About this role
Role Overview
- Provide day to day oversight and administration of the benefit health plans, including Medical, Life Insurance and LTD.
- Facilitate benefit enrollments, terminations and changes as needed for a Dedicated Client
- Work with insurance carriers, HRIS software partners, and client team members to resolve and address health insurance related matters
- Work with client reports in excel to determine eligible persons and perform mail merge emails to send notifications to eligible employees and employers through Office Outlook and MailChimp web portal
- Build and distribute health insurance enrollment information materials for new plan participants via postal service
- Record and track number of eligibility notifications sent each week in a designated tracking excel file
- Maintain familiarity with all health plans offered including plan design, premium structure, etc.
- Participate in the review of plan documents as needed
- Troubleshoot benefit administration issues with relevant parties to assist with resolution
- Manage and handle incoming calls from employer contacts and their employees to provide prompt response to phone calls and e-mails within 4 business hours of receipt (alternate standards will be evaluated during peak seasons)
- Track all communications and activities in OneDigital System of Record daily and provide reporting to the client to communicate activity of the services above as needed
- Operate in compliance with HIPAA
- Maintain basic knowledge of the Affordable Care Act and other regulatory health plan requirements including but not limited to COBRA and HIPAA.
- Maintain consistent office hours of 8:30-5:00 to ensure prompt receipt of and/or response of all incoming phone calls and e-mails.
- Adhere to client’s holiday working schedule
- Coordinate with other team members on vacation and other personal days off or time away from the office to ensure adequate staffing.
- Communicate clearly and thoroughly with OneDigital team members
- Assist with special projects, research, and administrative tasks as provided by Senior and Lead Health Insurance Specialists
- Perform other projects and duties as assigned
Requirements
- At least 2 years of experience related to our industry, including insurance, carriers, benefits, human resources, broker/agent, Technology field, data processor, electronic software applications.
- High school diploma, minimally. College degree and any other professionally-related designations are preferred.
- An inquisitive nature, always pressing to know more and understand more about the client and their needs
- Technology savvy, having a curiosity and propensity to learn more about computers, software and other tools that make business more effective and productive
- Strong mathematical and analytical skills enabling one to gather data and present it in a clear and understandable method to the receiving audience
- An excellent communicator (listens, speaks, and writes well)
- Highly organized and process driven; is able to manage a multitude of requests, details, and follow-ups (including paperwork)
Benefits
- health, pharmacy, long and short-term disability, vision, dental and other insurance solutions
- variable compensation, commission, and/or annual bonus based on your individual performance and/or the company’s performance
- health, wellbeing, retirement, and other financial benefits
- paid time off
- overtime pay for non-exempt employees
- robust learning and development programs
- reimbursement of job-related expenses per the company policy
- employee perks and discounts