Benefit Specialist; Maryland Heights, MO

Overview

Summary – 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.

• 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, including:
  • explaining group benefits
  • confirming eligibility status
  • assisting callers with 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 and explain them to members and employers
• Assist with additional client-related work as needed and assigned by manager/supervisor
• Handle each call and member interaction professionally and to the best of your ability
• Show compassion and patience for all members needing extra assistance
• Be confident handling difficult situations
• Maintain superior written and verbal communication skills
• Be flexible and willing to pitch in and work together as a team member
• 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

Post High School education or prior related work experience.

Ability to read and interpret the plan rules as outlined in the SPD’s, user manuals for online services, department rules and procedures manual, and COBRA Compliance manual. Communicate well with Plan Management and higher level staff.

Ability to apply concepts of basic addition, subtraction, multiplication, and division.

Specialist must be analytical, able to deal with people in stressful situations. Superior communication skills and keen observation are essential. Knowledge of healthcare benefits and attention to detail. Creative ability to continually improve processes and effectively translate information for members, clients, and vendors.

Extended computer time, deciphering healthcare information and extracting information for internal and external use.

Fast-paced department. Work independently as well as in a team; must be able to multi-task and be detail oriented.

Full-time. Monday - Friday, 7:30am - 4:30pm. Required in office (no at-home days).

• 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

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

Bene Sys 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

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.