Partner Services Operations Specialist

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USAble Life

Site WebLinkedInTous les Emplois

501 - 1000 employés

Fondée en 2005

🏥 Santé

💼 Conseil

📣 Marketing

Healthcare • Consulting • Marketing

USAble Life est une compagnie d'assurance basée aux États-Unis qui propose des produits d'assurance vie collective et d'assurance invalidité complémentaire pour les employeurs, les courtiers, les particuliers et les familles. L'entreprise offre des assurances collectives temporaires, décès et mutilation accidentels (AD&D), invalidité de longue et courte durée, congés payés pour raisons familiales et médicales, ainsi que des plans d'accidents complémentaires, de maladies graves et d'indemnités hospitalières. Elle met à disposition des outils d'inscription en ligne et de gestion des sinistres (AccessAble) pour soutenir les gestionnaires de prestations et les membres.

Description

• Evaluate and coordinate resolution of Partner service inquiries received through Salesforce, shared support mailboxes, and other service channels • Analyze, research, and coordinate resolution of benefit, eligibility, enrollment, reinstatement, retroactive cancellation, service access, subrogation, subpoena, benefit summary, and other ancillary product-related inquiries • Support new groups, benefit changes, plan updates, coverage code changes, transmittal processing, benefit grid maintenance, and validation of benefit information • Analyze, validate, coordinate, and monitor operational reports, tracking files, mapping documents, rollover items, delinquency or coverage-related follow-ups, invoice support items, and other reporting activities • Identify recurring service issues, operational trends, documentation gaps, and process concerns; present findings and recommend corrective actions and process improvements • Represent assigned workstreams in partner and internal meetings and coordinate next steps with internal departments, business partners, vendors, and legal resources • Maintain complete, accurate, and audit-ready documentation in Salesforce, reports, tracking tools, and departmental resources • Contribute to standard operating procedures, training materials, implementation guidance, cross-training tools, and reference materials • Facilitate knowledge sharing and coordinated coverage for assigned workflows • Perform other related duties and responsibilities as assigned

🎯 Exigences

• 1+ year of experience in insurance, benefits administration, customer service, operations, or partner support • Experience researching and resolving operational or service-related inquiries • Ability to interpret benefit, eligibility, enrollment, billing, or claims information • Proficiency with Microsoft Office 365, including Excel, Word, Outlook, and PowerPoint • Working knowledge of ancillary insurance operations, including benefit administration, claims, enrollment, billing, partner support, and service issue handling • Ability to research complex operational questions and determine appropriate resolution steps • Ability to document case activity, research findings, decisions, and follow-up actions clearly and completely • Ability to identify recurring trends, service issues, documentation gaps, and process concerns • Ability to coordinate issue resolution across internal departments, business partners, vendors, and external contacts • Strong written and verbal communication skills • Strong attention to detail, organization, follow-through, and ability to manage multiple priorities • Customer service mindset supporting partners, members, providers, vendors, and internal stakeholders • Bachelor's Degree or equivalent related experience • Salesforce, Bastion, reporting tools, and/or related insurance operational systems preferred • Experience with Salesforce case management, operational reporting, and shared tracking tools preferred

🏖️ Avantages

• Outstanding and affordable benefits package • 3.5 weeks of PTO • 11 paid holidays • 401(k) with up to 6% match; fully vested from day 1 • Remote opportunities with company-provided equipment • Team-oriented, collaborative group of peers • Career advancement opportunities • Tuition Reimbursement • Employee Assistance Program • Inclusion Council and Employee Resource Groups • Recharge Days • Volunteer Time Off • Annual incentive plan based on company performance and individual performance