Benefits Manager
Optum Philippines
- Location:
- Makati
- Posted:
- 10 Jun 2026
- Listed on:
- en-ph.whatjobs.com
Job description
Job SummaryThe Senior Benefits Analyst is a tactical Total Rewards role responsible for benefits escalation management, vendor governance, and employee enablement for the Philippines.The role serves as the second‑line owner of benefits issues—intervening when cases require judgment, policy interpretation, vendor management, or leadership engagement. It ensures that benefits programs are delivered consistently with policy intent, compliance requirements, and employee experience standards.All routine benefits administration and transactional processing (e.g., enrollments, claims processing, payroll execution) are performed by Employee Center and HR Operations. This role focuses on resolution, governance, and capability‑building rather than administration. Key Responsibilities1. Benefits Escalation ManagementServe as the primary escalation point for complex, non‑routine, or high‑impact benefits cases unresolved by Employee Center or HR Operations.Resolve issues involving:hospital admissions, excess billing, and Corporate Guarantee (CG) matterscomplex eligibility and conversion scenariosemployee disputes or sensitive benefits cases with reputational or employee‑relations riskApply policy interpretation, precedent, and judgment to reach fair, compliant, and defensible outcomes.Determine appropriate escalation to Total Rewards leadership, Legal, Finance, or vendors when required.2. Vendor Management & Service GovernanceAct as the tactical benefits authority in engagements with benefits vendors and brokers (e.g., HMO, insurance, wellness, retirement partners).Lead vendor escalations, service recovery discussions, and root‑cause analysis.Monitor vendor service performance against policy intent and employee experience expectations.Surface vendor risks, recurring issues, and improvement opportunities to Total Rewards leadership to support renewal and design decisions.3.Benefits Training & EnablementLead benefits education and capability‑building across stakeholders, including:employee orientations, roadshows, and virtual sessionstraining for People Business Partners (PBPs)enablement sessions for Employee Center and HR Operationslearning sessions for regional and global Total Rewards partnersDevelop and deliver clear, practical benefits materials that translate complex rules into employee‑friendly guidance.Reduce avoidable escalations by strengthening understanding and frontline enablement.4. Tactical Execution of Benefits StrategySupport Total Rewards leadership in operationalizing benefits strategy through:participation in benefits renewals and design discussionsproviding local insights for benchmarking and market studiescontributing Philippines input to global initiatives (e.g., benefits platform implementations)Identify employee impact, readiness risks, and local considerations prior to rollout of benefits changes.5. Risk, Compliance & Governance SupportAct as a second‑line governance checkpoint for benefits interpretation and delivery.Support legal, audit, or compliance reviews by providing factual clarifications and benefits expertise.Identify systemic risks and gaps arising from escalations and provide recommendations for process or policy improvements to owning teams. Key Skills & CapabilitiesStrong benefits policy interpretation and professional judgmentVendor management and escalation handling capabilityClear, confident communication with employees, leaders, and partnersAbility to manage sensitive, high‑impact cases with composureStrong governance mindset focused on fairness, consistency, and auditability QualificationsExtensive experience in employee benefits, insurance, or Total Rewards within a Philippines contextProven experience handling escalations, vendor negotiations, or complex employee casesExperience delivering training, roadshows, or enablement sessions is required
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