BeneSys, Inc. · 1 day ago
Document Processor (Troy, MI)
Troy, MI
Full-time
Hybrid
Entry Level
$23/hr - $23/hr
1+ years expBeneSys, Inc. is a service provider focused on healthcare benefits, and they are seeking a Document Processor to manage eligibility inquiries and maintain member eligibility. The role involves processing various eligibility documents and ensuring compliance with plan rules while providing support to the healthcare service team.
IT Management
Responsibilities
Understand the plan rules for eligibility as outlined in the Summary Plan Description (SPD)
Process month end reporting
Use reports to determine eligibility, reinstatement, or termination of coverage
Prepare & mail enrollment packages and ID cards for newly eligible members
Review calc reports and exception reports to update eligibility, as needed
QA self-payment notices, COBRA notices, status slips, member/dependent letters to ensure accurate information and timely mailing to participants
Processing eligibility documents in OnBase for clients
Evaluate legal documents such as divorce decrees, marriage certificates, birth certificates, etc. to determine dependent eligibility according to Plan rules
Process payments for health & welfare coverage
Request missing information from members
Process eligibility escalations within 24 hours and call back members with updates, as needed
Work with the pension department to ensure H&W deduction amounts are correct and properly set up for retired members and surviving spouses
Responsible for class code and coverage changes when member’s status changes, such as adding/terming dependents, disability, retirement, or death
Understand Medicare rules and regulations to determine eligibility for Medicare benefits and update coordination of benefits in appropriate systems
Verify and maintain employee demographic information, such as member or dependent address, contact numbers, birth date, social security number, or MBI number
Comment system with appropriate updates based on documentation received
Review and approve any plan changes, such as H&W rate changes, eligibility rule changes, or benefit changes with a vendor
Meet daily/weekly quota requirements set by management team
Update Redbook when necessary; within 24-48 hours of change notification
Be knowledgeable of policies, procedures, and coverage of various funds
Regular and predictable attendance is an essential function of this job
Qualification
Required
High school diploma or GED and one year of eligibility experience
Excellent Multi-tasking Skills Are a Must
Must speak clearly and professionally
Ability to understand directions and follow them to completion of requested task
General math skills
Ability to apply common sense to carry out detailed written or verbal instructions
Must be able to work independently as well as in a team
Must be able to multi-task and be detail oriented
Regular and predictable attendance is an essential function of this job
Preferred
Spanish speaking
Benefits
12 paid holidays
Paid Time Off (PTO)
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
Company
BeneSys, Inc.
BeneSys is a team of dedicated Taft-Hartley Trust Fund Specialists. BeneSys understands the nuances of Taft-Hartley benefit plans.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Tenex Capital Management
2018-10-05Private Equity
2014-04-01Acquired
Leadership Team
Edward Wolyniec
CEO
Recent News
2025-08-29
Company data provided by crunchbase