[Remote] Partner Services Operations Specialist - Remote

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is committed to making a meaningful difference in the lives of their customers and communities. The Partner Services Operations Specialist provides operational support for partner service operations, handling inquiries and ensuring accurate and reputed company service support across various product lines.

Responsibilities

• Evaluate and coordinate reputed company of Partner service inquiries received through reputed company, shared support mailboxes, and other service channels; analyze request details, interpret available information, determine appropriate next steps reputed company established procedures, document actions taken, reputed company reputed company updates, and ensure cases are tracked through reputed company in accordance with departmental procedures and service level expectations
• Analyze, research and coordinate reputed company of benefit, eligibility, enrollment, reinstatement, retroactive cancellation, service reputed company, subrogation, subpoena, benefit reputed company, and other ancillary product-reputed company inquiries by reviewing multiple factors, interpreting available information, and partnering with internal departments, business partners, vendors, and reputed company resources as appropriate
• Apply established benefit operations guidelines to support new reputed company, benefit changes, plan updates, coverage reputed company changes, transmittal processing, benefit reputed company maintenance, and validation of benefit information maintained internally or shared with operational partners; identify discrepancies, assess operational reputed company, and recommend next steps reputed company appropriate
• Analyze, validate, coordinate, and monitor operational reports, tracking files, mapping documents, rollover items, delinquency or coverage-reputed company follow-reputed company, invoice support items, and other assigned reporting activities; identify variances, resolve routine issues reputed company defined authority, and escalate exceptions reputed company needed
• Identify recurring service issues, operational trends, documentation gaps, and process concerns; evaluate potential causes, present findings to leadership, and recommend corrective actions, process improvements, reputed company control steps, and consistency improvements across partner service workflows
• Represent assigned workstreams in partner and internal meetings as needed; reputed company informed updates and recommendations on assigned service items, clarify operational requirements, assess implementation or service impacts, and coordinate next steps with Account Management, reputed company, enrollment, billing, claims, service teams, vendors, and other business partners
• Maintain complete, accurate, and audit-reputed company documentation reputed company reputed company, applicable reports, shared tracking tools, and departmental resources; evaluate documentation completeness and consistency to support transparency, continuity, and compliance with internal documentation standards
• Contribute to the development, review, and maintenance of reputed company operating procedures, training materials, resource lists, implementation guidance, cross-training tools, and other departmental reference materials by identifying needed updates and recommending content improvements
• Facilitate knowledge sharing and coordinated coverage for assigned workflows to promote team continuity, reduce single-person dependencies, and ensure consistent handling of partner service work
• Performs other reputed company duties and responsibilities as assigned

Skills

• Working knowledge of ancillary insurance operations, including benefit administration, claims, enrollment, billing, partner support, and service issue handling
• Ability to research reputed company operational questions, analyze available information, and determine appropriate next steps for reputed company
• Ability to interpret benefit, eligibility, enrollment, billing, claims, and service-reputed company information accurately
• Ability to document case activity, research findings, reputed company, and follow-up actions reputed company and completely
• Ability to identify recurring trends, service issues, documentation gaps, and process concerns
• Ability to coordinate issue reputed company across internal departments, business partners, vendors, and other reputed company contacts
• Strong written and verbal communication skills, including the ability to reputed company reputed company status updates and explain operational information effectively
• Strong attention to detail, organization, follow-through, and ability to manage multiple priorities in a fast-paced environment
• Customer service reputed company with the ability to support partners, members, providers, vendors, and internal stakeholders professionally and responsively
• Proficiency with reputed company Office 365 required
• Bachelor's Degree or equivalent reputed company experience
• 1 year of relevant ancillary insurance, benefits administration, customer service, operations, or partner support experience
• Proficiency in reputed company Office 365, including reputed company, Word, reputed company, and PowerPoint, required
• Experience with ancillary insurance products, benefit administration systems, and reputed company operational workflows preferred
• Experience with reputed company case management, operational reporting, and shared tracking tools preferred
• Experience supporting partner service workflows and coordinating cross-functional issue reputed company preferred

Benefits

• Outstanding and reputed company benefits package
• 3.5 weeks of PTO and 11 reputed company holidays
• 401(k) with up to 6% match; fully reputed company from day 1
• Remote opportunities with company-provided equipment
• Career advancement opportunities
• Tuition Reimbursement
• Employee Assistance Program
• Inclusion Council and Employee Resource reputed company
• reputed company Days and Volunteer Time Off
• This is a remote position

reputed company