Posting number: 201905541
Department: |Division of Personnel- STT|
Job classification: Benefits Analyst GHI
Posting type: Promotional
Categories: Insurance
Under the direct supervision of the Chief Group Health Insurance (GHI) or unit supervisor, the Benefits
Analyst is responsible for ensuring that active employees and retirees receive the applicable benefits
provided by the group health insurance program. An employee in this class works with human
resources officers and other stakeholders to determine that benefits are offered, appropriately
delivered, and provide the associated costs.
An employee in this position communicates the advantages of benefits packages to active employees
and retirees and must stay abreast of their benefits information through the eligibility system and other
related systems used within GHI. Work is reviewed through meetings, consultations, reports, and
various GHI related functions daily.
Provides information about various insurance plans to active employees and retirees who are eligible
to enroll in the program.
Provides customer service on benefits, resolves issues, and works directly with management to ensure
results and solutions.
Enters data into the eligibility/management systems relative to active employees and retiree’s payroll
deductions, additions, changes, and deletions which is transmitted to the Department of Finance and
GERS Payroll divisions. Investigates, researches, and resolves eligibility file issues and discrepancies
reported by carriers and HRIT.
Updates policyholder records, privy to highly confidential information, maintains confidentiality, and
employee confidence by keeping benefit information confidential.
Processes and approves qualifying status changes. Administering benefits and leave without pay
processes and managing associated payments in accordance with plan rules.
Acts as subject matter experts for employee benefits inquiries and complaints to ensure a quick,
equitable, and courteous resolution.
Compiles various reports and statistical summaries on activity and functions.
Participates in training opportunities and professional development-related events to stay abreast of
changing policies and procedures and maintain professional networks.
Provides assistance with the coordination of wellness and other GHI events.
Works closely with human resources officers, benefits carriers, consultants, vendors, and other
stakeholders to accurately manage the administration of active employee benefit plans including new
employees, policy interpretation and procedures, and to implement the health insurance plan and
policies.
Manages payments for employees on leave without pay (LWOP) and processes evidence of insurability
in accordance with plan rules.
Conducts new hire orientation of the health insurance plan benefits, annual open enrollment including
plan design changes and presentations.
Trains HR professionals on the eligibility system and explains employee benefits by conducting
meetings, preparing written and graphic announcements, presentations, and explanations and responds
to requests for information.
Performs other related duties as assigned.
Bachelor’s degree in Business administration, Human Resources, or any related field and two (2) years
of experience in benefits administration.
High School Diploma or its equivalent from an accredited institution and five (5) years of experience
in benefits administration.
FACTOR 1- KNOWLEDGE REQUIRED BY THE POSITION
Knowledge of the federal and local laws related to health insurance, departmental rules and regulations,
policies, and procedures governing the group health insurance (GHI) plan.
Knowledge of health insurance policies and practices as it pertains to medical, dental and life insurance
benefits issued by the health insurance provider.
Skill in professionalism and customer service.
Skill in organization and time management.
Skill in computer software and applications including Microsoft Office, Excel, and other HR systems.
Ability to comply with government and local regulations and plan provisions to ensure equitable
administration to GVI employees.
Ability to communicate both orally and in writing.
Ability to communicate effectively with all persons contacted during work.
Ability to maintain alphabetical and numerical files.
Ability to work independently in a fast-paced environment and troubleshoot issues as they arise.
Ability to present information clearly through presentations and training.
Ability to work effectively and efficiently within strict deadlines as part of a team.
Ability to operate a motor vehicle.
Ability to work after hours on weekends at unit events if necessary.
FACTOR 2- SUPERVISORY CONTROLS
The incumbent is given general work assignments by the Chief or designee who provides instructions
regarding changes in policies and procedures. Work is performed independently and is reviewed
regularly through meetings, consultation, and reports related to various GHI functions.
FACTOR 3- GUIDELINES
Guidelines include the Virgin Islands Code, operating manuals issued by BenTek and the
insurance carriers, rules and regulations, policies, and procedures governing the group insurance
program.
FACTOR 4- COMPLEXITY
Work requires general knowledge of relevant policies and procedures related to the Group Health
Insurance (GHI) program. The incumbent is expected to follow the guidelines set by the Group Health
Insurance carriers, maintain confidentiality of policyholder benefit information, and exercise initiative
and good judgment.
FACTOR 5- SCOPE AND EFFECT
The purpose of work is to facilitate management with the administration of the group health insurance
plan and to ensure the smooth operation of the insurance program to active and retired government
employees and ensure their respective departments offer the benefits and services as provided.
FACTOR 6- PERSONAL CONTACTS
Contacts are coworkers, other GHI staff, management, HR officers, departments/agencies officials,
agencies representatives, insurance carriers, consultants, vendors, policyholders, and beneficiaries
made in person, by telephone, email and/or mail.
FACTOR 7- PURPOSE OF CONTACTS
Contacts are made to obtain, provide, update, or request pertinent information relative to medical,
dental, vision and life insurance for active GVI employees, retirees, and their beneficiaries required by
the insurance carrier or the GHI Unit.
FACTOR 8- PHYSICAL DEMANDS
Work is mostly sedentary but frequently requires light to moderate physical effort during GHI events
and open enrollment.
FACTOR 9- WORK ENVIRONMENT
Work is performed in an air-conditioned office setting with some disagreeable conditions and may
require some travel to events and trainings.
The Government of the Virgin Islands Division of Personnel is proud to be at the forefront of progressive public sector Human Resources Management.
Our goal is to address the Government of the Virgin Islands’ business needs with strategic and innovative solutions. We partner with departments and agencies to establish a workforce of excellence who are well-qualified, trained and highly motivated to serve the citizens and visitors of the United States Virgin Islands.
