Sr. Benefits Specialist

UNITE HERE HEALTH serves 190,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity !

This is a Culinary Health Fund Opening

The Senior Benefits Specialist will update plan documentation and notices for the Las Vegas health plans to support the Fund’s compliance with legal requirements. This position is also responsible for working with the Fund’s Third-Party Administrator on the coordinating, processing and disposition of workers’ compensation claims and cases.

Essential Job Functions And Duties

• Update the following documents for review in a timely manner so that the Las Vegas plan units can meet ERISA reporting and disclosure requirements:
• Summary Plan Descriptions ( SPDs)
• Summaries of Material Modifications (SMMs)
• Summaries of Benefits and Coverage (SBCs)
• Prepare resolutions for Board of Trustee meetings, including describing the proposed change, associated research, data requests and coordinating input with legal and finance .
• Lead Trustee Prep meetings including preparation and distribution of resolutions and amendments to be reviewed .
• Post all resolutions, amendments, and reports in Better Meetings within established deliverable dates.
• Prepare Trustee monitoring reports, cost impact reports and all other reports/documents related to the Board of Trustee meeting for all Las Vega Plan Units .
• Prepare drafts of necessary benefit and administrative amendments and associated plan documents promptly.
• Update all plan documents and communication materials in a manner complying with all federal benefits and benefits related legislation and regulations .
• Maintain electronic archives of all plan documents, e.g., plan document, amendments, summaries of material modifications, summary plan descriptions and summaries of benefits and coverage .
• Conduct research and evaluation on benefit trends, industry trends, etc . and provide value-added analysis and summary .
• Communicate benefit plan and policy information to internal teams for all plan units .
• Build relationships internally and collaborate effectively on cross-functional teams .
• Provide support for the implementation of new projects, benefits, programs, etc., as needed .
• Coordinate and facilitate content and editorial review of all ERISA documents and procedures to resolve discrepancies, ambiguities and obtain the required approvals .
• Coordinate review and distribution of legally required notices to government entities and participants and, where applicable, coordinate with the Communications Department on finalization to ensure timely distribution .
• Provide input on opportunities to automate processes/ utilize tools/resources .
• Accurate disposition of workers compensation claims and cases .
  
  

Essential Qualifications

• 5 ~ 7 years of related experience in a(n) employee health benefits administration and compliance related field or environment minimum .
• Working knowledge and experience of health insurance, managed healthcare, and legally required communications and documentation .
• Prior experience working in a Union environment or with Taft Hartley plans .
• Prior experience preparing Board of Trustee meeting materials.
• Prior experience updating plan documents, summary plan description, Summary of Benefits & Coverage, and drafting Summary of Material Modifications.
• Working knowledge in welfare benefits plans as it relates to plan design and administration .
• Working knowledge of employees benefits the legal environment (ERISA, HIPAA, COBRA) .
• Working knowledge and experience in drafting health plan communications and other documentation .
• Knowledge of workers' compensation process preferred .
• Bachelor's degree in healthcare or related field or industry related experience .
  
  

Salary range for this position: Salary $81,400 - $101,700. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise , certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location.

Work Schedule (may vary to meet business needs): Monday~Friday , 7.5 hours per day ( 37.5 hours per week) with potential for hybrid work-from-home arrangement.

We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k) , Short- & Long-term Disability, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP).