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