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For your reference, we have included the original job posting below.
Benefit Analyst - Call Center
Job Number:
24876629
Company Name:
Precept
Job Location:
Irvine, CA US
Job Category:
Human Resources
Salary:
DOE
Minimum Education:
Some College
Benefit Analyst - Call Center
Categories: Human Resource Specialist
Voted through the Orange County Register and Orange County Business Journal as one of the top 10 places to work in Orange County, you will find that Precept and Proview have a wonderful work environment that supports both professional and personal balance.
For over a decade Proview have been partnering with employers to professionally outsource the transactional activities associated with the administration of employee benefits throughout an employee?s benefit lifecycle.
Mission The mission of a Benefit Analyst will be to ensure employees of our clients receive quick and accurate response to inquiries related to their health insurance plans.
This position requires experience in benefits administration.
Essential Functions
Research, resolve and respond to telephone, web and email inquiries, problems or complaints in an inbound call center environment regarding their healthcare plans Escalate issues of increased complexity, according to the C3 department standards, to the applicable internal client service contact Act as a liaison between the member, client, service provider and the healthcare organization when necessary Assist members by helping them decipher benefit plan documents, explaining their benefits, explaining the applicable benefit plan policies and/or procedures, and referring them to the appropriate service representatives Document member and client communications in the client management services tool according to the department standards Resolve eligibility-related discrepancies by updating the carriers with the correct information Processes qualified status changes by sending updated information to the applicable carriers and updating applicable benefits administration systems Assist members with benefit claims resolution by coordinating with the carrier or with the assigned benefits administration team member to escalate the claim for further research and completion Research and complete daily assigned client services tickets Communicate and follow-up with team members regarding outstanding issues or client service management tickets Maintain excellent attendance and punctuality according to the department standards
Requirements:
Experience 2 or more years of employer group benefits administration experience is required (this includes administration of employer group benefits at an insurance carrier, broker, and/or Human Resources department) 2 or more years in a customer service or call center is required (a minimum of 6 months is required), preferably in a health insurance carrier or Human Resources environment
Specialized knowledge, certifications, and/or licenses Certification(s) in Human Resources, Benefits, COBRA, or related field is desired Knowledge of benefits administration practices and procedures
Skills Excellent customer service skills Exceptional telephone etiquette and communication skills in a call center environment including, but not limited to: Listening without interrupting Using a clear and audible voice Using an appropriate and non-offensive tone of voice Communicates enthusiastically, when appropriate Using proper grammar and appropriate terms Using language that is easily understood by the receiving participant Using the proper rate of speed when speaking Exceptional oral and written communication skills Strong problem-solving skills Intermediate typing skills (approximately 40 WPM) Intermediate computer skills, including the use of Microsoft products
Abilities Ability to communicate and respond calmly and professionally Must be able to meet the minimum attendance and punctuality standards Must be able to screen details and identify potential discrepancies Must be able to clearly communicate in the English language
Nonessential Functions Assist with administrative projects upon request, meanwhile remaining on active response status in the call center Actively participate in weekly client-centric meetings, meanwhile providing updates to applicable team members on client activity Perform other duties as assigned Willingness to cross train in other areas of third party administration
Success Factors Stellar attendance and punctuality Ability to adjust to changing environment Positive attitude Comfortable asking questions Take initiative Team player Desire to continue growing in knowledge all aspects of benefits administration
