Posting number: 201905543
Department: |Division of Personnel- STX|
Job classification: Benefits Technician GHI
Posting type: Promotional
Categories: Insurance
Under the direct supervision of the Chief Group Health Insurance (GHI) or unit supervisor, this
position is responsible for providing staff support for the efficient flow of services of the Group Health
Insurance (GHI) unit. An employee in this class also ensures that beneficiaries receive life-insurance
pay-outs and provides assistance with communicating the benefits packages to active employees and
retirees.
This is entry-level administrative support work that attends to a variety of staff support functions in
and out of the GHI office. Work is performed in accordance with established policies and procedures
where considerable initiative and good judgment is required in the application and interpretation of
rules and regulations. Work is reviewed through meetings, consultations, reports, and various GHI
related functions daily
Processes all death claims for the beneficiaries of deceased policyholders of the GHI program. Informs
beneficiaries of available benefits amounts and burial arrangements. Verifies policy information with
local or mainland funeral homes and funding companies.
Conducts research to provide assistance to families of unprocessed death claims.
Provides assistance to minor beneficiaries with receiving benefit pay-out at the age of eighteen (18).
Prepares monthly statistical reports of deaths reported and total amount of life insurance pay-outs.
Requests information and supporting documents on homicide cases with VIPD, Department of Justice,
and the coroner’s office for death claim processing.
Provides assistance with the collection of unpaid premiums owed to the GVI to process claims.
Maintains all death records by filing, scanning, and uploading pertinent documents into the system.
Privy to highly confidential information, maintains confidentiality and employee confidence by
keeping benefit information confidential.
Provides assistance with the coordination of wellness, open enrollment, HR Officers trainings, BenTek
support weekly meetings, and all other GHI events.
Handles, processes, and distributes all incoming mail into the GHI office. Logs all incoming payments
including credit cards, checks, and money orders for insurance payments and delivers to Benefits
Analyst.
Provides assistance to Benefits Analysts by providing client service support to active employees and
retirees of the GHI program with the completion of enrollment forms for address change, updating
beneficiaries, add/drop spouses or dependents, increase or decrease life insurance during open
enrollment or a qualifying event.
Processes child support orders regarding health insurance coverage for employee’s dependents.
Verifies employee record of parents’ medical plan and return mail correspondences to PCSD.
Participates in training opportunities and professional development-related events to stay abreast of
changing policies and procedures and maintain professional networks.
Provides customer service on benefits, resolves issues, and works directly with management to ensure
results and solutions.
Performs other related duties as assigned.
Associate degree in Business Administration or any closely related field and two (2) years of
experience in benefits administration.
OR
High School Diploma or its equivalent from an accredited institution and four (4) 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, 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 and beneficiaries.
Ability to show compassion to beneficiaries of deceased employees and retirees of the GHI program.
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 address issues as they arise.
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 or special assignments by the Chief or designee, who distributes
assignments, provides instructions regarding changes in policies and procedures, and reviews work
upon completion. The incumbent is expected to perform with some degree of independence and should
be able to use initiative in the completion of work. Work is reviewed regularly through meetings,
consultation, and reports on related 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
The employee performs a variety of recurring duties. Work is general and repetitive in nature. The
incumbent is expected to follow the guidelines set by the Group Health Insurance carriers, maintain
confidentiality of policyholder benefit information, and displays compassion. The incumbent exercises
good judgment and initiative but refers unusual situations to management for resolution.
FACTOR 5- SCOPE AND EFFECT
The purpose of work is to facilitate management with the administration of the group health insurance
plan and to provide staff support to ensure the smooth operation of the insurance program to active and
retired government employees.
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 training.
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.
