Summary

Within the Division of Human Resources, provides advice and guidance to University employees, students, and retirees regarding benefits. Participates in the design and review of individual benefit plans. Coordinates the preparation and implementation of communication and educational programs and materials. Performs complex reconciliations of benefits-related data and external billing. Researches and resolves complex, non-routine problems. Participates in the development of new or revised benefits policy recommendations.

Duties and Responsibilities

1. Develops and monitors reports to ensure efficient administration of self-insured medical, dental, and prescription drug benefit plans.
2. Utilizes internal and external data to complete annual regulatory reporting related to administering benefits.
3. Responsible for ensuring all benefit materials and processes are consistent and in compliance with UNM policy, federal, and state regulations.
4. Utilizes internal benefits reports and external vendor reports/systems for the purpose of reconciling eligibility and billing, working with internal and external partners to resolve discrepancies.
5. Participates in the investigation and resolution of complex, non-routine problems; serves as primary liaison with insurance carriers and regulatory bodies in the resolution of specific concerns.
6. Creates benefits communications to include benefit rate changes, plan changes, and benefits education materials, providing support in educating employees, students, and retirees on UNM benefits.
7. Provides technical support to lower level benefits staff regarding the processing of all benefits documentation to ensure compliance with policy, procedure, and regulatory requirements; provides input into design, implementation, and/or modification of documentation, as appropriate.
8. Coordinates the review and development and/or modification of department operating procedures and systems, to include automated systems; provides input into the development and modification of operating policies.
9. Performs miscellaneous job-related duties as assigned.

Minimum Job Requirements

• High school diploma or GED; at least 6 years of experience directly related to the duties and responsibilities specified.
• Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.

Knowledge, Skills and Abilities Required

• Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
• Skill in developing policy and procedure documentation.
• Ability to gather data, compile information, and prepare reports.
• Knowledge of mathematics.
• Skills in the use of database management, word processing, spreadsheet, and/or presentation software.
• Knowledge and understanding of benefits principles, practices, procedures, and documentation.
• Knowledge of state and federal laws pertaining to benefits, COBRA, and IRS Section 125.
• Knowledge of insurance carrier procedures and requirements.
• Knowledge of computerized human resources and payroll systems.
• Knowledge of open enrollment systems and procedures.
• Ability to analyze and develop creative solutions to complex benefits issues.
• Group communication and presentation skills.

Conditions of Employment

• Employees who provide services or work in patient care or clinical areas are required to be in compliance with the University's influenza vaccination requirement.
• Must pass a pre-employment criminal background check.

Working Conditions and Physical Effort

• No or very limited physical effort required.
• No or very limited exposure to physical risk.
• Work is normally performed in a typical interior/office work environment.

The University of New Mexico provides all training required by OSHA to ensure employee safety.

Revised Date: 05/22/2022