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BeneSys, Inc. · 1 week ago

Benefit Specialist (Troy, MI)

Troy, MI

Full-time

Hybrid

New Grad, Entry Level

$24/hr - $26/hr

BeneSys, Inc. is a company focused on providing exceptional member support and improving overall member satisfaction. The Benefit Specialist serves as a knowledgeable resource, assisting members with their healthcare benefits and resolving inquiries while ensuring efficient data management.

IT Management

Responsibilities

Provide exceptional member support via phone calls, walk-ins, and emails related to eligibility and claims

Assist members in navigating their healthcare benefits effectively by resolving inquiries and addressing concerns as the BeneSys primary point of contact

Deliver accurate and timely information to members regarding their healthcare benefits through active listening and effective communication

Utilize strong analytical and problem-solving skills to research and resolve complex healthcare inquiries

Communicate with vendors on behalf of the member regarding prior authorizations, claims, and eligibility issues

Facilitate communication between members and the Retirement Services Department for all pension and retirement related questions

Process enrollments, self-payments, and month end eligibility updates

Ensure accurate enrollment processing by collecting enrollment forms and adding members and dependents to systems and verifying documentation

Maintain member data integrity by updating records, auditing vendor files, and resolving discrepancies

Streamline benefit access by preparing enrollment packages, issuing ID cards, and notifying members of COBRA qualifying events

Possess a thorough understanding of plan rules outlined in the Summary Plan Description to answer member inquiries accurately and provide informed guidance regarding eligibility, claims, and benefits

Collaborate with the Client Liaison and Enrollment Processor to ensure smooth administrative workflows

Visit Union Hall weekly to support member walk-ins and provide in person assistance

Assist with incoming mail and enrollment documentation as needed

Participate in client-sponsored events to provide direct benefit guidance

Qualification

Healthcare terminologyAnalytical abilitiesProblem-solving skillsCRM software proficiencyCustomer service experienceBilingual skillsEmpathyResearch skillsActive listeningInterpersonal skills

Required

Experience in a fast-paced call center environment with proven ability to handle high call volume and prioritize tasks effectively

Demonstrated success in resolving inquiries and complaints while exceeding customer satisfaction standards

Strong communication skills both written and verbal, with the ability to convey complex information clearly and concisely to diverse audiences

Ability to learn and work efficiently in multiple systems and applications

Empathy and active listening skills to understand member concerns and provide reassurance and emotional support

Proven ability to build rapport and establish trust with members, creating positive relationships

Strong communication and interpersonal skills

Problem-solving and analytical abilities

Excellent research and investigative skills

Proficiency in healthcare terminology and insurance policies

A passion for advocating for others and making a difference

Regular and predictable attendance is an essential function of this job

Preferred

Healthcare Knowledge: Familiarity with basic medical terminology, types of health insurance plans, claim processes, and relevant healthcare regulations can significantly enhance your ability to assist members

Technical Skills: Proficiency in customer relationship management (CRM) software, data entry, and other relevant computer programs may be required

Experience in a customer service role, ideally within the healthcare industry

Experience handling complex claims issues or working with diverse populations

Bilingual skills to support a diverse member base