- Answer calls and/or correspondence (emails) from members, client, & providers
- Review Health Benefit plans to accurately quote to members / providers and use that information to answer questions
- Communicate details and resolve issues with members
- Enter pre-claim information and attach scanned documents
- Work with manager on difficult situations to ensure quick resolution
- Assist with training new member benefits specialists as needed
- Open, sort, scan mail; sort faxes
- Perform all other duties as assigned
- Education High School Diploma or GED
- Experience 1-3 years related experience preferred; experience in a TPA environment preferred
- Ability to read and understand various benefit forms, documentation, files and information in the department
- Understanding of medical terminology.
- Excellent interpersonal skills
- Base salary range of $39,000-$42,000
- Full Benefits Medical, Dental, Vision, 401(k), Short Term Disability, Long Term Disability, Tuition Assistance, PTO
- three weeks of PTO in years 1-5; five weeks of PTO in years 6+
- Work in a brand new state of the art facility with a full gym, entertainment center, and a kitchen with a corporate chef on site
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Member Benefits Specialist - Richfield, United States - Group Management Services
Description
Group Management Services (GMS) is seeking to hire a full time Member Benefits Specialist out of the Richfield, OH office.
What does a Member Benefits Specialist do?
In summary, the Member Benefits Specialist is responsible for interacting with members over the phone to provide information in response to inquiries about their services and handle and resolve complaints.
A few of the essential duties and responsibilities:
Qualifications we look for:
What is in it for YOU?
Why GMS?
People don't necessarily buy what you do, they buy WHY you do it. GMS is passionate about small businesses having started off as one back in 1996 in Richfield, OH with only a few employees. Fast forward to today and we have over 500 employees in 24 offices across 18 states nationwide. We take pride in building and maintaining quality relationships with our customers as we help them grow their own business exponentially just as we did by allowing them the time and energy to focus solely on reinvesting in themselves.
As we continue to expand ourselves here at GMS, we are looking for individuals who are willing and able to provide excellent customer service and support to their clients. We are looking for those who are passionate about the value small business brings and providing them assistance in their growth as they seek growth for themselves. We are committed to providing opportunities for upward mobility from within to those who are driven to succeed and who care about the relationships they build. Join the GMS team today, build relationships, seek growth and experience a truly family oriented workplace culture
For more information, please visit our website at and click on the careers page
Group Management Services is an Equal Opportunity Employer. #LI-ONSITE
