The Advantages Support Specialist - Independently manages benefit administration activities, including provider outreach, claim support processes, documentation review, and workflow management. This role handles more complex scenarios, supports process improvement efforts, and serves as a resource for less experienced team members.
Key Responsibilities
- Process complex benefit administration activities with minimal supervision
- Review claim documentation and determine appropriate next steps
- Contact providers and other stakeholders to obtain required information
- Manage follow-up activities and resolve outstanding requests
- Ensure compliance with quality, productivity, and service-level standards
- Identify and resolve processing exceptions
- Maintain accurate and complete documentation
- Support multiple product lines and workflows
- Assist with training, coaching, and knowledge sharing
- Escalate issues or exceptions to leadership when needed
- Recommend process improvements and efficiency opportunities Qualifications
Required Skills
- Minimum 2+ years of experience in Health Insurance, Life Insurance, Disability Benefits, Leave Administration,
Claims Processing, Healthcare Operations, or related domains.
- Strong attention to detail and analytical skills
- E ective verbal and written communication skills
- Ability to interpret procedures and apply judgments within guidelines
- Strong organizational and time-management skills
- Pro ciency in multiple systems and applications
- Ability to work independently and manage competing priorities
Education
- Graduate in any discipline or equivalent work experience
Preferred Quali cations
- Experience in contact center operations within disability, leave administration, insurance, claims processing, healthcare operations domain
- Experience working with productivity and quality performance metrics
- Experience handling provider outreach or bene t-related support activities
Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.