Benefits Billing/Operations Analyst

Position Summary

The Benefits Billing & Operations Analyst is responsible for the strategic administration and oversight of benefit billing operations for multiple Taft-Hartley trust funds and employee benefit plans.

This position serves as the operational owner of benefit billing data integrity by independently analyzing complex billing, eligibility, and financial reconciliation issues; leading routine and ad hoc audits; identifying operational and financial risks; and implementing corrective actions.

The role is responsible for establishing and maintaining effective internal controls, ensuring the accuracy of participant eligibility, employer contributions, premium billing, and trust fund financial transactions while collaborating with internal leadership, trustees, vendors, auditors, and legal counsel to support the effective administration of employee benefit programs.

"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."

Key Duties and Responsibilities


* Develop standardized audit procedures and reconciliation methodologies.


* Perform comprehensive audits of participant eligibility, employer contribution records, premium invoices, carrier billings, payroll deductions, trust fund transactions, and vendor invoices to ensure financial accuracy, regulatory compliance, proper plan administration, and timely resolution of discrepancies.


* Analyze large volumes of benefits, billing, enrollment, eligibility, and financial data to identify trends, anomalies, operational risks, and opportunities for automation and continuous pro


* Conduct.

complex financial reconciliations between employer contributions, trust accounting records, payroll deductions, carrier invoices, participant eligibility, and billing systems.

Investigate discrepancies, determine root cause, and implement corrective actions to ensure financial integrity.


* Manage benefits-related audits, including trust benefit audits, monthly employee deduction audits, 401(k) audits,


* Review and approve complex billing adjustments, retroactive premium corrections, eligibility determinations, and reconciliation activities.


* Administer and manage group health, dental, vision, life, disability, and 401(k), including complex enrollments, life events, and compliance reporting.


* Process benefits enrollments, changes, and terminations.


* Respond to employee inquiries regarding benefits eligibility, plan provisions, claims and coverage issues.

Resolve escalated issues as needed


* Prepare and maintain documentation related to benefit plans and leave administration in compliance with applicable federal and state regulations.


* Support benefits renewal processes with updates to benefits summaries, Workday benefits portal setup.


* Analyze employee utilization trends, claims experience, and participant feedback to recommend enhancements to benefit programs.
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