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Benefit Operations Specialist - Manchester, United States - Allegiant Care
Description
Job DescriptionJob Description Salary
:
$55,000-$65,000
Job Title
:
Benefit Operations Specialist
Position Status
:
Full-time
FLSA Classification
:
Non-Exempt
Reports to
:
Operations Manager
Job Summary
:
At Allegiant Care, our members are at the core of everything we do. The Benefit Operations Specialist is responsible for ensuring member eligibility and enrollment are processed accurately and timely.
We take our commitment to our members seriously and this position is essential to the organization's success as a trusted benefit provider.
A successful candidate for this role has experience executing complex, detailed and time bound processes with an analytical mindset and is comfortable working with large data sets.
A candidate who is motivated and resourceful with strong structured thinking and problem-solving skills will thrive in this challenging and fast-paced environment.
:
Manage and administer the member eligibility process of employee benefits programs for multiple participating employers, including health insurance, life insurance, disability insurance, health savings plans and other voluntary benefits.
Coordinate with benefit vendors and insurance carriers to ensure accurate enrollment, coverage, and timely resolution of issues.
Process benefit enrollments, changes, and terminations in accordance with company policies and regulatory requirements.
Maintain accurate member benefits records, ensuring data integrity within relevant systems.
Serve as the primary point of contact for employers regarding benefit-related inquiries, providing timely and accurate information and assistance.
Assist members with resolving issues, troubleshooting problems, and providing resolution
Ensure compliance with regulatory requirements in benefits administration, reporting, and documentation.
Identify opportunities to streamline and improve benefit administration processes, enhance efficiency, and optimize resources.
Recommend and implement system enhancements, automation solutions, or best practices to improve the overall effectiveness of benefits operations.
Collaborate with cross-functional teams to drive continuous improvement initiatives and address operational challenges proactively.
Prioritize and manage timelines for multiple processes.
Help promote a company culture that embraces integrity, accountability and collaboration to drive outstanding member experiences.
Knowledge, Skills & Abilities
:
Excellent written and oral communication skills
Tech-savvy; proficient with Microsoft Excel, Access, Word, Visio and other Office products
Strong interpersonal skills with the ability to build appropriate rapport and collaborative relationships
Must be capable of working in a team-oriented environment, as well as the ability to work independently
Excellent critical thinking, analytical, and problem-solving skills and demonstrated ability to work with large amounts of data
Flexible and agile, with an ability to manage change positively and balance competing priorities without getting overwhelmed
Ability to work effectively with a variety of internal and external stakeholders
Possess personal qualities of integrity, humility, and a commitment to excellence
Ability to maintain a high level of confidentiality
Ability to follow and execute standard operating procedures and other process documentation
Ability to leverage resources across the organization to achieve desired outcomes
Strong time-management skills; ability to meet strict deadlines
Possess a strong work ethic, "can do" attitude and initiative
Education & Experience
:
The following
background/experience
is required for competent performance in this job:
High school diploma or equivalent is required; associate or bachelor's degree is preferred.
Minimum of 2 years of experience in an analytical role working with data.
Experience in the health insurance or employee benefit industry is preferred; however, we will train the right candidate.
About Allegiant Care
:
Allegiant Care is a Taft-Hartley multiemployer health and welfare fund that provides benefits to over 18,000 Teamsters Union members and their families.
Allegiant Rx, a division of Allegiant Care, is the pharmacy benefit manager (PBM) for 10 independent health and welfare funds including Allegiant Care.
Allegiant Care offers its employees a competitive and comprehensive compensation and benefits package including top-of-the-line health and welfare benefits, pension, 401(k) with employer match, paid holidays, generous vacation accrual, and more.
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