BENEFITS FUNCTIONAL SPECIALIST – Health Benefits

Position Summary:

• Interprets and explains SHBP provisions, eligibility rules, coverage options, and cost calculations as defined by NJDPB.
• Assists employees with the Benefit Solver enrollment platform and supports navigation of state‑mandated requirements.
• Reviews and certifies dependent enrollments in Benefit Solver, including documentation verification and eligibility determinations.
• Processes health benefit enrollment transactions and dependent record setup in PeopleSoft in accordance with eligibility rules and payroll deadlines.
• Calculates, enters, and validates health plan rate adjustments, corrections, and refunds in PeopleSoft.
• Ensures adherence to all applicable procedural, policy, and legislative requirements governing health benefit programs.

• Serves as the primary contact for employees regarding continuation of health coverage while on unpaid leave of absence.
• Generates, issues, and tracks medical plan leave‑of‑absence billing in accordance with university schedules and policies.
• Follows up on outstanding payments and processes remittances, ensuring timely deposit and accurate recordkeeping.
• Prepares and maintains monthly reconciliation of employee leave‑related remittances for financial accounting .

• Researches and resolves complex health benefit inquiries escalated from OneSource, providing accurate and thorough responses.
• Documents all case activity in the OneSource case management system following established protocols.
• Coordinates with NJDPB, Benefit Solver, and payroll teams to resolve eligibility discrepancies, enrollment issues, and billing concerns.

• Participates in routine audits, data validation initiatives, and system clean‑up efforts to maintain data integrity.
• Develops, updates, and maintains internal processes, workflows, and procedural documentation.
• Creates and updates Knowledge Articles for OneSource staff and employees on SHBP and other benefits programs.
• Identifies opportunities for process improvements, efficiencies, and technology enhancements across health benefit operations.
• Engages in training and development initiatives to support staff capabilities and promote consistent service delivery.

Minimum Education and Experience:

• Bachelor's degree or an equivalent combination of education and relevant experience.

City: New Brunswick

State: NJ

Posting Number: 26ST0642