Special Processing Specialist II

🔥 13 hours ago

🇺🇸 United States – Remote

💵 $18 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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Businessolver

1001 - 5000 employees

Founded 1998

💰 Private Equity Round on 2021-12

Businessolver, founded in 1998, is a trusted partner in benefits administration technology. With over two decades of experience, we aim to delight clients by transforming benefits administration into a year-round journey, driven by our core values. Our proprietary platform offers a personalized benefits experience for employees, empowering informed decision-making and cost control.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

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

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