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

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.