Administers compliance for PEO master benefit plans, including ACA reporting, Form 5500 filings, Medicare Part D disclosures, ERISA, COBRA, HIPAA, and state requirements. Researches regulations, supports internal Benefits Administration and client-facing teams, maintains compliance documentation, conducts audits, coordinates with vendors and legal counsel, trains staff, monitors legislative changes, and assists with enrollment and renewals. The role is primarily internal and requires regular onsite attendance.
About Us
• Vensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing HR/HCM technology, managed services, and global business process outsourcing (BPO).
• The company and its service providers collectively serve over 95,000 businesses and process over $135B in annual payroll.
• As a "One Employer Solution" headquartered in Chandler, Arizona, Vensure helps thousands of businesses streamline and grow operations with custom strategies for employers and employees. Visit: www.vensure.com.
Position Summary
• Title: Senior Benefits Specialist
• Supports oversight and administration of compliance functions for the company's PEO master benefit plans.
• Acts as subject matter resource for internal teams (including Benefits Administration) on complex regulatory and compliance matters: Affordable Care Act (ACA), Form 5500 filings, Medicare Part D Creditable Coverage reporting, state filings (e.g., Massachusetts HIRD), ERISA, and other federal/state benefit compliance requirements.
• This role is not client-facing by phone; it provides research, guidance, and documentation to client-facing teams.
• Brings a positive, energetic, and collaborative approach and a passion for compliance excellence.
Essential Duties and Responsibilities
• Monitor and ensure ongoing ACA compliance, including employer shared responsibility and annual 1094-C/1095-C reporting for PEO master plans.
• Prepare, review, and file Form 5500 annual reports for master plans; coordinate with TPAs, auditors, and internal stakeholders.
• Track and interpret federal and state compliance requirements (ERISA, COBRA, HIPAA) and communicate plan/process updates to teams.
• Complete Medicare Part D Creditable Coverage disclosures and related CMS reporting.
• Manage state-specific filings (e.g., Massachusetts HIRD) and similar requirements.
• Serve as primary compliance SME supporting Benefits Administration and other departments that communicate compliance topics directly to clients.
• Research and respond to internal escalations on complex compliance questions; provide guidance and documentation to client-facing teams (does not handle client calls).
• Develop, maintain, and update compliance documentation: SOPs, FAQs, compliance calendars, and process guides.
• Train and mentor team members on compliance requirements, processes, and best practices to support consistency and audit readiness.
• Participate in special projects and initiatives related to benefits compliance as assigned.
• Monitor legislative and regulatory changes affecting PEO master plans and proactively inform leadership and relevant departments.
• Liaise with insurance carriers, vendors, and legal counsel to resolve plan-specific compliance questions.
• Perform periodic audits of benefit plan compliance data and documentation to identify and correct discrepancies.
• Generate compliance-related reports from Prism and respond to internal or external audit requests.
• Support open enrollment and plan renewal processes by reviewing plan documents, Summary Plan Descriptions (SPDs), and amendments for compliance accuracy.
• Regular, on-site attendance is an essential job function due to secure system access, collaboration on sensitive matters, participation in operational meetings, and activities that cannot be performed remotely without compromising security or effectiveness.
Marginal Functions
• Build and maintain relationships with team members and peers across disciplines to ensure effective coordination of communications and services.
• Attend webinars and training to stay current on regulatory changes and best practices.
• Perform additional duties and special projects in support of the Benefits function.
Knowledge, Skills, and Abilities
• Strong working knowledge of ACA, ERISA, HIRD, Medicare Part D, and Form 5500 filing requirements.
• Analytical and regulatory research skills; ability to translate complex requirements into practical guidance.
• Positive, energetic, collaborative style with enthusiasm for compliance work and cross-team partnerships.
• Clear, professional written communication and effective internal presentation skills for complex compliance information.
• Customer-service mindset in a non-client-facing capacity to support internal teams.
• Management, organizational, teamwork, enthusiasm, willingness to learn, flexibility, proactivity, and decisiveness.
Required Education & Experience
• Bachelor's degree or equivalent combination of 2–4 years of benefits compliance experience (e.g., ACA reporting, Form 5500 filings, ERISA, or related regulatory work).
• Relevant non-traditional degrees, certifications, or job training programs are acceptable and preferred.
Physical, Mental, & Communication Demands
• Physical: Sedentary work with frequent computer use; occasional walking in office; minimal lifting; visual acuity for screens and printed materials.
• Mental: Strategic thinking, decision-making, attention to detail, problem-solving, multitasking, and stress management during regulatory filing periods.
• Communication: Strong interpersonal skills, cultural sensitivity, clear written communication for documentation and filings, verbal guidance to internal teams, and presentation skills for regulatory updates and findings.
Environmental Conditions
• Professional office environment with regular computer use and standard office equipment; climate-controlled, typical lighting, low to moderate noise; extended screen time and in-person collaboration.
Disclaimer
• This job description is not exhaustive; employees will perform other job-related duties as requested. Management may revise duties. Reasonable accommodation will be made for qualified individuals with disabilities. This document does not create an employment contract beyond at-will employment.
Benefits
• Health Insurance: Medical, dental, and vision coverage.
• Retirement Plan: 401(k) with company match.
• Paid Time Off: PTO, holidays, parental leave, and sick leave as required by state law.
• Other Benefits: Life insurance, short-term disability, long-term disability, employee assistance program (EAP), flexible spending account (FSA), health savings account (HSA), identity theft protection, critical illness, accident, cancer, hospital protection, legal and pet insurance.
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