Job Description

The Benefits 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 advantage 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 Perks, 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
Solid 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.

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