Benefits Specialist

Job Summary

The Benefits Specialist  is responsible for the effective administration and implementation of the Company’s employee benefits programs. The role manages company-sponsored and government-mandated benefits, including HMO, Group Life Insurance, employee loans, bereavement assistance, SSS, Pag-IBIG, and PhilHealth benefits.

The position serves as a key point of contact for employees regarding benefits-related concerns and coordinates with internal departments, government agencies, and external benefit providers to ensure timely, accurate, and compliant processing of benefits and claims.

Key Responsibilities

Company Benefits Administration

• Administer and monitor employee benefits programs in accordance with company policies and procedures.
• Process employee enrollments, eligibility, claims, reimbursements, additions, and deletions.
• Maintain accurate and updated employee benefits records and documentation.
• Respond to employee inquiries and provide clear information regarding benefits coverage, eligibility, and requirements.
• Coordinate with Finance and other internal departments to ensure timely processing of benefit payments and transactions.

HMO and Health Benefits

• Coordinate with HMO providers regarding employee enrollment, eligibility, claims, reimbursements, and plan concerns.
• Serve as the primary contact for HMO providers and third-party administrators.
• Support HMO contract renewal and provider coordination.
• Coordinate the Company’s Annual Physical Examination (APE), including scheduling, employee endorsements, and clinic coordination.
• Monitor APE participation and prepare required reports.

Group Life Insurance

• Administer employee enrollment and eligibility for Group Life Insurance (GLI).
• Process and monitor employee insurance claims.
• Coordinate with insurance providers and third-party administrators.
• Assist in GLI contract renewal and employee additions or deletions.

Employee Loans and Bereavement Benefits

• Process and verify employee loan applications, including eligibility and loanable amounts.
• Coordinate approved loan applications with the appropriate departments for processing.
• Monitor employee loan releases and payment status.
• Process funeral and death assistance requests in accordance with company policies.
• Verify required documentation and communicate applicable bereavement leave benefits to employees.

Government-Mandated Benefits

• Process and monitor employee benefits and claims under SSS, Pag-IBIG, and PhilHealth.
• Facilitate SSS maternity, sickness, disability, and Employees’ Compensation (EC) benefit applications and reimbursements.
• Process and monitor SSS Salary Loan applications and payments.
• Process Pag-IBIG Multipurpose and Calamity Loan applications and monitor loan releases and payments.
• Assist employees with PhilHealth claims and facilitate enrollment and member record updates.
• Maintain accurate records and prepare monitoring reports for government-mandated benefits.

Reporting, Compliance, and Process Improvement

• Prepare accurate and timely benefits-related reports and monitoring reports.
• Maintain organized and updated employee records, including relevant personal and employment information.
• Ensure compliance with company policies and applicable government regulations.
• Maintain and update administrative procedures for assigned benefits processes.
• Review existing benefits programs and conduct benchmarking to identify opportunities for improvement.
• Coordinate with benefit providers and government agencies to resolve employee concerns and ensure timely processing.
• Participate in meetings, training programs, and other activities as required.
• Perform other duties and responsibilities as assigned.

Qualifications

• Bachelor’s degree in Management, Psychology, Human Resource Management, or a related field.
• At least 1-2 years of relevant experience in HR, benefits administration, employee relations, or a related function.
• Working knowledge of HMO, insurance, SSS, Pag-IBIG, and PhilHealth processes is preferred.
• Employment Type: Project-Based
• Contract Duration: 5 Months
• Work Arrangement: Hybrid Setup

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