HM Benefit Plan Consultant Experienced

Primary Work Responsibilities
 Specializes in the operations and administration of group health and welfare benefit plans
 Works primarily with the DGM, plan management, and participant services UMs
 Assists TBA team with OPE initiatives, suggests process improvements based on review of procedures
 Reviews team procedures for potential compliance issues, works with TBA team and TBA legal to resolve issues and limit liability
 May be assigned to new client implementations and assists with writing of plan provisions and benefits manual
 Assists Connections in resolving carrier eligibility issues
 Becomes familiar with all aspects of the carriers utilized by the client and industry events that impact the carrier or the client
 Performs client-specific training and also is the instructor for one or more core courses such as Retiree Basics, Medicare Basics, Section 125, etc.
 Reviews workflows for accuracy and provides additional training necessary to improve quality
 Helps educate the team on Best Practices and helps implement best practice processes
 Knowledgeable about and able to use eTBA tools and HM consulting tools
 Reviews communication pieces for accuracy and consistency with TBA procedures
 Acts as a mentor to less experienced associates, including PMs and UMs
 Reviews new legislation for client impact and consults with client regarding required changes (i.e., Section 125)
 Works on special projects for client team or out-of-scope projects
 Suggests areas to explore to extend and expand consulting work for the client

Relationships
 TBA team: DGM, H&GB plan management and participant services UMs
 Client interaction: Medium contact with client. Viewed as H&GB subject matter expert by client contacts. Builds relationship with key client contacts
 Vendor interaction: Contact with carrier claims and/or account management
 Builds working relationship with HM design consultants and other HM shared services (i.e., Connections, HHR, HHVE, etc.)

Key Competencies
Must be able to function at the indicated stage level for the following competencies:
 Adaptability/FlexibilityStage 3
 Appreciating and Valuing DifferencesStage 2-3
 Client Knowledge and Relationship BuildingStage 2
 CommunicationStage 3
 Organizational PerspectiveStage 2
 TeamworkStage 3
 Technical SkillsStage 3
 Project ManagementStage 3
REQUIREMENTS
Experience Requirements/Recruiting and Technical Knowledge
 Must have 6 to 12 years of benefit administration experience:
 A minimum of 5 years external health plan administration work with a carrier in claims administration, management, provider relations, or account management; or
 A minimum of 5 years external health plan administration in the HR department of a large employer; or
 A minimum of 2 years in the BPC entry role working with multiple client teams
 Must have demonstrated ability to manage large complex projects
 Subject matter expertise knowledge of health and welfare plans: Medical, Dental, Vision, Rx, MH/CD, STD, LTD, Life, AD&D, FSA, etc.
 Extensive knowledge of health and welfare legislation: COBRA, ERISA, Section 125, HIPAA, etc.
 Complete knowledge of eligibility business rules
 Working knowledge of TBA H&GB best practices

Key Competencies
 Adaptability/Flexibility
 Appreciating and Valuing Differences
 Client Knowledge and Relationship Building
 Communication
 Organizational Perspective
 Teamwork
 Technical Skills
 Project Management



Hewitt Associates is a global outsourcing and consulting firm delivering a complete range of human capital management services to companies, including HR & Benefits Outsourcing, Payroll, Health Management, Retirement & Financial Management, and Talent & Organization Consulting.

Our associates have been instrumental in developing innovative solutions that have helped our clients become some of the most successful companies in the world. Today, our client roster includes more than half of Fortune 500 companies and more than a third of Fortune Global 500 companies.