Benefit Specialist

USI Seattle , WA 98113

Posted 7 days ago

General Description: The Benefit Specialist's primary job is to help clients and their employees with benefit or claim questions and to log all calls for tracking and reporting purposes.

Major Responsibilities:

  • Act as primary resource for clients and their employees with benefit or claim questions.

  • Investigate and solve claim problems.

  • Log all calls into Call Center database for tracking and reporting purposes (100% call tracking).

  • Take requests from Account Managers for supplies and forward to the appropriate account administrator.

  • Act as a client resource for administrative questions regarding enrollment and eligibility and special contract provisions.

  • Provide assistance with coordination of benefits.

  • Drafts appeal letters.

  • Performs claim audits.

  • Track trends to identify consistent claim and/or benefit question patterns from clients.

  • Report trends to carrier and/or the account manager.

  • Run reports for assigned producer team when requested.

  • Maintain open call volume.

Training and Development:

  • On-site ongoing training provided for all above duties.

  • Off-site training as required for continuing education requirements.

Core Job Objectives:

  • Establish effective working relationships with Internal Partners, Clients and Carriers

  • Ensure client satisfaction and to support key initiatives.

  • Work with Internal Partners and Carriers to ensure accurate and timely responses to all client issues.

  • Work with all partners in a manner that fosters mutual respect and teamwork.

  • Respond to requests from all partners by stated timeframes.

  • Consistently be on time for work and all scheduled meetings and training classes.

  • Respond to BRC emails and voicemails, when assigned, within 24 business hours.

Key Skills Required:

  • Remains informed regarding industry information and new product information.

  • Must currently hold life and disability insurance license (or must obtain it within 12 months following date of employment) and retain license by meeting the continuing education requirements.

  • High level of computer literacy including working knowledge of Windows 2003, Excel, Word and call tracking systems.

  • Bilingual preferred.

  • Strong attention to detail and ability to self-check work.

  • Excellent time management skills, keeps manager informed of problems.

  • Organized and able to prioritize work load.

  • Enthusiastic attitude, cooperative team player, adaptable to new or changing circumstances, professional demeanor, sensitive to client needs, self-motivated, creative and innovative.

  • Excellent problem solving skills.

  • Strong verbal and written communication skills.

  • Prior customer service experience is preferred.

  • LI-CG1

Job ID:

20253


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Group Health Or Medicare Benefit Educator

Ascensus

Posted 2 months ago

VIEW JOBS 3/4/2020 12:00:00 AM 2020-06-02T00:00 Total Benefit Communications (TBC), an Ascensus® company, specializes in employee benefit communication and education services throughout the United States. Our highly qualified professionals help companies meet their enrollment goals efficiently and effectively, while ensuring employees understand their health and wellness benefits, appreciate their options, and prepare for a healthy future. Do you have Group Health and or/ Medicare experience? If you're a group health expert or have a wealth of knowledge in Medicare - then we have a position for you! Our positions are 1099 contract roles with short-term temporary assignments that provide supplemental income only. The assignments are on an as needed basis, and demand varies throughout the year. English speaking and bilingual educators are needed to conduct employee meetings, webinars and benefit fairs in Seattle and the surrounding areas. * Please note - To be considered, you can have either Group Health or Medicare experience. If you're well versed in both, it's a plus! To qualify for Medicare, you must hold an active Health/Accident/Sickness state insurance license. Bilingual (English/Spanish) Candidates Needed! Group Health/Medicare Responsibilities * Be knowledgeable of the employee benefits/Medicare industry including recent updates/legislation/changes * Establish and maintain good, professional relationships with employer and client contacts * Educate employees/retirees on all aspects of their health plan and/or ancillary benefits * Be comfortable presenting to small and medium groups of people with Q&A sessions * Complete client required certifications if applicable (Medicare Only) Group Health/Medicare Requirements * 5+ years of experience explaining employee benefits with a background in benefits and/or insurance * Have an active residential Health/Accident/Sickness state insurance license (Medicare Specific) * Medicare background is preferred but not required * Flexible schedule with the ability to take short notice assignments * Able to work in an indoor or outdoor environment * Intermediate computer skills including Microsoft PowerPoint experience * Experience with presenting via telepresence (webinar) technology desired * Ability to occasionally carry boxes up to 20lbs or stand for long periods of time * Ability to travel up to 200 miles and/or travel by air to other states is a plus For additional information on Total Benefit Communications, please visit our website at www.benefitprojects.com Ascensus is a place to have a career, not just a job. As the largest US independent retirement and college savings services provider, we put our focus on people. Our culture is guided by sound principles, is committed to high standards, operates with transparency, and welcomes diversity. When you join our team, you get to go to work every day knowing that you help over 10 million Americans save for retirement and college. Ascensus is an Equal Opportunity Employer and does not discriminate on the basis of race, color, creed, national origin, ancestry, religion, age, citizenship, sex, marital or veteran status, disability or handicap, sexual orientation or any other basis prohibited by applicable law. Ascensus also takes affirmative action to employ, and advance in employment, qualified women, minorities, and covered veterans. Ascensus also makes reasonable accommodations for qualified individuals with disabilities, in accordance with the Americans with Disabilities Act and applicable state laws Ascensus Seattle WA

Benefit Specialist

USI