Benefits Administrator

Pinnacle Employee Services (PES)
- IN OFFICE POSITION

Position:
Benefits Administrator

Reports to:

Director of Benefits Administration

Pinnacle Employee Services (PES) is a Professional Employer Organization (PEO) that partners with client companies to provide comprehensive Human Resources, Payroll, Benefits administration, Workers' Compensation, Compliance, and employee support services. PES serves as an extension of its clients' businesses, delivering efficient workforce solutions and helping organizations effectively manage their employees while maintaining compliance with applicable employment laws and regulations.

The Benefits Administrator is responsible for the day-to-day administration of employee benefit programs and leave of absence processes. This position manages enrollments, eligibility, changes, terminations, billing and payroll reconciliations, employee questions, and other benefit-related activities for medical, dental, vision, life, disability, FSA, HSA, voluntary benefits, COBRA, workers’ compensation, and other applicable programs. The position also administers leaves of absence, including FMLA, PFL, disability, and other applicable leave programs.

The Benefits Administrator works closely with employees, HR, payroll, implementation, sales, carriers, brokers, vendors, and third-party administrators to provide accurate and timely administration, maintain records, resolve issues, and support compliance with applicable requirements.

• Manage day-to-day administration of employee benefit programs, including enrollments, qualifying life events, changes, terminations, beneficiary updates, and National Medical Support Notices.
• Provide support to employees and HR teams regarding benefit plans, eligibility, coverage, deductions, and system processes.
• Coordinate benefit data between HRIS, payroll, carrier, and vendor systems and maintain accurate records.
• Serve as a primary contact for carriers, brokers, vendors, and third-party administrators.
• Prepare weekly and monthly benefit reports and assist with open enrollment and other benefit-related projects.
• Maintain benefit procedures and identify opportunities to improve processes and reduce errors.

• Reconcile monthly carrier invoices for medical, dental, vision, life, disability, and other benefit programs against enrollment records and payroll deductions.
• Research and resolve discrepancies involving coverage, eligibility, rates, employee and employer contributions, deductions, terminations, over payments, and other billing issues.
• Coordinate with carriers, vendors, payroll, and internal teams to resolve billing and enrollment issues and maintain supporting documentation.
• Use Excel and other systems to analyze benefit data and complete reconciliations.

• Manage employee leaves from initial request through return to work, including FMLA, PFL, disability, intermittent, and reduced-schedule leave.
• Determine eligibility and coordinate required notices, forms, certifications, and documentation.
• Track leave usage, deadlines, exhaustion dates, return-to-work dates, and required follow-up.
• Communicate leave requirements, available benefits, deadlines, and status to employees and appropriate internal and external parties.
• Coordinate leave information with employees, HR, payroll, managers, carriers, and third-party administrators.
• Administer short-term and long-term disability processes and support ADA accommodation and return-to-work processes.
• Maintain accurate and confidential leave records and prepare reports and documentation for compliance and auditing.

• Maintain confidentiality of employee benefit and leave information.
• Follow applicable federal and state requirements related to FMLA, PFL, ADA, COBRA, ERISA, ACA, Section 125, workers’ compensation, disability, and other benefit and leave programs.
• Assist with required notices, reporting, filings, fees, audits, and recordkeeping.

• Provide professional and timely support to employees, HR teams, managers, carriers, vendors, and other business partners.
• Explain benefit and leave information clearly and handle sensitive employee situations with discretion.
• Communicate effectively with multiple parties to resolve benefit, billing, payroll, and leave issues and follow up on outstanding items.

• Assist with special projects, system…