Benefits Operations Specialist

Is the opportunity to join a culture where “We Do the Right Thing,” and “We Courageously Shape Our Future Together” important to you? If so, Guardian is seeking a resolute motivated individual to join our team as a Benefits Operations Specialist.

This role is responsible for serving as a subject matter expert on Guardian’s benefit plans and administrative procedures as well as playing a key role in the review and maintenance of all compliance and disclosure requirements.

You will:

Serve as a subject matter expert on Guardian's plans and administrative procedures and key resource for day-to-day tier 3 escalations related to eligibility, enrollment, and claims. This includes but is not limited to:

• Overseeing the Field Representative billing process and collaborating with internal stakeholders and the billing administrator to resolve billing disputes.

• Acting as the tier 3 escalation contact to resolve plans/member escalations by leveraging the case management system.

• Performing as the secretary for the Benefits Appeal Committee (BAC), reviewing, researching, presenting, and responding to administrative plan appeals.

• Processing all health, welfare, and wellness vendor invoicing and biweekly payments.

• Managing health account funding and reconciliations.

• Reviewing weekly vendor files and reporting for accuracy, completeness, and conducting annual headcount audits.

• Participating in benefits administration systems testing.

• Supporting benefit communications reviews.

• Maintaining all health, welfare and wellness process documents, plan documents, intranet sites, and call center reference documents.

• Coordinating and executing benefit events.

• Have responsibility in reviewing and maintaining all compliance and disclosure requirements.

You have:

• Bachelor's degree or equivalent experience in Human Resources, Business Administration, or a related field.

• 5 – 7 years of experience in health and welfare benefit administration.

• Strong proficiency with MS Excel, PowerPoint, and Word.

• Previous experience creating business processes.

• Functional skills and leadership behaviors aligned to Guardian’s HR Capability Model:

• A natural curiosity to learn about the business, HR function, and industry within which you are working. (Business Acumen)

• Experience and an invested interest in leveraging data to influence decision making outcomes. (Data Judgment)

• Ability to demonstrate an understanding of the bigger picture, and align your work, decisions, and ideas with the overall goals of the function and organization. Excellent judgment: Thinks ahead, anticipates questions, plans for contingencies, and escalates issues when appropriate (Strategic Thinking)

• Experience in building relationships and collaborating with colleagues at all levels. Ability to partner with stakeholders to deliver project objectives. Ability to work independently and as part of a team. (Relationship Management/ Collaboration)

• Experience an understanding of the importance of effectively attracting, developing, and retaining top talent within an organization. (Talent Management)

• Proven ability to be flexible and adaptable in the face of changing circumstances. Ability to prioritize and handle multiple tasks in a demanding work environment. (Agility)

• An elevated level of professionalism and a sense of urgency to ensure expectations are met.

• Excellent problem-solving and analytical skills; proven ability to research, follow up, and resolve complex issues or problems surfaced by the team.

• Excellent interpersonal skills; strong oral and written communication skills; ability to present complex issues/data with a high level of clarity and impact.

Location:   

Hybrid role - 3 days in the office, 2 days WFH. Guardian offices located in Bethlehem, PA, or Holmdel, NJ.

Travel to Guardian offices as determined by the People Leader.

Salary Range:

The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.

Our Promise

At Guardian, you’ll have the support and flexibility to achieve your professional and personal goals.  Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

Inspire Well-Being

As part of Guardian’s Purpose – to inspire well-being – we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at www.guardianlife.com/careers/corporate/benefits.Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits.

Equal Employment Opportunity

Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.

Accommodations

Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact [email protected].

Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.