Job Description
Managed Benefits Specialist
Customer Support
Remote, USA
Do you have Insurance Benefits or Benefits Administration experience and are looking for that next step in your career?
Maybe you work for a Third Party Administrator currently, and you are missing a vital piece of your needs as an employee?`
Join isolved!
We’ve been awarded by our employees as a Top Place to Work in the USA!
- Monday to Friday, Great work-life balance!
- Free Benefits Option or Multiple Company Contributed to Plans, HSA, FSA, PPO
- 15+ Days PTO, 7 Company Holidays, 2 Floating Holidays, Community Service Day, Voting Hours and more
- Career Progression Opportunities across the business
- Tuition & Certification Assistance
BRIEF STATEMENT OF THE PURPOSE OF THIS POSITION
The Managed Benefit Specialist is an integral member of the HCM Benefits Team that will play a role in partnering with and providing exceptional support and service to a subset of isolved customers, insurance carriers and other internal teams including Renewals, ACA, EDI, Customer Support, COBRA and Fringe Benefits, and Customer Success Managers. This individual must be able to manage and prioritize multiple and competing deadlines in addition to displaying good time management. Responsibilities include troubleshooting, resolving client benefit inquiries, managing enrollment and eligibility for employees, system documentation, configuration, quality assurance tasks, issue resolution, configuration accuracy, and other special projects.
PRIMARY RESPONSIBILITIES OF THIS POSITION
- Provide superior customer service to both internal and external customers.
- Serve Managed Benefits customers by assisting with benefit technical questions, troubleshooting configuration issues and basic product questions (ex. COBRA, ACA, EDI,)
- Monitor customer in progress benefit events (new hires, terminations, etc.) and manage approvals for pending benefit submissions.
- Process customer employee enrollments, changes and terminations utilizing carrier feeds or manually within carrier websites depending on supported business model and client specific requirements.
- Identify, research and correct enrollment discrepancies with the carriers in a timely manner
- Manage a variety of benefit plan information ensuring the system is configured according to client summary plan descriptions, eligibility, termination rules, measurement periods.
- Act as a liaison between the customer and isolved Benefits Services as it relates to customer COBRA, FSA, HRA or HSA plans.
- Work through NetSuite to grab cases/projects and communicate status updates and resolutions directly through the case/project.
- Manage Client Benefit Renewal projects by:
- Gathering, reviewing, understanding, and documenting benefit plans per client
- plan designs as it relates to client benefits renewal processes.
- Building/updating plans per client benefit plans specifications and validating
- configuration to ensure accuracy.
- Creating new benefit plan enrollment periods for Employee Self Service Wizards
- for annual open enrollment, new hire enrollment, and life events enrollment.
- Partnering with client and isolved EDI Team on carrier feed status during Renewal
- period, ensuring client is engaged and abreast of carrier timelines.
- Collaborating with isolved Benefits Services regarding COBRA, HSA, FSA and HRA
- for both plan configuration and systems integration.
- Deliver responses and/or resolution within outlined client service level agreements.
- Acts as a back up to Managed Benefits Reconciliation Specialist.
- Collaborate with peers on best practices.
- Provide feedback and developmental coaching to other team members, upon request.
- Attend and participate in all relevant meetings.
- Engage in company volunteer committees and project opportunities.
- Adhere to company and departmental policies.
- Perform other duties and responsibilities as assigned.
EDUCATION AND EXPERIENCE NEEDED FOR THIS POSITION
- Associate degree or a minimum of two (2) – four (4) years’ benefits experience and/or training
- Software experience, preferably in a SaaS environment
- Subject Matter Expert in Benefits Administration
- Subject Matter of the Affordable Care Act
- Basic understanding of basic payroll processing principals
SKILLS AND QUALIFICATIONS REQUIRED FOR THIS POSITION
- Demonstrated ability to provide superior customer service, and team player
- Excellent interpersonal, oral, and written communication skill.
- Ability to communicate effectively
- Strong organizational, analytical, and troubleshooting skills
- Logical problem solver with excellent follow through and detail orientation skills
- Ability to work in a fast-paced, team environment
- Proven ability to multitask
- Proficiency in Microsoft Office Suite
- Must be able to work overtime during peak periods