Manager of Administration Position Available In Hillsborough, New Hampshire

Manager of Administration HRC Total Solutions, LLC Manchester, NH 03101

• Hybrid work The Administration Manager will oversee the Administration employees and the day-to-day affairs of the department, ensuring efficient and accurate processing of enrollments and claims for FSA, HRA, DCA, HSA, and other similar accounts. This role requires a strong understanding of EDI and claims file setup and management to optimize operational workflows. Supervisory Responsibilities
• Hires and manages training of new staff.
• Organizes and oversees the schedules and work of assigned staff.
• Conducts performance evaluations that are timely and constructive.
• Handles discipline and termination of employees in accordance with company policy.
• Manages the Administrations caseload to ensure that work is complete and on time.
• Monitors and maintains department key performance indicators (KPIs).
• Updates policies and procedures related to scheduling, training, and all tasks for the department.
• Processes and approves timesheets of assigned staff.
• Attends Manager’s meetings/Department meetings Duties/Responsibilities
• Manages a team of 6 assigned Claims Administrators/Enrollment Specialists and ensures they comply with company guidelines, particularly related to quality of service.
• Conducts team meetings, as needed.
• Meets with staff as needed to check in, monitor performance, train, etc..
• Plays an active role in company projects.
• Assesses workflows for efficiency, with a focus on EDI and claims processing optimization.
• Ensures that the Administrations departments are informed about changes to company plans, services, policies, and procedures, including those related to FSA, HRA, DCA, and HSA accounts.
• Manages departmental performance, identifying and facilitating opportunities to increase productivity and efficiency in claims and enrollment processing.
• Manages daily departmental tasks such as assisting staff with questions or issues, monitoring cases and queues.
• Manages conflict and resolution of complaints within the department and notify/escalate to HR and Director of Operations when necessary.
• Communicates with other Managers regarding issues, priorities, questions or concerns.
• Completes various administrative tasks to ensure effective claims/enrollment processing.
• Complies with all confidentiality and other Federal regulations, including IRS regulations pertinent to benefit accounts.
• Ensures all completed work meets the standards of customers.
• Processes claims/enrollments as needed to support the Department during high volume periods/PTO/Etc..
• Oversees the setup, testing, and ongoing management of EDI files for client data exchange and claim submissions.
• Develops and implements strategies for efficient claims file intake, validation, and reconciliation.
• Ensures data integrity and security for all enrollment and claims information.
• Collaborates with IT and other departments to troubleshoot and resolve EDI and claims file-related issues.
• Stays current with industry best practices and regulatory changes affecting EDI, claims processing, and benefit account administration.
• Performs other related duties as assigned. Required Skills/Abilities
• Excellent verbal and written communication skills.
• Extensive knowledge of Administration procedures and principles for TPA operations.
• Excellent time Management skills with the ability to assign and delegate tasks.
• Ability to coach and mentor all hourly and salary team members.
• Proficient computer skills with ability to learn new software.
• Extensive knowledge of HRC’s plans and IRS/Federal regulations related to FSA, HRA, DCA, HSA, and other accounts.
• Proven expertise in Electronic Data Interchange (EDI) standards and file formats (e.g., 834, 835, 837).
• Strong understanding of claims adjudication processes and benefit plan designs for various account types.
• Ability to analyze complex data and identify trends related to claims and enrollment.
• Experience with claims management systems and enrollment platforms.
• Problem-solving skills with a focus on process improvement and automation.
• Ability to perform light scripting within RPA software
• Knowledge of macros Education and Experience
• Bachelor’s degree preferred or equivalent combination of education and experience.
• Google Workspace experience.
• CRM experience.
• Experience with specialized plans and IRS/Federal regulations relevant to benefit administration.
• Minimum of 3 years of experience in a management role within a Third-Party Administrator (TPA) or benefits administration environment. Physical Requirements
• While performing the duties of this job, the employee is regularly required to sit, stand, and walk.
• The employee may occasionally be required to lift and carry up to 10 pounds.
• The employee is frequently required to use the computer for prolonged period, operate other office equipment, and be able to talk and hear in order to communicate clearly with others.
• The employee will work in a typical office

Benefits:

401(k) Dental insurance Flexible spending account Health insurance Health savings account Paid time off Vision insurance Work from home While the job does allow you to work from home, you will want to be prepared for hybrid work when needed.

Job Type:

Full-time Pay:

$70,000.00 per year

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance

Shift:

Day shift

Work Location:

In person