General Purpose
Under direction, performs complex and varied technical, professional and confidential work required to coordinate and administer the District's benefits plans and workers' compensation program; performs research/analysis to develop information used in labor negotiations; provides lead work direction to staff; and performs related duties as assigned.

Essential Duties & Responsibilities
The duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to this class.

Provides input in training and providing day-to-day lead work guidance and direction to other staff; schedules and monitors work for completeness, accuracy and conformance with District, department and legal/regulatory requirements and standards; monitors workflow to ensure mandated deadlines are being met in an optimal manner; provides information, instruction and training on work procedures and technical, legal and regulatory requirements.

Provides input to the Vice Chancellor on employee work performance.

Administers and implements District benefit plans including medical, dental, vision and life insurance; administers the self-funded and the fully insured voluntary long-term disability insurance plans; coordinates the daily administrative activities of employee benefits; interacts with benefit vendors/brokers, insurance carriers, claims adjusters and providers of medical services in the development, negotiation and administration of the District's insurance programs including eligibility, coverage, premiums, changes in benefits options, claims processing, fees, plan requirements and issue resolution.

Coordinates the annual open-enrollment period; prepares and distributes to employees benefit enrollment information; conducts benefit orientations and explains available benefit options to employees; coordinates with vendors to ensure eligible retirees, employees and dependents are accurately enrolled; updates payroll system deductions.

Reviews benefit plan administration to ensure compliance with federal and state regulations, plan documents and labor agreements; interprets legislative, vendor and labor contract requirements regarding benefits administration.

Ensures District compliance with provisions of the Health Insurance Portability and Accountability Act (HIPAA), COBRA, Affordable Care Act (ACA) and required IRS reporting; stays abreast of all state and federal regulatory requirements and makes recommendations for change as appropriate; coordinates the completion and generation of 1095-C tax forms to employees; oversees and performs COBRA plan administration responsibilities.

Administers the District's self-funded and the fully insured voluntary long-term disability programs; completes or reviews applications; conducts eligibility audits; prepares LTD payments and correspondence with insurance administrators.

Administers the District's self-funded workers' compensation plan covering work-related injuries; provides required claim forms and referrals of injured workers to designated providers for evaluation and treatment; authorizes initial treatment; acts as liaison between the District and program administrators, medical providers and employees; monitors and approves workers' compensation leave usage; interacts with employees and their managers to discuss injuries and assist with the interactive discussion process; coordinates employee returns to work; coordinates work restrictions and facilitates discussions related to accommodations and modified duties.

Conducts research and prepares proposals/input for the collective bargaining process.

Coordinates and conducts the interactive discussion process as needed.

Develops, prepares and conducts training sessions/classes covering the range of benefit programs provided by the District.

Reviews and authorizes ergonomic assessment requests and works with the Office of Environmental Health and Safety to reduce the incidents of work?related accidents and injuries.

Maintains relationships with designated medical facilities and completes quarterly clinic reviews.

May serve on the Fresno Area Self Insurance Benefits Organization (FASBO)/EdCare Board.

Coordinates retiree health benefits and assists with GASB/OPEB report research.

Demonstrates sensitivity to and understanding of historically minoritized groups and participates in professional development activities to increase cultural competency to enhance equity-minded practices within the District.

OTHER DUTIES
Serves on or leads committees, work groups and task forces.

Recommends, develops, implements and revises policies, procedures and operational guidelines to improve and/or clarify processes.

Reviews, revises and maintains summary plan documents for benefits.

Updates the District's benefits website and intranet.

Performs related duties as assigned.