Benefit Specialist (Troy, MI)
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.
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
Skills
- 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
- 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
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 Overview