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EMPLOYEE BENEFITS MANAGER
DISTINGUISHING FEATURES OF THE CLASS
The work involves responsibility for analyzing health, dental and other employee benefit costs and exposures and recommending programs to contain costs and reduce liability to the municipality. This is professional level work which requires judgment in determining whether to insure, self-insure, budget risk or use a combination of these methods with the use of deductibles, coinsurance, replacement cost and other special program features. General supervision is received from an administrative superior. Supervision is exercised over subordinate staff. Does related work as required.
TYPICAL WORK ACTIVITIES
Analyzes benefit costs and exposure and recommends programs to contain costs and reduce liability;
Develops and evaluates statistical information to determine costs for employee benefit areas and makes recommendations to contain these costs;
Advises administrators regarding impact of proposed and/or enacted legislative changes affecting employee benefits;
Interprets the master contracts with the insurance administrator regarding benefits and eligibility for coverage for both health, dental and retirement benefit programs; prepares amendments as necessary to comply with local, state and federal regulations;
Designs and estimates benefit requests and recommends changes to management;
Direct preparation and distribution of written and verbal information to inform employees of benefits, compensation, and personnel policies;
Develops procedures regarding required employee training to cut health costs and liability;
Oversees performance of contract agencies administering benefit plans;
Reviews decisions of the claims administrator or other employee insurance representative as requested by employees and recommends to the Director to overrule the administrator if the Master Plan has been misinterpreted;
Participates in the contract claims decision appeal process as required.
FULL PERFORMANCE KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS
Good knowledge of principles and practices of risk management and asset protection programs relating to health/dental employee benefits, including financial and legal requirements for developing, implementing, and administering self-insurance programs.
Working knowledge of financial analysis; bid preparation, solicitation, and evaluation; and contract law, all of which are applied to municipal government.
Critical thinking skills.
Ability to analyze insurance policy provisions to determine existence and extent of liability.
Ability to analyze, classify, and rate risks, exposures, and loss experience.
Ability to collect, interpret, and analyze data for risk management purposes.
Ability to communicate effectively both orally and in writing.
Four (4) years of permanent competitive class status as an Employee Benefits Claims Clerk or Employee Insurance Representative.
A. Graduation from a regionally accredited college or university or one accredited by the New York State Board of Regents to grant degrees with a Bachelors Degree and four (4) years of work experience, or its part time equivalent, as an insurance broker, underwriter, employee benefits agent, or in administering an employee benefits program or claims processing unit; or,
B. Graduation from a regionally accredited college or university or one accredited by the New York State Board of Regents to grant degrees with an Associates Degree and six (6) years of work experience, or its part time equivalent, as an insurance broker, underwriter, employee benefits agent, or in administering an employee benefits program or claims processing unit; or,
C. Eight (8) years of work experience, or its part time equivalent, as an insurance broker, underwriter, employee benefits agent, or in administering an employee benefits program or claims processing unit.
2/2016 Date Revised