Benefits Analyst (job code 1210)-Member Services Division-San Francisco Health Service System - (ID#164383)

Benefits

Additional Information

Under general supervision, the Benefits Analyst performs professional benefits work for the Health Service System's Member Services Division. The Benefits Analyst explains the City's medical, dental, and vision plans to members and their dependents. Additionally, Benefits Analysts provide members with information on Flexible Spending Accounts (FSA), and voluntary benefit options. Essential functions include: providing written and oral benefits information, both in person and over the phone; advising and counseling members, retirees, and their dependents on available benefits; analyzing and resolving member eligibility issues; initiating, compiling, calculating, and processing adjustments and manual payments; interacting frequently with other City departments and providing training as needed; consulting with plan providers and department representatives; researching, reconciling, and resolving employee benefits and premium payment issues; and conducting workshops and giving presentations. From time to time the Benefits Analyst may support with program training of staff. Typical tasks include: 1. Provides written and oral information by telephone and in person to members, retirees, health plans, medical providers and other interested parties regarding active and retired employee health benefits. 2. Advises and counsels by telephone and in person members, retirees, and their dependents on available benefits, pursuant to rules and regulations of the Health Service System and federal and state laws. 3. Analyzes and support in resolves member eligibility problems. 4. Initiate, compile, calculate, and process adjustments to member records, and premium receivables. 5. Research, reconcile, and resolve various member problems related to membership, eligibility, and premiums. 6. Interact frequently and provide training when necessary to staff engaged in membership enrollments, terminations, accounts receivable, and premium collections. 7. Consults with plan providers and department representatives regarding the member's benefits status. 8. Conduct workshops for potential retirees and new hires regarding benefits, plans, costs, etc. and assist with the completion of required paperwork. Give presentations to departmental orientations. 9. Processes and collects manual payments from employees on leave of absence, and retirees. 10. Perform word processing and data entry. 11. Perform work in a standard office environment. 12. Performs related duties and responsibilities as assigned. Education: Possession of a baccalaureate degree from an accredited college or university Experience: One (1) year of verifiable experience administering benefit programs including: initiating membership records, calculating benefit premiums and processing enrollment applications; processing, researching and/or adjusting benefit claims or problems and updating data Substitution: Additional experience as described above may be substituted for the required education on a year-for-year basis. Thirty (30) semester units/forty-five (45) quarter units equal one year of experience. Verification of Education and Experience: Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Review SF Careers Employment Applications for considerations taken when reviewing applications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education verification is required, information on how to verify education requirements, including verifying foreign education credits or degree equivalency, can be found at https://careers.sf.gov/knowledge/experience-education/ . Note: Falsifying one's education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco. Selection Procedure: After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following: Minimum Qualification Supplemental Questionnaire (MQSQ): Candidates will be required to complete a MQSQ as part of the employment application at a later time. This MQSQ is designed to obtain specific information regarding an applicant's experience in relation to the Minimum Qualifications (MQ) for this position. The MQSQ will be used to evaluate if the applicant possesses the required minimum qualifications. Supplemental Questionnaire (SQ) (Weight: 100%): Candidates who meet the Minimum Qualifications and complete the MQSQ will be sent a SQ via email to complete and return within a certain timeframe. The SQ has been designed to measure knowledge, skills and/or abilities in job-related areas. The SQ will be rated and scored. All relevant experience, education and/or training must be on the SQ in order to be reviewed in the rating process. Note: Candidates must achieve