Special Processing Specialist II

🔥 il y a 15 heures

🇺🇸 États-Unis – Télétravail

💵 $18 / heure

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

🚫👨‍🎓 Aucun diplôme requis

🦅 Parrain de Visa H1B

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👻 Score fantôme 0%

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🗣️🇺🇸🇬🇧 Anglais requis

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Businessolver

1001 - 5000 employés

Fondée en 1998

💰 Private Equity Round en 2021-12

Businessolver, fondée en 1998, est un partenaire de confiance en technologie de gestion des avantages sociaux. Avec plus de deux décennies d'expérience, nous avons pour objectif de ravir nos clients en transformant la gestion des avantages en un parcours permanent, guidé par nos valeurs fondamentales. Notre plateforme exclusive offre une expérience personnalisée des avantages pour les employés, leur permettant de prendre des décisions éclairées et de maîtriser les coûts. Récemment, Businessolver a accueilli Workterra, The Capstone Group, et ComplianceDashboard dans son portefeuille de sociétés et produits. https://www.businessolver.com/news/businessolver-announces-key-acquisition-of-the-capstone-group/

Description

• Review and process appeals, condolences, QMCSO orders, Medicare L-564 forms, and POA requests • Verify eligibility and manage elections, record updates, and coverage activation according to SOPs • Submit life and disability claims accurately and on time • Apply client-specific requirements across multiple workstreams • Provide proactive, accurate, and empathetic member support • Communicate professionally with members, internal teams, and external partners • Maintain compliance with HIPAA, IRS, and CMS regulations • Manage mandated notices and documentation • Identify and resolve documentation or process issues • Protect sensitive data and maintain transaction integrity • Meet attendance and performance goals and take ownership through task resolution • Handle escalations, assist during client calls, and prepare activity and performance reports • Participate in daily stand-ups and foster team collaboration • Support process improvements and mentor junior staff

🎯 Exigences

• Bachelor’s degree preferred in Human Resources, Business Administration, or related field • 2–3 years experience in HR operations or employee support • Strong knowledge of benefits processing and compliance requirements • Proficiency with HRIS and Microsoft Office • Excellent attention to detail and ability to manage confidential information • Strong communication skills and ability to work collaboratively • Ability to adhere to HIPAA, IRS, and CMS regulations • Must successfully complete background checks, identity verification, and reference checks

🏖️ Avantages

• Comprehensive benefits package for benefit-eligible full-time or part-time employees • Security and privacy training

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