-4, and HCPCS codes.
  • Use of ICD-9 and CPT-4 codes.
  • Managed invoices for accounts and determined any misrouted funds and incorrect CPT and diagnosis codes.
  • Provide CPT and HCSPCS coding support to physician's when needed.
  • Maintain CPT and ICD-9 code files Business Analyst/Finance Department .

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46. Communication Materials

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low Demand
Here's how Communication Materials is used in Benefits Analyst jobs:
  • Conducted new employee orientation and assist in the development and review of presentation of employee benefit communication materials.
  • Developed annual enrollment communication materials and facilitated educational meetings on changes, enhancements, and new programs.
  • Created and distributed client communication materials for benefit plans, wellness initiatives, other communications as needed.
  • Provide education to employee regarding benefit programs, including conducting orientations, preparation of employee communication materials.
  • Draft, review and revise employee communication materials in conjunction with communication consultants and internal stakeholders.
  • Designed communication materials and produced a video to market the wellness program internally and externally.
  • Reviewed, revised and developed communication materials used to educate employees about their benefit options.
  • Assist with annual enrollment from creating communication materials and providing information by conducting meetings.
  • Prepared health and welfare informational literature and communication materials for associates and retirees.
  • Authored correspondence, communication materials, and compliance notices as required.
  • Revised total benefit communication materials (orientation presentation).
  • Drafted and delivered company-wide communication materials and plan highlights.
  • Develop employee communication materials for open enrollment and newsletters.
  • Create, maintain, and update documentation of process flows, standard operating procedures, and employee benefit communication materials.
  • Assisted in development of employee communication materials (annual enrollment, newsletters, HR updates).
  • Create New Hire Benefit Guides and Communication Materials for distribution to employees.
  • Create and distribute benefit and wellness communication materials to employees.
  • Researched legal and industry benefits trends and developments and make recommendations to management regarding updates to benefits communication materials.
  • Assisted corporate benefits manager with drafting, developing and revising printed and web-based employee communication materials.
  • Identified necessary changes to customer communication materials and operational procedures due to plan modifications.

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47. Wellness Programs

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low Demand
Here's how Wellness Programs is used in Benefits Analyst jobs:
  • Designed and implemented Wellness Programs.
  • Developed and managed Wellness Programs.
  • Researched, plan and assist in the design, development and implementation of benefits and wellness programs, reports and systems.
  • Support the administration of health plans, wellness programs, leaves of absence, disability, executive benefit programs.
  • Participated in developing wellness programs (stress management and smoking cessations) and calculated savings for clients.
  • Developed, promoted and maintained domestic and international Health and Wellness Programs (BE WELL).
  • Prepare and execute benefit communication for New Hire orientation, Open Enrollment, and Wellness programs.
  • Created marketing campaigns to promote benefits, 401(k), and wellness programs.
  • Develop communication strategies for health and welfare benefits, retirement plan and wellness programs.
  • Coordinated projects as needed - Wellness programs, Flu Shot clinics and Open Enrollment.
  • Designed and managed wellness programs in conjunction with preventive health and disease management trends.
  • Coordinated and administered yearly wellness programs such as flu shots opportunities and health screenings.
  • Explain and interpret benefit plans, wellness programs and policies to employees.
  • Coordinated wellness programs and executed multiple Benefit events throughout the year.
  • Experience with various wellness programs; back-up for disability plan management.
  • Integrated Employee Wellness programs for numerous companies throughout Southeast Wisconsin.
  • Designed, developed and implemented comprehensive health & wellness programs.
  • Assist with groups Open Enrollment and Wellness programs.
  • Assist with the coordination of wellness programs.
  • Achieved 70% participation rate in biometric screenings and wellness programs through effectively advocating the programs throughout the organization.

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16 Wellness Programs Jobs

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48. Plan Participants

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low Demand
Here's how Plan Participants is used in Benefits Analyst jobs:
  • Exemplified a superior level of service and interpersonal communication with top ranking executives, retirement plan specialists, and plan participants.
  • Assisted professionals and plan participants with questions regarding retirement plans.
  • General Dynamics Provided Defined benefits to client plan participants.
  • Prepared and verified payment authorizations of plan participants.
  • Initiated benefit payments for pension plan participants.
  • Provided plan participants with benefit estimate calculations.
  • Serve as a consultant to employees, Human Resources representatives, and plan participants seeking information and guidance about benefit plans.
  • Work with vendors to minimize administrative errors and streamline processes while continuing to provide top quality services to plan participants.
  • Designed full monthly reconciliation process for retiree health and pension payments to identify new or deceased plan participants.
  • Provide written and oral communication to staff and plan participants, employers and other interested parties;.
  • Analyzed and calculated pension benefits for all plan participants in accordance with the defined benefit plan summary.
  • Communicated regularly with client contact person and with employees/ pension plan participants by phone and email.
  • Communicated with plan participants and acted as a liaison in their retirement process.
  • Provided Defined Benefits to client plan participants for Health & Welfare plans.
  • Calculate vesting for 401(k) Plan participants.
  • Interacted with clients, plan participants and service providers.
  • Explain pension benefit options to Plan participants.
  • Resolved issues for plan participants.
  • Act as primary contact and liaison for escalated issues between enrolled plan participants, vendors, and third party plan administrations.
  • Serve as primary contact to retirement plan participants, vendors, and financial advisors.

