Healthcare Benefit Specialist (Maryland Heights, MO)

Benefit Specialist

Determines, maintains, and terminates member and/or dependent eligibility or health care benefits. Responds to incoming telephone calls from members, dependents, and providers regarding benefits provided by the Plan. Review eligibility and claims data to ensure accuracy of processing in accordance with Plan provisions.

Essential Duties and Responsibilities Include But Not Limited To:

• Be the first point of contact for member questions/issues
• Know the plan as outlined in the Summary Plan Description (SPD)
• Professionally and accurately respond to incoming calls from members to include:
  • Explaining group benefits
  • Confirming eligibility status
  • Assisting the callers with their questions or concerns and providing problem resolution
  • Mail, email or fax commonly requested forms and letters to members as needed
• Be able to review and understand the meaning of any mailings sent as well as explain them to members and employers
• Assist with additional client related work as needed and assigned by manager/supervisor
• Expected to handle each call and member walk-in professionally and to the best of his/her ability
• Must have compassion and patience for all members that need extra assistance
• Be confident handling difficult situations
• Must have superior written and verbal communication skills.
• Must be flexible and willing to pitch in and work together as a team member
• Should have general knowledge of Word and Excel
• This position will require training and continued communication with the Plan Management and Contributions Supervisor for guidance and direction
• Regular and predictable attendance is an essential function of this job

Education and/or Experience Post High School Education or Prior Related Work Experience

Language Skills Ability to read and interpret; the plan rules as outlined in the SPD's, user manuals for on-line services, department rules and procedures manual and COBRA Compliance manual. Communicate well with Plan Management and higher level. Mathematical Skills - Ability to apply concepts of basic addition, subtraction, multiplication, and division. Reasoning Ability - Specialist must be analytical. Specialist must be able to deal with people in stressful situations. Superior communication skills and keen observation is essential. Knowledge of healthcare benefits and application and attention to detail. Creative ability to continually improve processes, transmission of information and apply good communication skills both verbally and visually to translate information with ease of understanding for both our members, clients and vendors.

Physical Demands Extended Computer Time, Deciphering Healthcare Information and Extracting Information for Both Internal/External Use

Work Environment - Fast paced department. Work independently as well as in a team, must be able to multi-task and be detail oriented. Work Schedule - Full-time. Monday - Friday, 7:30am - 4:30pm. Required in office (no at-home days).

Competitive Benefits and Compensation Package

• 12 paid holidays
• Paid Time Off (PTO)
  • Pro-rated during first year of employment
  • 15 days of PTO provided in the next calendar year!
• 3 days paid bereavement
• Up to 20 days paid jury leave
• Medical, dental, and vision insurance, with option for dependent coverage
• Company-paid basic life, short-term disability, long-term disability, and AD&D insurance
• 401k with employer match
• Tuition reimbursement program
• Career development opportunities
• Referral bonus for all successful full-time referrals
• Annual opportunities for increases

Pay - The hourly rate for this position is $21.00. Actual salary is dependent on skills, experience, education, and other business factors.

Our Culture

BeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees' successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a place where employees can find long-term growth and potential. Our culture focuses on three core values:

• Collaboration: working together across 31 locations to achieve the best for the company and our clients
• Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues
• Integrity: doing what we say we will do. Upholding strong ethical and moral principles

ADA & EEO Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.