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We are looking for a Benefits Administrator to support the effective management of self-funded health and welfare plans in Round Rock, Texas. This position works closely with internal teams and external benefit partners to maintain accurate administration, regulatory compliance, and a positive employee experience. The role is well suited for someone who can balance detailed plan oversight, vendor coordination, and data-driven decision-making in a fast-paced environment.
Job Responsibility:
Oversee daily administration of self-funded benefit programs, including medical, dental, vision, and pharmacy offerings, to support accurate and consistent plan operations
Act as the primary point of coordination with brokers, third-party administrators, pharmacy benefit managers, stop-loss providers, and other external partners
Review claim activity and service performance to identify discrepancies, confirm alignment with plan provisions, and address issues promptly
Manage employee benefit eligibility activities, including enrollment support for new employees, ongoing status updates, and education on available plan options
Process monthly self-billed benefit items and help maintain accurate records related to participant coverage and plan activity
Resolve complex employee and member concerns involving claims, eligibility, and service matters while following plan documents and fiduciary expectations
Support administration of stop-loss coverage by assisting with renewals, reimbursement activity, and communication with carriers
Maintain benefit plan materials and required notices, assist with reporting obligations, and help prepare documentation for audits and compliance reviews
Partner with Finance and HR to monitor funding levels, evaluate cost patterns, and contribute to benefit budgeting and forecasting efforts
Requirements:
3–5 or more years of experience in benefits administration, including direct work with level-funded or self-funded health plans
Hands-on experience collaborating with third-party administrators, stop-loss carriers, and pharmacy benefit managers
Strong understanding of healthcare benefits operations, claims administration, and core insurance concepts
Working knowledge of applicable benefits regulations and reporting requirements related to employer-sponsored health plans
Experience using benefits administration systems and managing eligibility data accurately
Advanced Excel skills with the ability to analyze data, build reports, and identify utilization or cost trends
Demonstrated ability to manage vendor relationships, solve problems effectively, and handle sensitive information with discretion
Strong communication, organization, and customer service skills, with a high level of attention to detail
What we offer:
medical, vision, dental, and life and disability insurance