Job Summary:
The HR Generalist – Benefits & Leave supports the administration of employee benefits and leave programs for a complex, multi-state TPA. This role ensures accurate and timely processing of benefits enrollments, life events, and compliance with FMLA, ADA, STD, LTD, and state leave programs. The Generalist also cross-trains across HR functions to support a cohesive team environment.
Key Responsibilities:
• Coordinate new hire benefits enrollment, open enrollment, and qualifying life events.
• Maintain accurate employee benefit records in HRIS and vendor systems.
• Support employees with benefit inquiries, claim issues, and escalations.
• Administer employee leaves of absence including FMLA, ADA (with Director assistance), STD, LTD, and state-specific leaves.
• Partner with managers and employees to communicate leave expectations and documentation requirements.
• Collaborate with payroll to ensure proper pay continuation and benefit premium handling during leaves.
• Track and monitor employee leave usage, return-to-work status, and extensions.
• Ensure benefits and leave practices comply with ERISA, ACA, HIPAA, and DOL regulations.
• Assist with compliance activities including 1095-C and ACA filings.
•Administer multi-state leave programs, including state-specific paid family and medical leave, ensuring compliance with applicable laws and coordination with federal FMLA.
• Work with benefits vendors, brokers, and carriers to resolve escalated employee issues and ensure accurate plan administration.
• Support compliance audits and activities, including COBRA, ACA, HIPAA, and nondiscrimination testing.
• Monitor and analyze leave usage and benefits participation trends, providing recommendations for process improvements.
• Conduct employee education sessions during orientation, open enrollment, and as needed to support benefit understanding
•Identify and recommend opportunities to improve benefit offerings and employee programs.
• Cross-train across HR functions to provide support and ensure continuity of operations.
Qualifications:
• Associate’s or Bachelor’s degree in HR, Business, or related field (or equivalent experience).
• 3–5 years of experience in benefits and leave administration in a multi-state environment.
• Knowledge of FMLA, ADA, ERISA, ACA, HIPAA, and state leave laws.
• Preferred SHRM-CP, PHR, or equivalent certification.
• Experience with HRIS, benefits platforms, and payroll systems.
• Strong organizational skills and attention to detail.
• Excellent communication and interpersonal skills with a focus on employee support.
• Ability to maintain confidentiality and manage sensitive information.
Work Environment & Physical Demands:
• Prolonged periods of sitting at a desk and working on a computer.
• Regular use of a computer, keyboard, and mouse is necessary; reasonable accommodations will be provided upon request.
• Employees should ensure an ergonomically appropriate desk and chair setup.
• Comfort with being on camera for virtual meetings (e.g., Microsoft Teams).
Must be able to perform essential job duties with or without reasonable accommodation and be available to work during scheduled hours.
