Benefits Auditor

Overview:

The Benefits Auditor is responsible for ensuring accuracy, compliance, and timely
administration of employee benefit programs through detailed auditing, reconciliation, and
billing support activities. This role conducts regular audits of benefit enrollments, deductions,
and vendor data to identify and investigate discrepancies and ensure data integrity. The position
performs bi-weekly audits to validate employee eligibility, enrollment changes, payroll
deductions, and benefit plan records across HRIS, payroll, and vendor systems. Ensures and
maintains compliance with company policies and federal and state laws.

Responsibilities:

Essential Duties and Responsibilities

Maintain internal database files and tables and develop custom reports to meet the
requirements of company management and staff.
Serve as primary billing contact for benefit plan vendors and third-party administrators.
Audit and reconcile monthly benefit vendor invoices. Resolve discrepancies with carriers.
Process HSA and Retirement Plan Contributions.
Audit benefits accounts including HSA account closure and COBRA.
Process employee Medical and Dental/Vision credit audits.
Evaluate benefit eligibility according to benefit plan documents and state and federal
laws.
Conduct biweekly ADP new hire and payroll change entry audits.
Manage COBRA benefit program. Process COBRA notices, enrollments, coverages,
notices, terminations, reporting, and premium payments.
Maintain ACA compliance and reporting, audits and correct 1095C forms at year-end.
Manage annual HR Benefits Portfolio project including reporting, auditing, and ADP
upload.
Manage and monitor electronic data interchange (EDI) eligibility and enrollment feeds
between ADP and insurance carriers and investigate and correct eligibility, coverage, and
demographic data errors affecting carrier feeds.
Support with ADP HR Benefits module updates including benefit plan set up, benefit
providers, new hire and open enrollment profiles, rate structure, and benefit settings.
Maintain confidentiality and privacy of all employee and payroll information and files.

 

Secondary Duties and Responsibilities

Process ADP changes per approved PAF, including schedule changes, telework changes,
etc.
Assist with Benefits Guidebook annual updates.
Assist with annual benefit open enrollment. Enroll and delete individuals on benefit
plans, change benefit status, review enrollment forms and other documents for accuracy
and forward to appropriate carries.
Back up to Benefits Coordinator/Program Coordinator as needed.
Collaborate with Training and Development to provide necessary training
resources/support to meet end users’ needs.
Update and/or order and distribute compliance posters.
Assist with employee separation meetings or termination packets.
Assist with Worker’s Compensation claim requests.
Support with researching, scheduling, organizing, Flu Shot Clinic.
Leads, assigns, and participates in special projects as needed.
Assists in planning and coordinating employee events and activities as needed.
Assist with EEO-1 compliance and reporting.
Other duties as assigned.

Qualifications:

 

Education and Experience	Bachelor’s degree in Business, Human Resources or related field preferred; three (3) to five (5) years of experience in related areas such as employee benefits administration; or equivalent combination of education and experience which would provide the required knowledge and abilities.
Special Skills, Licenses andCertifications	Advances knowledge in MS Word and Excel. Advanced knowledge of ADP Workforce Now and ADP Benefits Solutions. Typing speed of 40 wpm and proficient use of 10-key calculator. Knowledge of general office business machine operation.
Performance Based Competencies	Excellent oral and written communication skills. Strong analytical skills, attention to detail, and the ability to manage multiple deadlines are essential for success in this role. Excellent organization skills with the ability to coordinate and maintain multiple tasks simultaneously and to deliver responses and results within established time frames. Excellent interpersonal skills. Ability to use good judgement, maintain confidentiality of personnel and payroll files and information, and handle sensitive issues with tact and diplomacy.
Work Environment And Physical Demands	Ability to work at a computer terminal for 8+ hours/day. More than 80% of work time may be spent in front of a computer monitor. Includes frequent, repetitive motion including computer typing, sitting/standing for most of the day. Ability to lift, carry, or move objects of varying size, weighing up to 25 lbs

 

 

All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

 

$88,154.59 - $110,193.23

 

IMPORTANT DISCLAIMER NOTICE

 

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.