What are the responsibilities and job description for the Benefit Specialist position at USI Holdings Corporation?
General Description: Assist clients and their employees with benefit or claim questions.
Responsibilities:
- Primary resource for clients and their employees with benefit or claim questions.
- Assist clients with administrative questions regarding enrollment, eligibility, and special contract provisions.
- Investigate and work with carrier contacts to solve claim problems.
- Respond to emails and voicemails within 24 business hours.
- Track and document all calls and interactions in Call Center database.
- Assist with transition of care concerns due to a change in carrier.
- Provide help with coordination of benefits.
- Drafts appeal letters and perform claim audits as needed.
- Report trends to carrier and/or the account manager.
- Maintain timely follow up on open case volume.
- Keep informed about industry information and new product information.
Knowledge, Skills and Abilities:
- Prior customer service experience.
- Must hold or obtain a Life and Disability insurance license within 120 days of hire date.
- Comfortable with internet-based programs and Microsoft Office products.
- Bilingual preferred, but not required.
- Strong attention to detail and ability to self-check work.
- Excellent time management skills, able to set priorities and manage deadlines.
- Ability to work in a team environment.
- Resourceful, eager to learn new concepts, and further professional development.
- Ability to define problems and generate potential solutions.
- Strong verbal and written communication skills.
- Ability to remain calm in stressful situations.
Physical Demands:
Work is performed in a climate-controlled office environment with minimal noise and limited to no exposure to chemicals or toxins. Employees operate office equipment including telephone - headset, computer, computer monitors, keyboard, mouse, copier, scanner and mail machine. Physical tasks of job include walking, sitting, standing, bending and typing.
Analysis of Physical Demands:
- Constantly (over 66% of time) work performed requires employees to use repetitive hand motions such as typing, using a keyboard, and sitting at a desk.
- Frequently (34%-66% of time) work performed requires employees to handle and grasp things, walk on normal surfaces, stand and bend.
- Occasionally (1%-33% of time) work performed requires repetitive foot movements, walk on uneven or slippery surfaces to and from work and occasionally reach outward to grab things and bend.
- Rarely (< than 1 hour per week) work performed requires lifting/carrying items that range from 10-50lbs, pushing/pulling items that range from 10-50lbs, twisting/ turning including reaching over shoulder or above head, kneeling or squatting.
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USI is committed to providing a full-suite of competitive benefits for our growing population and its diverse needs. We offer a wide range of health, welfare and financial benefits including medical, wellness, dental and vision, 401(k), flexible spending and health savings accounts, short and long-term disability, life insurance and other unique employer-sponsored and voluntary programs. USI also offers a generous paid time off policy, paid family leave benefit as well as paid holiday time.
Hourly position; salary range: $35,000-$45,000 annually. This is a bonus eligible position with a target incentive of 5%.
Job ID:
29898
Salary : $35,000 - $45,000
