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Benefits Specialist - Remote

Benefits Specialist - Remote

BoldAge PACEOceanport, NJ, US
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Job Description

Join BoldAge PACE and Make a Difference!

Why work with us?

  • A People First Environment :   We make what is important to those we serve important to us.
  • Make an Impact :   Enhance the quality of life for seniors.
  • Professional Growth : Access to training and career development.

Competitive Compensation :

  • Medical / Dental
  • Generous Paid Time Off
  • 401K with Match
  • Life Insurance
  • Tuition Reimbursement
  • Flexible Spending Account
  • Employee Assistance Program
  • BE PART OF OUR MISSION!

    Are you passionate about helping older adults live meaningful, independent lives at home with grace and dignity? BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple : We listen to our participants and their caregivers to truly understand their needs and desires.

    Benefits Specialist

    JOB SUMMARY

    The Benefits Specialist is responsible for the day-to-day administration and compliance of employee benefits across a multi-state healthcare organization. This role ensures the accurate and efficient management of health & welfare plans, retirement programs, leave of absence administration, workers’ compensation claims, and annual benefits events such as open enrollment. The Specialist will collaborate with internal HR, payroll, and finance teams, as well as external vendors and brokers, to deliver excellent employee experience while maintaining regulatory compliance in all states of operation.

    ESSENTIAL DUTIES AND RESPONSIBILITIES :

    Benefits Administration

  • Administer all health, dental, vision, life, disability, and retirement plans across multiple states.
  • Facilitate benefits enrollment and administrative processes, including preparation and processing of claims, changes, enrollments, and other filings to support new claims to support new hire, annual enrollment and qualifying events.
  • Coordinate informational sessions and open enrollment meetings with employees and managers.
  • Serve as the primary point of contact for employee benefit inquiries, resolving issues with carriers and third-party administrators.
  • Provide forms, instructions, and educational materials to employees; respond promptly to inquiries.
  • Manage benefit eligibility, enrollment, changes, and terminations through HRIS / benefits platforms.
  • Monitor and audit electronic enrollment file transmissions, facilitate corrections to file data and configuration where needed.
  • Assist with ACA compliance, required notices, and government reporting.
  • Perform additional duties as assigned.
  • Financial & Vendor Management

  • Reconcile monthly benefit invoices and employee benefit account funding; identify discrepancies, research, and ensure timely resolution and payment.
  • Partner with Finance to ensure accurate payroll benefit deductions.
  • Collaborate with brokers, carriers, and vendors to optimize benefit offerings and service delivery.
  • Leaves of Absence & Workers’ Compensation

  • Administer FMLA, state leave programs, and company-specific leave policies.
  • Track, document, and communicate employee leave status and return-to-work accommodations.
  • Manage workers’ compensation claims, ensuring proper documentation, timely reporting, and follow-up with carriers and managers.
  • Compliance & Recordkeeping

  • Ensure compliance with ERISA, HIPAA, COBRA, ACA, and state-specific benefits regulations.
  • Maintain accurate benefit records and documentation for audits.
  • Monitor federal and state legislation affecting benefits programs.
  • EXPERIENCE AND EDUCATION :

  • High school diploma or equivalent required
  • Bachelor’s degree in Human Resources, Business Administration, or related field preferred.
  • 2 years of progressive HR / Benefits experience, preferably in a multi-state healthcare or highly regulated environment.
  • PRE-EMPLOYMENT REQUIREMENTS :

  • Must have reliable transportation, a valid driver's license, and the minimum state required liability auto insurance.
  • Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.
  • Pass a comprehensive criminal background check that may include, but is not limited to, federal and state Medicare / Medicaid exclusion lists, criminal history, education verification, license verification, reference check, and drug screen.
  • BoldAge PACE provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

  • Match begins after one year of employment
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