Employee Benefits Manager
DEFINITION: Under direction, plans, directs and supervises the
operations of various employee benefit programs including health,
life, accident, disability and unemployment insurance, employee
assistance programs, and flexible spending plans; and performs
related duties as required.
EXAMPLE OF DUTIES:
1. Plans, directs and supervises the operation of various employee
benefit programs; analyzes, develops, implements and evaluates
policies and procedures; advises executive management on overall
program operations including premium rate determinations and
significant administrative issues; directs preparation and
distribution of insurance and other benefits descriptive and
2. Supervises and evaluates the work of the employee benefits
division staff; plans, schedules and assigns work; hires and trains
3. Consults with insurance brokers to survey and obtain coverage
trends, options and costs; responds to insurance proposals from
brokers, agents and consultants and makes recommendations for
coverage and provider changes; directs and oversees work of contract
employee benefits consultants in designing benefits program changes
and actuarial review of self-funded health insurance program;
explain employee benefit programs and services to employees,
departments and employee organizations.
4. Prepares and administers annual budget for self-funded health
insurance program and unemployment insurance program; maintains and
evaluates financial records, and program costs; prepares
specifications and contracts for provider and employee benefits
consulting services; processes and administers a wide variety of
contractual agreements; oversees audits by internal staff and
contractors of various benefits programs.
5. Identifies data processing criteria and requirements for
computerized recordkeeping, payment and information files;
coordinates and consults with auditors and data processing staff to
develop, install and monitor benefits input, employee deductions
processing and production of various management and ad hoc reports.
1. Two years of professional experience in developing and managing
employee health and benefit insurance programs, workers'
compensation, loss control or other employee benefit programs; or,
2. a combination of training, education, and experience that is
equivalent to the employment standard listed above and that provides
the required knowledge and abilities.
Additional Qualifications: A valid California Class C Driver's
License is required at the time of employment.
Knowledge of: principles and practices of management including
program planning, implementation, administration and evaluation;
current trends and issues related to employer sponsored benefits
programs; contracting processes and administration; general
accounting and recordkeeping methods for claims administration; data
processing applications for management information systems;
principles of supervision; employer group insurance and indemnity
plans, and available coverage; State and Federal laws and
regulations relating to employee benefit administration, health plan
administration, and Health Maintenance Organizations; budget
preparation and monitoring practices.
Ability to: plan, direct, supervise and evaluate subordinate staff;
prepare and monitor health care and other benefits budgets; make
presentations before Board of Supervisors, employee organizations,
advisory bodies, county employees and others; analyze and make
recommendations for policy and rate changes; establish and maintain
working relationships with employees, managers, brokers, agents and
other contractors; negotiate and administer contracts and agreements
with insurance companies, claims and program administrators,
consultants and others; analyze and interpret insurance contracts,
legal documents and reports; collect, evaluate and interpret data;
evaluate program policy and practices, define problem areas, develop
and direct the implementation of policy decisions and practices to
improve operations; communicate clearly, concisely and effectively
both verbally and in writing; develop and control a budget.
Desirable Qualifications: Health Insurance plan management
experience including rate and contract negotiations with insurance
carriers and consultants, and coordination with provider
organizations and third party administrators is desirable.
Knowledge of health plan administration is highly desirable.