Benefits Specialist (Healthcare)

Description

You know that health benefits can be confusing to understand. Wouldn t you love an opportunity to help people untangle their benefits to take better control of their health? West's Health Advocate department is looking to hire Benefits Specialists for our Plymouth Meeting location. Our Benefits Specialists are knowledgeable about health insurance and benefit plans, and great answer-finders and problem-solvers. As this is a member-facing role, our Benefits Specialists are also good listeners, friendly, and compassionate.

As a Benefit Specialist, you would be responsible for:

• Professionally answer incoming calls and respond to client inquiries
• Provides guidance to members on open enrollment issues and benefit options. This includes compare and contrast benefits during Open Enrollment and Special Enrollment Periods
• Connect with customers by phone and quickly develop a rapport to help the individual to navigate their benefit choices and options

Answer customer questions related to Benefit Plans, including the following topics:

• Health Care Reform
  
• Marketplace navigation
• Exchange plan review and comparison
• COBRA
• Medicare A, B, MediGap, Medicare Part D plans
• High deductible health plans
• Flex Spending Accounts, Health Savings Accounts, and Health Reimbursement Accounts
• Coordination of Benefits and which plan is primary
• Summary Plan Documents
• Government programs and resources
• Legislation and mandates
• Fully insured and self-insured
• Pharmacy benefits including injectable medications
• Facilitate obtaining member s medical records
• Place outbound follow up calls for issues that cannot be resolved during the initial call
• Respond to member cases in delegate box, answers and after hours calls

Qualifications

Education

• Bachelor s degree or other applicable work experience

Experience

• Previous benefits experience preferred
• Strong Communication skills and phone etiquette
• Strong ability to explain complex issues to employees/retirees
• Highly effective listening skills
• Strong problem solving/issues resolution skills
• Excellent customer service and customer resolution skills
• Organizational and administrative skills
• Experience with Microsoft Word and Excel
• Ability to work in a team environment
• Familiar with Clinical Benefits clients and their benefits
• Work in-house and permanent

West is connecting people and ideas.
We are delivering on their potential.
We are improving the way we work and live.

At West, we are dedicated to delivering and improving upon new channels, new capabilities and new choices for how businesses and consumers collaborate, connect and transact. We develop technology-enabled communications that change the way we work and improve the way we live. We are a collective effort of enterprise and individuals, of communities and customers, of partnerships and families. We are the sum of our entire network - the result of brilliant ideas, dedication and the hard work of people who share our vision. We are at the core of a technology and communications engine that is changing the world.

We connect. We deliver. We are West.

Applications accepted through 11/07/17.

EEO Employer

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