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1 Plan Participants Jobs

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49. SQL

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low Demand
Here's how SQL is used in Benefits Analyst jobs:
  • Interpreted requirements documents and benefits structures into enrollment system design using SQL coding used to drive benefit option eligibility.
  • Created queries using EZ Query and SQL applications for drug list coding, updates and reports used for member impact analysis.
  • Created reports using SQL database and managed reports, performed from internet-based tools for research projects needed for client insight.
  • Executed SQL queries to test viability of systems, and to aid in proper software system build/setup.
  • Created SQL queries from various operational views for Finance/HR reports, standardized tables, documented hiring process.
  • Created a quality check program for manual data entered by comparing data queried using SQL.
  • Utilized advanced Excel macro skills and SQL for data comparison, analysis, and auditing.
  • Obtain specific data/information for clients by using the Sequence Query Language (SQL).
  • Teamed with SQL software programmer to develop program linking Summit database to tax software.
  • Used SQL queries to by pass windows based reporting system to increase query speed.
  • Created queries to maintain and revise reporting (SQL, Report Manager).
  • Created and amended SQL reports for pension and retiree life insurance compliance.
  • Created queries using Oracle SQL, based on client request.
  • Created SQL queries and analyzed data to ensure accuracy.
  • Used SQL to query participant information for pertinent data.
  • Support business units by creating and running SQL queries.
  • Updated SQL queries as identified per project needs.
  • Created reports to meet client and internal needs using SQL and mainframe data manipulation applications.
  • Run SQLs to update web sites and back-end system tables.
  • Develop Adhoc reporting using PLSQL as needed for analytical studies or reporting.

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50. Data Analysis

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low Demand
Here's how Data Analysis is used in Benefits Analyst jobs:
  • Performed data analysis to ensure compliance with contractual requirements and to evaluate existing pharmacy and medical programs.
  • Provided data analysis to management in order to administer health and welfare benefit plans.
  • Developed data analysis procedures to comply with ACA regulations.
  • Partnered with internal departments to advise on process improvements and best practices related to data analysis, reporting, or marketing.
  • Performed data analysis on files received by a variety of Employee Benefits Outsourcing clients, and third party vendors.
  • Led data analysis for IRS filings, resolving data discrepancies and reviewing prior year's lessons learned scenarios.
  • Prepared monthly reports, deposits, and plan reconciliations, required benefit reports, and data analysis.
  • Perform data analysis and act as a liaison between employees and vendors to resolve claims issues.
  • Designed custom data analysis and tracking databases for vendor proposal data and plan management for client.
  • Serve as SME to identify trends and patterns through data analysis of current benefit plans.
  • Provided expeditious resolution to over 100 customer issues per month through data analysis.
  • Conducted testing, data analysis, and problem resolution on system upgrades.
  • Develop simple SQL scripts for data analysis (query)
  • Resolve funding breaks through data analysis and account audit.
  • Collaborated with third-party vendor to review claims and biometric data analysis to provide plan design recommendations to executive leadership.
  • Provided actionable resolutions to client inquires by utilizing complex data analysis protocols combined with excellent customer service principles.
  • Generated ad hoc reports for utilization in data analysis of 4 different savings plans.
  • Design quotes and develop proposals and presentations through data analysis, research and benchmarking.

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20 Most Common Skills For A Benefits Analyst

Benefits Administration

18.4%

Ensure Compliance

9.9%

Long-Term Disability

7.7%

Insurance Companies

6.4%

HR

6.2%

Customer Service

6.0%

Cobra

5.4%

Pension Plans

4.7%

Hris

4.1%

Fmla

4.1%

Life Insurance

3.4%

Open Enrollment

3.1%

Welfare Plans

2.7%

Absence

2.7%

Health Care

2.7%

Summary Plan Descriptions

2.6%

Erisa

2.6%

Plan Design

2.5%

Retirement Planning

2.4%

Plan Documents

2.4%
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Typical Skill-Sets Required For A Benefits Analyst

Rank Skill
1 Benefits Administration 13.6%
2 Ensure Compliance 7.3%
3 Long-Term Disability 5.7%
4 Insurance Companies 4.7%
5 HR 4.6%
6 Customer Service 4.4%
7 Cobra 4.0%
8 Pension Plans 3.5%
9 Hris 3.0%
10 Fmla 3.0%
11 Life Insurance 2.5%
12 Open Enrollment 2.3%
13 Welfare Plans 2.0%
14 Absence 2.0%
15 Health Care 2.0%
16 Summary Plan Descriptions 1.9%
17 Erisa 1.9%
18 Plan Design 1.9%
19 Retirement Planning 1.8%
20 Plan Documents 1.8%
21 Hipaa 1.5%
22 Peoplesoft 1.5%
23 Special Projects 1.5%
24 IRS 1.2%
25 STD 1.1%
26 Data Entry 1.1%
27 FSA 1.1%
28 Plan Administration 1.0%
29 Process Improvement 1.0%
30 Plan Provisions 1.0%
31 Claims Processing 1.0%
32 RFP 1.0%
33 ADP 0.9%
34 Retirement Benefits 0.8%
35 Ensure Accuracy 0.8%
36 Plan Changes 0.8%
37 Data Integrity 0.7%
38 Vendor Relations 0.7%
39 ACA 0.7%
40 Benefit Calculations 0.7%
41 Vendor Management 0.6%
42 HMO 0.6%
43 Medicaid 0.6%
44 PPO 0.6%
45 CPT 0.6%
46 Communication Materials 0.6%
47 Wellness Programs 0.6%
48 Plan Participants 0.6%
49 SQL 0.6%
50 Data Analysis 0.6%
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