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An employee benefits manager manages an organization’s employee benefit plan, obtaining the best plans from insurance providers, communicating benefits and costs to employees, and overseeing claim forms. They also communicate plan details, provide materials, and oversee paperwork for reimbursement plans.
An employee benefits manager is responsible for managing the overall administration of an organization’s employee benefit plan. Employee benefits managers obtain the best plans from insurance providers at the most competitive rates, communicate benefits and their associated costs to employees, and oversee the submission of employee claim forms to the insurance provider. In organizations that do not have an employee benefits manager, these responsibilities are usually handled by human resources or office management.
The first step that employee benefits managers take in creating the company’s health plan involves taking out a plan that suits the most employees at the best rates. This entails contacting various insurance companies to find out what packages they offer and at what rates. For most organizations, the ideal insurer offers flexible packages to serve as many employees as possible at the lowest cost. After choosing an insurance provider, the employee benefits manager will establish a relationship with a contact person employed by the insurer, such as a plan representative or corporate salesperson.
An employee benefits manager is responsible for clearly communicating benefit plan details to all eligible employees. This information includes: what the plan covers, the cost, and payment options. With many employee benefit plans, the cost of coverage is deducted directly from employees’ paychecks. The employee benefits manager also liaises between employees and the insurer to answer any questions employees may have, such as whether they can opt out of the plan if they are already covered under a spouse’s plan.
The employee benefits manager provides employees with materials such as a benefits handbook that outlines their benefits, as well as a benefits card that they can present to healthcare professionals at the time of purchase if the plan is run by copay instead of refund. Employee benefit plans that operate on a reimbursement basis typically mean that the employee benefits manager must oversee a large amount of paperwork going back and forth from the employee to the insurer. The employee benefits manager usually reviews claims before they are submitted to ensure that original receipts are attached and all necessary information is provided on the forms, including the employee’s health plan identification number, social security number, and the signature.
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