JOB
Please note that this role will be filled as a Retiree Insurance Specialist (Human Resources Specialist I, Grade N18).
Please note: The salary range above represents this position’s earning potential for the Retiree Insurance Specialist (Human Resources Specialist III, Grade N25).
The anticipated hiring range for this position Retiree Insurance Specialist (Human Resources Specialist I, Grade N18) will be $62,328 - $84,320, based on the candidate’s qualifications and experience.
WHO WE ARE
We are a motivated, agile, human-centric, diverse group of people dedicated to serving our community by hiring, training, and retaining a well-qualified, high-performing, diverse and inclusive workforce. We serve 10,000 employees in 35 different departments, 6000 retirees and impact on a community of over 1 million. In addition, we strive to foster positive management/union relationships in coordination with our four union organizations. We value diversity, inclusion, and equity for all employees.
WHO WE ARE LOOKING FOR
The Office of Human Resources (OHR) Customer Care Team is seeking a Retiree Insurance Specialist (Human Resources Specialist I) to play a key role in supporting retirees through the County’s group insurance program. As a Retiree Insurance Specialist (Human Resources Specialist I), you will manage the review, reconciliation, and enrollment of retirees in various Medicare-supported programs, including SilverScript and Kaiser Medicare Advantage.
You will help ensure retirees experience a smooth transition into Medicare coverage—maintaining accurate eligibility data, communicating with retirees about their obligations, and presenting at monthly virtual office hours. This role is ideal for someone who enjoys detail-oriented work, problem-solving, and providing excellent customer service to retirees.
EXAMPLE OF DUTIES
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Medicare Enrollment & Reconciliation (65%)
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Accurately enter and maintain Medicare Beneficiary Identification (MBI) numbers in the County’s benefits system (OAB).
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Review weekly and monthly vendor reports (SilverScript and Kaiser) and follow up on discrepancies or enrollment issues.
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Reconcile retiree eligibility data between vendor files and internal systems to ensure accuracy.
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Participate in regular meetings with vendor representatives to review enrollment issues and coordinate solutions.
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Collaborate with HR Specialists to ensure new retirees receive all necessary Medicare information.
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Premium and Eligibility Administration (30%)
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Track retirees who have not paid premiums and assist in processing termination notices when required.
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Send letters and follow-up communications to retirees missing MBIs or other required documentation.
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Coordinate with payroll and vendors to process any necessary refunds or premium adjustments.
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Customer Support & Education (5%)
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Present at monthly virtual retiree office hours and conduct informational sessions on Medicare and retiree benefits.
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Respond to MC311 service requests as needed—answering retiree and employee inquiries via phone or email and documenting interactions in the Siebel system.
SUPPLEMENTAL INFORMATION
Interview preference criteria will be used pertaining to:
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Strong attention to detail and organizational skills.
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Excellent written and verbal communication, including public speaking or presentation experience.
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Demonstrated ability to interpret and apply benefits and insurance policies.
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Experience working with Medicare, retiree benefits, or health insurance administration preferred.
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Proficiency with Microsoft Office and familiarity with benefits or HR information systems (OAB, Siebel, or similar).
