Job Classification Description

The University of Texas System/System Office

Job Class: Supervisor of Benefits

Job Code: 9544

Date: 9-1-2009

SUMMARY

Purpose: Manage the administration of the customer service and overall administration issues of the System’s group insurance programs including, but not limited to, management of staff, coordinating customer call center activities, plan member appeals, writing and publishing Request for Proposals and negotiating and implementing new contracts, monitoring contracted requirements with vendors and reporting deficiencies to appropriate staff. Supervise and coordinate the dissemination, training and institution customer service calls relating to policy interpretation.

DUTIES

Samples of Work Performed:

· Manages plan operations including Request for Proposal preparation, bid response reviews and negotiating and implementation of plans, including overseeing day-to-day operations, advising management of external group insurance trends and participant feedback.

· Manage contracts between the Office of Employee Benefits (OEB) and group insurance vendors which includes negotiating contract enhancements with vendors and monitoring and reporting vendor performance.

· Monitors the interpretation of plan guidelines and policy as well as coordinate problem-solving for complex issues pertaining to System group insurance plans to ensure consistency.

· May administers OEB training programs including relating policy and procedure interpretation to deliver consistent training programs and vendor performance standards through continuous monitoring of the program and policies

· May lead and coordinate the OEB customer service functions, including staff, to ensure OEB maintains a high level of customer service for the members, institution benefits office staff and contracted vendors.

· Collaborates with management, various committees, vendors and consulting actuary to discuss and recommend plan design enhancements and changes based on customer need, market trends and fiduciary responsibilities.

· Reviews plan trends, evaluates marketplace, reviews state and federal legislation as needed to ensure compliance, making recommendations for meeting and exceeding all program goals.

· Writes plan certificates and other communication materials ensuring System, state and federal regulatory compliance. Consults outside legal parties when necessary.

· Other duties as assigned.

SUPERVISION

Received: Work is performed under general supervision of supervisor with considerable latitude for the use of initiative and independent judgment

Provided: Provides leadership and supervision of specific projects and personnel as assigned

QUALIFICATIONS

Education: Bachelor’s degree is required

Experience: Five years of progressively responsible experience is required.

Knowledge, skills and abilities: Advanced analytical skills. Advanced written and verbal skills. Intermediate people and project management skills. Advanced interpersonal skills. Intermediate delegation skills required including ability to manage effectively. Advanced negotiating skills required along with keen ability to determine appropriate areas of compromise. Intermediate ability to appreciate challenging situations and analyze facts to apply consistent determinations of plan benefits.

WORKING CONDITIONS

OTHER

FLSA Status: Exempt

ORP Eligible: No

This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. The incumbent is expected to perform other duties necessary for the effective operation of the department.

Any qualifications to be considered as equivalents in lieu of stated minimums require prior approval by the Office of Employee Services.

This job classification may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code §51.215.