Benefit Specialist (Louisville, KY)

Benefit Specialist (Louisville, Ky)

The Benefit Specialist serve as a knowledgeable and resourceful benefits expert, empowering members to navigate their plans with confidence and ease. Actively listen to inquiries, research, and resolve complex issues, and provide accurate and timely information while ensuring efficient data management. Utilize strong analytical and problem-solving skills to make using their benefits easier for members and to streamline communication with BeneSys, fostering positive relationships and improving overall member satisfaction.

Essential Duties And Responsibilities

Member Support

• 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.

Data Entry And Enrollment

• 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.

Required Experience And Qualifications

• 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

Administrative Support

• Collaborate with the Client Liaison and Enrollment Processor to ensure smooth administrative workflows.
• Assist with incoming mail and enrollment documentation as needed.
• Participate in client-sponsored events to provide direct benefit guidance.

Preferred Qualifications

• 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: Previous experience in a customer service role, ideally within the healthcare industry, is often preferred. Experience handling complex claims issues or working with diverse populations can be an advantage.
• Bilingual skills to support a diverse member base.

Impact - Benefit Specialists are more than service representativesthey are advocates who simplify complex healthcare processes, improve member experiences, and ensure timely resolution of issues. This role directly contributes to member confidence and satisfaction.

Work Environment - Fast-paced, collaborative environment requiring multitasking and attention to detail. Must be able to work independently and as part of a team. Work Schedule - Full time. Monday Friday, 7:30am - 4:30pm. Requires in-office days but also offers at-home flexibility after 90 days.

Competitive Benefits And Compensation Package

• 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

Pay Hourly rate for this position is $26.00. Actual rate dependent on location, skills, education, experience and other business factors.

Our Culture

BeneSys 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

ADA & EEO 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.