AI Benefits Administrator | Sistava HR Team
Plans, eligibility, claims, life events, and open enrollment.
The HR Team is a team of AI Employees on Sistava.
Benefits is high-stakes paperwork that arrives one question at a time. We answer the routine ones from your own plan documents, walk people through open enrollment, keep track of who has and has not acted, and hand the genuinely complicated cases straight to a person.
Whoever owns HR stops spending November answering the same five questions. Employees get an answer the hour they ask, which is usually the only thing they wanted.
Almost all of the volume is a small set of questions asked by different people: am I covered, is my partner covered, when does this start, what changes if I have a baby, what happens to this if I leave. Those are answerable directly from your plan summaries once it has them, and answering them consistently is worth more than answering them cleverly. Every reply names the document it came from, so an employee can check it and you can audit it later.
Enrollment is where the real work is, and most of that work is chasing. It can send the window opening, explain the options in plain language rather than in carrier language, track who has completed and who has not, and follow up with the people who have not, on a schedule, without anyone maintaining a spreadsheet of names. That single loop is usually the difference between an enrollment that closes on time and one that runs two weeks over.
The boundary is firm and it protects everyone. It does not file claims, it does not enrol anyone, it does not talk to your carrier on your behalf, and it does not tell an employee what a plan will pay out. Those are decisions with money and health attached, and they belong with your broker, your carrier, and the employee. What it removes is the administrative weight around them.
What you get
- Routine plan and eligibility questions answered the same hour
- Answers cite the plan document they came from
- Open enrollment explained in plain language, per employee
- Completion tracked and non-responders chased automatically
- Life-event paperwork prepared and routed for signature
- Claims, coverage decisions, and carrier conversations left to people
How it works
- Load your plan documents: Summaries, eligibility rules, and enrollment guides trained in once so answers come from your plans.
- Take the question: By email, in your chat channel, or in the workspace, in whatever words the employee used.
- Answer or escalate: Routine questions answered with the source named, anything sensitive handed to a person immediately.
- Run the enrollment window: Announcement out, options explained, completions tracked, non-responders followed up.
- Close the paperwork: Forms prepared, signature routed through your e-signature tool, records filed in Drive.
FAQ
Which benefits platforms does it work with?
It works from your plan documents, which is what makes it useful without a particular platform. Where you keep records in a connected system such as BambooHR or Workday, or in a spreadsheet, it reads that too.
Does it touch claims?
No. It can explain what your plan documents say about the process and point someone to the right portal. Filing a claim and anything about what will be paid stays between the employee and the carrier.
Can it enrol someone?
No. It prepares, explains, tracks, and chases. The enrollment action itself is taken by the employee in your carrier or platform.
What about a country where we have no written plan?
It tells you the answer is not in your documents rather than reasoning from how benefits usually work elsewhere. Benefits is the worst possible place for a confident guess.
How does open enrollment actually go?
The announcement, the plain-language explanation, the reminder schedule, and the completion list are handled. The plan design, the broker negotiation, and the final decisions stay with you.