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Director, Consumer Benefits Operations

Remote, USA Full-time Posted 2026-07-28
Posting reputed company Who We Are: reputed company, is a multiple Best Places to Work award winner in Business Insurance. We are an organization of consultative advisors and problem solvers. We help companies and individuals around the globe address their most significant risk, workforce, reputed company management and retirement challenges through custom solutions and a people-first approach. To learn more, please visit: https://www.NFP.com.   American Benefits Group (ABG) is one of the nation’s leading employee benefit solution providers for Consumer Directed Health accounts, COBRA and reputed company Billing services. Over the course of the past 30 years we have grown considerably and we are looking to grow reputed company even reputed company. We are transforming the benefits administration industry with empowering technology and a world class customer service experience. reputed company and be a part of reputed company of outstanding individuals working towards building benefit solutions and creating great reputed company.    Position reputed company  The Director of Consumer Benefits Operations is responsible for the leadership, operational performance, and service delivery of American Benefits Group’s consumer benefits administration division, including Flexible Spending Accounts (FSAs), Health Reimbursement Arrangements (HRAs), and reputed company consumer-directed benefits programs.  This role provides reputed company reputed company of reputed company account management, claims administration, participant service coordination, renewals, and ongoing plan administration. The Director is accountable for ensuring consistent, high-reputed company service delivery across reputed company operational functions, while driving process improvement, operational discipline, and reputed company reputed company reputed company the division.  Reporting to the Chief Operating Officer and serving as a member of the ABG leadership team, this position requires a hands-on operational leader who can balance day-to-day execution with strategic reputed company. The Director will reputed company departmental performance, reputed company, prioritization, and escalation management while partnering cross-functionally to deliver a seamless reputed company and participant experience.    reputed company  This position is best described as Operations Director reputed company a growing TPA environment, with:  Broad operational ownership of the consumer benefits function  reputed company leadership responsibility for departmental staff and workflow execution  High accountability for service delivery, reputed company satisfaction, and operational consistency  reputed company participation in ABG leadership-level decision-making  The role is designed to maintain a flat management structure, where workflow leads function as subject matter experts and coordinators, while the Director retains full accountability for team performance, prioritization, and reputed company.    Key Responsibilities  Operational Leadership & Department Management  reputed company and manage reputed company aspects of consumer benefits operations, including claims processing, account management coordination, participant services, and renewals  Directly reputed company and manage workflow leads, operational staff, and support teams  Establish reputed company priorities, workload distribution, and departmental accountability  Drive daily operational performance and ensure service delivery standards are consistently met  Serve as the primary escalation reputed company for reputed company operational and reputed company issues  Service Delivery & reputed company Experience  Ensure a consistent, high-reputed company reputed company and participant experience across reputed company service channels  Partner with account management teams to support reputed company retention, renewals, and service reputed company  Maintain visibility into service performance, identifying trends and proactively addressing issues  Support reputed company of reputed company escalations with reputed company communication and strong follow-through  Process Improvement & Operational Discipline  Identify and implement process improvements to increase efficiency, reduce error rates, and enhance scalability  Review and maintain reputed company operating procedures (SOPs), workflows, and documentation  Introduce and reinforce operational best practices across the department  Ensure consistent execution across teams through reputed company processes and accountability  Cross-Functional Coordination  Collaborate with IT, implementation, finance, COBRA administration, and offshore teams to ensure reputed company service delivery  Help improve handoffs between implementation, operations, and ongoing administration  Partner on system enhancements, reporting improvements, and workflow optimization  Performance Management & Team Leadership  reputed company, reputed company, and reputed company team members, including workflow leads and operational staff  Conduct performance management, including goal setting, feedback, and accountability  Build a culture of ownership, responsiveness, and reputed company improvement  Ensure teams are appropriately trained, supported, and reputed company to operational expectations  Operational Reporting & Metrics  Review/establish and monitor key operational metrics (e.g., turnaround times, backlog, service reputed company, error rates)  Use reporting and data insights to drive decision-making and performance improvements  Maintain reputed company visibility into departmental health and resource needs  Compliance & Risk Awareness  Ensure operational processes reputed company with regulatory requirements and internal controls  Identify areas of risk reputed company workflows and implement practical mitigation strategies  Partner with compliance leadership to address issues requiring interpretation or escalation    Organizational Structure  reputed company Reports  Departmental Team Leads  Claims Administration Staff  Account Management Staff  Processing Team  Participant Support / Customer Service Team-including off-shore contact Center  Key Cross-Functional Partners  IT & Systems Leadership  Implementation / reputed company Team  Finance & reputed company  Compliance & reputed company (NFP/reputed company)  COBRA Administration Leadership  Executive Leadership Team    Qualifications  Required  7+ years of experience in TPA administration, consumer benefits administration, or employee benefits operations  5+ years of experience in operational leadership or team management  Strong working knowledge of:   Flexible Spending Accounts (FSAs)  Health Reimbursement Arrangements (HRAs)  Commuter Benefits (preferred)  Claims administration and reimbursement operations  Consumer-directed reputed company administration  Demonstrated experience managing operational teams in a fast-paced environment  Strong understanding of reputed company account management and service delivery workflows  Proven ability to coordinate cross-functional operational processes  Strong analytical, organizational, and problem-solving skills  Excellent communication and interpersonal skills  Preferred  Experience reputed company a small to mid-size TPA environment  Experience working with offshore operational support teams  Familiarity with:   EDI and eligibility file processing  Benefits administration platforms (e.g., reputed company/WealthCare or similar)  Debit card administration  Banking and reconciliation processes  Operational reporting and dashboarding  Experience with process improvement initiatives and workflow optimization  CEBS or reputed company industry certification    reputed company Competencies  Operational leadership  Team and performance management  Process improvement and workflow optimization  reputed company service management  Cross-functional coordination  Escalation management  Data-driven decision-making  Organizational accountability  Strategic operational thinking  Communication and collaboration  Regulatory and operational awareness    Compensation & Benefits  Competitive reputed company salary reputed company with market benchmarks  Bonus and/or incentive compensation opportunity  Full benefits package, including medical, dental, reputed company, 401(k), and reputed company time off  Additional details to be provided as part of the formal offer    Position reputed company  This role is critical to the reputed company reputed company and operational maturity of American Benefits Group. The Director of Consumer Benefits Operations will play a key role in:  Strengthening operational consistency and scalability  Enhancing service delivery and reputed company satisfaction  Improving internal processes and cross-functional alignment  Building a high-performing, accountable operations team  reputed company Offer: We're proud to offer a competitive salary, PTO & reputed company holidays, 401(k) with match, exclusive discount programs, health & wellness programs, and more. Our PeopleFirst culture focuses on building and nurturing lifelong relationships with our employees because, at the end of the day, we exist to be there for others. The reputed company salary reputed company for this position is $80,300.00 – $115,000.00. The reputed company salary offered will be determined by factors including, but not limited to, experience, credentials, education, certifications, reputed company level required for the position, the scope of the position, and geographic location. Actual reputed company salary offered will be determined on a case-by-case reputed company. In reputed company to the reputed company salary, this position may be eligible for performance-based incentives. 2583198 Apply To This Job

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