Associate Director, Leave and Benefits

The Manager, Benefits & Leave Administration is responsible for the day-to-day management and administration of OneCompass Holdings’ health and welfare benefit programs and employee leave programs across the organization and its operating companies.

This role serves as the primary internal owner for the organization’s Self-Funded medical plan, Dental, Vision and other employee ancillary benefits, benefits administration, FMLA and other leaves of absence, disability programs, and the employee-facing administration of workers’ compensation claims. The Manager partners closely with Human Resources, Risk, Payroll, employees, operational leaders, brokers, third-party administrators, and other benefit partners to provide consistent, compliant, and employee-focused administration.

The position plays an important role in connecting benefits, leave, disability, workers’ compensation, and return-to-work processes, creating a coordinated approach to employee health and absence management.

Essential Duties & Responsibilities

Health & Welfare Benefits

• Lead the day-to-day administration of OneCompass Holdings’ health and welfare benefit programs, including medical, prescription drug, dental, vision, life, disability, and other employee benefit offerings.
• Serve as the primary internal administrator for the organization’s Self-Funded medical plan, dental, vision, and employee ancillary benefits working closely with the medical TPA, PBM, broker/consultant, stop-loss carrier, and other benefit partners.
• Monitor plan utilization, claims information, large-claim activity, and emerging trends in partnership with appropriate vendors and advisors while maintaining appropriate confidentiality and HIPAA protections.
• Coordinate eligibility, enrollment, qualifying life events, benefit changes, terminations, and employee benefit escalations.
• Support annual benefit planning, renewals, open enrollment, plan design changes, and implementation.
• Manage relationships and day-to-day performance with benefit vendors and third-party administrators.
• Assist with benefit plan documentation, required employee communications, notices, audits, and compliance activities.
• Partner with Payroll and HRIS resources to ensure benefit deductions, eligibility information, and employee records are accurate.
• Develop benefit communications and educational materials that help employees understand and effectively utilize their benefits.
• Own the auditing process to ensure accuracy between the HRIS and carriers
• Coordinate the Benefit Information at Separation when an employee-owner terminates

Leave & Absence Management

• Own and administer employee leaves of absence, including FMLA, medical leaves, parental leaves, personal leaves, and other company or legally required leave programs.
• Coordinate short-term and long-term disability claims and employee communications.
• Evaluate leave eligibility, obtain required documentation, track leave usage, and provide required notices and communications.
• Administer intermittent FMLA and other complex leave situations.
• Coordinate with HR on ADA-related accommodation matters when an employee's medical condition, restrictions, or exhaustion of leave may require an interactive process.
• Maintain appropriate leave documentation and confidential medical records.
• Own the tracking of timecards, benefit repayment and accrual adjustments in the HRIS
• Provide guidance to HR and leaders regarding leave procedures, employee status, and return-to-work requirements.

Workers’ Compensation Administration

• Manage the day-to-day employee and claim administration associated with workplace injuries and workers’ compensation.
• Coordinate initial injury reporting and timely submission of claims to the appropriate workers’ compensation carrier, TPA, or state program.
• Serve as a primary point of contact for employees regarding workers’ compensation claim administration and required documentation.
• Maintain communication with injured employees regarding work status, medical documentation, restrictions, and return-to-work expectations.
• Coordinate workers’ compensation absences with FMLA and other applicable leave programs.
• Partner with Human Resources and operational leaders regarding temporary restrictions, transitional duty, accommodations, and return-to-work arrangements.
• Monitor open claims and follow up with carriers, TPAs, employees, HR, and operational leaders as appropriate.
• Escalate significant, complex, litigated, or high-exposure claims to the Risk & Records Manager and appropriate leadership.

Compliance & Governance

• Support compliance for benefit and leave programs, including applicable requirements under ERISA, HIPAA, COBRA, ACA, FMLA and related federal and state requirements.
• Manage ACA compliance and end of year reporting of 1095 forms
• Maintain appropriate controls surrounding employee health and medical information.
• Coordinate required benefit notices, disclosures, documentation, and reporting with internal and external partners.
• Support audits, compliance reviews, benefit filings, and requests for plan information.
• Maintain appropriate documentation of benefit and leave administration processes.
• Partner with external advisors and legal counsel when highly complex compliance or employee situations arise.

Process Improvement & Analytics

• Evaluate benefits, leave, disability, and workers’ compensation processes and recommend improvements that improve the employee experience and reduce administrative burden.
• Develop consistent processes and service standards across OneCompass Holdings and its operating companies.
• Identify opportunities to better utilize HR technology, benefit platforms, vendor capabilities, and automation.
• Develop and monitor appropriate metrics related to benefit utilization, leave activity, workers’ compensation, disability, employee inquiries, vendor performance, and service delivery.
• Identify trends and opportunities to improve cost management, employee experience, process efficiency, and organizational risk.

Key Partnerships

The Manager will work closely with:

• Senior Vice President, Human Resources
• HR Business Partners and HR team members
• Risk & Records Manager
• Payroll
• Finance
• Operational leadership
• Insurance and benefits brokers/consultants
• Medical and pharmacy administrators
• Stop-loss partners
• Disability and leave administrators
• Workers’ compensation carriers/TPAs
• External legal and compliance advisors

Qualifications

Required

• Bachelor’s degree in Human Resources, Business Administration, Benefits Administration, or related field, or equivalent combination of education and relevant experience.
• Approximately 5+ years of progressive benefits, leave, workers’ compensation, or HR administration experience.
• Demonstrated experience administering employer-sponsored health and welfare benefit programs.
• Strong working knowledge of FMLA, disability, workers’ compensation, and employee leave administration.
• Experience managing sensitive and confidential employee medical information.
• Strong analytical, organizational, communication, and problem-solving skills.
• Ability to manage multiple complex employee cases and vendor relationships simultaneously.
• Ability to work effectively across multiple companies, locations, and employee populations.

Preferred

• Experience supporting a Self-Funded/self-insured medical plan.
• Experience working directly with medical TPAs, PBMs, brokers/consultants, stop-loss carriers, and other benefit vendors.
• Experience coordinating workers’ compensation, disability, FMLA, and return-to-work programs.
• Experience within a multi-company or shared-services HR environment.
• CEBS, SHRM-CP/SHRM-SCP, PHR/SPHR, CBP, or other relevant benefits/HR certification.

Key Competencies

• Benefits & Leave Expertise
• Employee Service Orientation
• Sound Judgment & Confidentiality
• Vendor Management
• Analytical Thinking
• Compliance & Risk Awareness
• Process Improvement
• Cross-Functional Collaboration
• Attention to Detail
• Communication & Employee Education
• Problem Solving
• Ownership & Accountability

Measures of Success

Success in this role will include:

• Accurate and timely administration of benefit and leave programs.
• Consistent administration across OneCompass Holdings companies.
• Effective management of the Self-Funded health plan and external benefit partners.
• Timely FMLA, disability, and workers’ compensation case administration.
• Improved coordination of leave, disability, workers’ compensation, and return-to-work processes.
• High-quality employee support and communication.
• Effective vendor performance and issue resolution.
• Strong compliance practices and documentation.

Continuous improvement in benefit and absence-management processes.

OneCompass Holdings is an equal opportunity employer