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Western & Southern Financial Group · 2 weeks ago

Benefits Customer Service Representative

Cincinnati, OH

Full-time

Onsite

New Grad, Entry Level

Western & Southern Financial Group is a company committed to career growth and employee development. As a Benefits Customer Service Representative, you will provide high-quality customer service by answering inquiries and maintaining benefit eligibility information for associates and retirees.

Financial ServicesHealth InsuranceInsurance

Hiring Manager

Lisa Galloway

Responsibilities

Answer inquiries primarily through telephone communications with a high level of quality customer service

Prepare pre-notification documentation for medical procedures and various prescription drugs

Maintain benefit eligibility information for associates and retirees in multiple systems

Administers the Open Enrollment process involving communication with all Home Office and Field associates as well as all retirees to maintain or change their benefits for the upcoming plan year

Creates and maintains benefit information for each associate, retiree and eligible family members in multiple systems used in the Benefits Department

Records must be updated timely and accurately to ensure payroll deductions are correct and medical/dental claims are processed correctly

Obtains medical information from associates, hospitals and doctors for pre-existing, outpatient/inpatient preauthorization reviews, second opinion determinations and concurrent reviews for inpatient admissions

Creates and updates nurse record screen on the benefits claim system including all medical information obtained from the member, hospital and physician offices