Processes and provides guidance for a wide variety of insurance related issues including health, dental, vision, prescription drug, life, disability and COBRA. Reviews and makes recommendations for HRIS, payroll and vendor databases to ensure accurate insurance option elections, payroll deductions and vendor payments.

1. Works with the active employees, retirees, spouses, domestic partners, dependents and beneficiaries on all Memphis Shelby County School (MSCS) insurance plans and various kinds of leave. Explains eligibility requirements, enrollment, deadlines, application process, making changes to the plans such as address or beneficiaries and other procedures.
2. Evaluates and determines the eligibility of employees, retirees, spouses, domestic partners, dependents and beneficiaries for insurance elections, deductions or payouts in compliance with multiple insurance summary plan description document rules and insurance vendor enrollment policies and procedures as well as open enrollment and special enrollment period regulations.
3. Tracks, processes and provides guidance on all insurance related topics such as health, dental, vision, prescription drug and COBRA, basic and supplemental life and voluntary long term disability plans to identify the employee’s options for concerns and/or issues and to assess trends.
4. Tracks, processes and provides guidance on all insurance payment related options such as Flexible Spending Accounts (FSA) for healthcare and dependent care reimbursements, Health Reimbursement Accounts (HRA), premium assistance programs and options under the Affordable Care Act (ACA) in the Health Insurance Marketplace to identify the employee’s options for concerns and/or issues and to assess trends.
5. Works with spouses, domestic partners, dependents and beneficiaries to file the appropriate forms for a death claim with the life insurance vendors.
6. Tracks, processes and provides guidance on all the different insurance plan estimates for medical payments to identify the employee’s options for concerns and/or issues and to assess trends.
7. Processes all insurance related Court Order requirements such as Domestic Relations Orders (DRO).
8. Prepares, reviews and revises insurance option elections, premium deductions and insurance payouts in HRIS and payroll and verifies the information is correct in the vendor databases for timeliness, accuracy, vendor payments and to assess trends.
9. Advises payroll on insurance related issues such as new enrollments, election changes, Qualifying Life Events (QLE) adjustments, terminations, COBRA and Court Order requirements affecting insurance.
10. Prepares and maintains of a variety of narrative and statistical reports, records, correspondence and files related to assigned employee population for insurance.
11. Maintains confidentiality up to HIPPA standards.
12. Performs other related duties as assigned or directed.

Bachelor’s Degree in Public or Business Administration, Human Resources or a closely related field plus a minimum of two (2) years of insurance experience to include medical, dental, vision, life or COBRA insurance or any equivalent combination of education, training, insurance or human resources experience which provides the requisite knowledge, skills and abilities for this position. OR a combination of equivalent education and/or paid directly relevant insurance or human resources experience for a total of six (6) years.

Degree Equivalency Formula:

Bachelor’s Degree= 4 years plus required years of experience.

Master’s Degree=6 years plus required years of experience.