Group Benefits Specialist

Group Benefits Specialist

The Group Benefits Specialist is a dual-function role within our employee benefits brokerage, supporting both the operational execution of group benefits quoting and the regulatory compliance needs of our employer clients. This position works closely with the Account Management and Broker teams to manage the end-to-end RFP process, build client-ready plan comparison materials, and ensure clients are meeting their obligations under ERISA, ACA, HIPAA, and applicable state regulations.

This is a fast-paced, detail-oriented role ideal for someone with hands-on experience in group benefits and a strong interest in benefits compliance.

• Quoting & RFP Management
• Manage end-to-end RFP process for group benefits clients across all lines of coverage (Medical, Dental, Vision, Life, STD/LTD)
• Submit RFPs to multiple carriers and follow up to ensure timely receipt of quotes
• Organize and track all quote responses by client, carrier, and renewal date
• Communicate with carrier representatives to obtain complete and accurate proposals
• Plan Comparisons & Spreadsheet Management
• Build and maintain detailed plan comparison spreadsheets in Excel and/or Google Sheets
• Compare plan designs, premiums, networks, and contribution strategies across carriers
• Highlight key differences and cost implications for broker review
• Update and maintain renewal tracking and pipeline spreadsheets
• Client-Specific Benefit Guides
• Develop customized employee benefit guides tailored to each client group
• Clearly present plan options, costs, and coverage highlights in a client-friendly format
• Coordinate with the broker team to ensure accuracy before delivery
• ERISA Compliance
• Assist in reviewing and completing plan documents, SPDs, and wrap documents for ERISA compliance
• Support annual compliance calendars and track ERISA notice delivery requirements
• Help clients understand fiduciary obligations and maintain proper plan documentation
• ACA / Health Reform
• Monitor employer shared responsibility ("Pay or Play") requirements and support client reporting
• Assist with ACA affordability calculations and minimum value determinations
• Track and communicate ACA regulatory updates affecting employer-sponsored plans
• HIPAA
• Educate clients on HIPAA privacy and security requirements applicable to self-funded plans
• Support the review and maintenance of HIPAA business associate agreements (BAAs)
• Assist in developing and distributing HIPAA-related notices and plan amendments
• DOL / IRS Filings & Required Notices
• Assist clients with obtaining necessary carrier forms for Form 5500 filing requirements
• Help prepare and distribute required notices (COBRA, Medicare Part D, SBC, MLR rebates)
• State Regulations
• Research state-mandated benefit requirements and state continuation/mini-COBRA rules
• Maintain a state compliance matrix and flag jurisdiction-specific obligations for client accounts
• Monitor state legislative and regulatory developments and summarize key changes for the team
• Administrative Support
• Maintain organized digital files for all client quotes, proposals, and plan documents
• Track renewal timelines and proactively flag upcoming deadlines
• Assist with open enrollment preparation materials as needed
• Respond to client compliance inquiries; draft guidance for senior review and approval
• Prepare compliance alerts, client communications, and educational materials
• Maintain an organized compliance library of templates, resources, and regulatory guidance

• Experience:
  
  2+ years of experience in a group benefits, insurance brokerage, or employee benefits environment
• Solid understanding of U.S. group health insurance including Medical, Dental, Vision, Life, and Disability plans
• Experience managing the RFP/quoting process with multiple carriers
• Advanced proficiency in Microsoft Excel and/or Google Sheets (pivot tables, VLOOKUP/XLOOKUP, formatting, data organization)
• Familiarity with employee benefits compliance frameworks: ERISA, ACA, HIPAA, COBRA, DOL/IRS filing requirements
• Experience working in Zywave (quoting, proposal generation, and benefit guide creation)
• Familiarity with Employee Navigator for benefits administration and enrollment support
• Strong written and verbal communication skills in English and Spanish
• Exceptional attention to detail and accuracy with numbers and regulatory content
• Ability to manage multiple clients and deadlines simultaneously

• Bachelor's degree in Business, Human Resources, Finance, Pre-Law, or a related field
• Coursework or direct exposure to ERISA, ACA, HIPAA, or employment law
• Familiarity with small, mid-size, and large group markets (10–1,000+ employees)
• Experience working with U.S.
  
  -based insurance brokers or benefits agencies
• Experience with carrier portals (Cigna, Aetna, United Healthcare, Blue Cross, Guardian, Met Life, etc.)
• Exposure to other benefits platforms (Ease, Benefit Point, or similar)
• Familiarity with benefits administration systems or CRM platforms Work Schedule & Requirements

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