Shaw Industries Inc Senior Benefits Administrator in Dalton, Georgia
Senior Benefits Administrator
Provide excellent, concierge-style customer service as a Benefits Agent. Answer i3 calls, email, and chats for all associate (or family member) inquiries related to Benefits. Provide a high average of first call knowledge-based resolution of issues and have discretion related to assignment to a subject matter expert to resolve as needed. Manage various benefits administration processes within Workday and other vendor systems including, but not limited to, daily processing of events, system error resolution, claims review, and eligibility updates. Manage eligibility for various plan administrators and programs to support plan guidelines and legal regulations as well as the associate relationship. Assist in maintaining and updating communications. Perform as a good listener, problem-solver, and communicator with empathy, accuracy, best practices, and continued knowledge learning. Work with internal and external partners on a daily basis.
Answer Benefits-related customer inquiries by phone, e-mail, or chat.
Verify eligibility and facilitate appropriate benefits enrollment through Workday (e.g., benefit change events, new hires, employment changes, Open Enrollment).
Play integral role in Workday setup for Open Enrollment; work with setup team to build new benefit plans, enter rate changes, test Open Enrollment event, and resolve system issues.
Assist with promoting and enrollment of associates in all Disease Management programs. Work with vendor partners and ensure appropriate incentives are applied. May also include processing of incentive details to ensure associates receive appropriate incentives, load incentive files to the appropriate account per associate; serve as subject matter expert on compliance and completion of requirements for wellness programs and incentives. Complete administrative actions within Express Scripts' client portal and interaction with Premise partners.
Verify eligibility and facilitate appropriate enrollment into Healthcare Accounts, such as FSA and HSA; calculate and request deposits for open enrollment elections, weekly and monthly payrolls, as well as earned incentives.
Complete Workday inbox tasks, daily transactions, and error resolution (or serve as back-up).
Perform Benefits Billing processes including, but not limited to: terminate benefits billing due to nonpayment (as needed), review the Optum service system to provide accurate billing information, work with IS Operations on processes and issues, resolve errors and system issues as needed.
Research and respond to inquiries and information requests in a timely manner via ServiceNow tickets, when appropriate.
Monitor process efficiency and reporting and resolve errors, as needed.
Manage day-to-day responsibility for voluntary benefits offerings and support HR offices in claims filing and vendor interaction.
Administer Canadian, Expatriate, and Hawaii benefits and serve as customer service support for those associates and HR offices.
Perform basic data analysis taking advantage of process knowledge to seek out trends or patterns to improve processes and prevent and/or correct errors.
Prepare and distribute reporting to internal departments as needed.
Complete all vendor payments including review and verification of billing accuracy per contracted rates and details and coordination of appropriate payment method and with all needed approvals to ensure timely payments; follow-up directly with vendor contact to pursue any needed corrections or further information.
Participate in vendor searches including data gathering and consolidation, market research, competitor review; serve as a team member at finalist meetings.
Research and respond to appeals and information requests in a timely manner.
Operate within HIPAA compliance.
Coordinate Medicare CMS responses, completion of medicare benefit forms, completion of Qualified Medical Child Support enrollment, and response to family services.
High School Diploma/GED and 5+ years of work-related experience
Willingness to Work Partial Remote Schedule
Cross-training / Critical Process Backup
Excellent Customer Service
Attention to Detail
High Level of Confidentiality
Organized and Efficient
Clear Written and Verbal Communication
Proactive / Takes Initiative
Works Well with Teammates
Customer Service Experience
Bilingual in English and Spanish is preferred
- An associate in this role will have advanced knowledge of benefits, have a strong ability to problem-solve, great customer service, and attention to detail. This role would be filled by an individual who has benefits administration experience.
Shaw is an Equal Opportunity Employer and is committed to providing a workplace free of discrimination, harassment, and retaliation. It is our policy to recruit, hire, train, and promote individuals in all job classifications without regard to race, color, religion, age, sex, sexual orientation, national origin, disability, veteran status, gender identity, or any other legally protected status.
As we continue to monitor the spread of COVID-19 (coronavirus), we might determine the need to postpone in-person interviews to ensure the health and safety of our associates, candidates, and the community. In this case, we can accommodate with a phone or video interview, and will schedule an in-person interview for a later date. The method by which you interview does not impact your standing as a candidate for this position.
Shaw Industries Group, Inc. is more than a flooring company – we are 22,000 people united in our vision of creating a better future for our customers, for our people, for our community and for our company. We provide carpet, resilient, hardwood, tile & stone, laminate, synthetic turf and other specialty items for residential and commercial markets worldwide. We meet diverse customer needs through an expansive portfolio of brands, including: Anderson Tuftex, COREtec, Patcraft, Philadelphia Commercial, Shaw Contract, Shaw Floors, Shaw Hospitality, Shaw Sports Turf, Southwest Greens, USFloors and more.
Headquartered in Dalton, Georgia, Shaw is a wholly owned subsidiary of Berkshire Hathaway with nearly $6 billion in annual revenue and representation throughout the U.S., as well as in Australia, Belgium, Brazil, Canada, Chile, China, France, Great Britain, India, Mexico, Scotland, Singapore and the United Arab Emirates. For more information about our company brands, operations and community involvement, visit www.shawinc.com.
If you need any additional assistance or accommodation or have questions, please contact us at email@example.com