Duke University Health System (DUHS) Job Descriptions
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BENEFITS REPRESENTATIVE
Job Title: BENEFITS REPRESENTATIVE
Job Code: 4530
FLSA: N
Job Level: D2
Revised Date: 06/27/2005
Supervisory Responsibility: No
General Description of the Job Class
Administer a specific benefit program(s) to include monitoring, analyzing and researching utilization experience and trends, and developing recommendation for program revision as appropriate; ensure eligible employee participation and payment of benefits; review details with, and enroll faculty and staff in, University benefits programs.
Duties and Responsibilities of this Level
Monitor, analyze and research utilization experience and trends on assigned benefit program(s) including, but not limited to, utilization patterns, cost trends, and comparative studies; identify and investigate abnormal patterns; report unusual experience to supervisor; compile information and prepare operational and financial reports and analyses of assigned plan(s), for University administrators, actuarial consultants and federal agencies as required.
Mediate problems between Duke employees and assigned plan(s), working with providers, third party administrators and/or employees to resolve problems; recommend resolution within guidelines of plan(s) or following established precedents.
Recommend potential changes to assigned plan(s) as appropriate based on trend analyses, current literature and/or consultant recommendation; serve as liaison between Duke University and plan provider or third party administrator.
Participate on committee to review or update assigned plan(s); evaluate consult-ants, proposals, potential vendors and elements of plan design; make recommendations internally.
Coordinate the maintenance of related files and records, and provide necessary documents for various meetings; prepare correspondence concerning program(s); prepare and review printed materials regarding assigned program(s). Coordinate and initiate actions required to activate various benefits programs for employees and to ensure notification and proper enrollment of employees eligible for participation in benefit programs; maintain records reflecting employee participation in benefits programs. Compute and approve payments for assigned program(s); approve payment for claims; maintain records of benefits payments and reconcile with monthly financial statements.
Provide detailed benefit information to all University and Medical Center personnel concerning the various benefits offered by Duke University and the requirements for participation in these programs.
Conduct and/or participate in meetings to describe, explain and respond to questions concerning various benefits programs offered by Duke University.
Perform other related duties incidental to the work described herein.
Required Qualifications at this Level
Education
Work generally requires organizational, analytical and communication skills normally acquired through the completion of a bachelor's degree program.
Experience
Work requires one year of business, administrative and/or supervisory experience with exposure to supervisory or human resource policies and practices related to benefits administration.
OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE.
Degrees, Licensure, and/or Certification
N/A
Knowledge, Skills, and Abilities
STATISTICAL REPORTING
PREPARE REPORTS
PERSONNEL PRACTICES
DUKE ACCOUNTING SYSTEM
Distinguishing Characteristics of this Level
N/A
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
