Benefits Specialist (Healthcare)

West Corporation - Plymouth Meeting, PA (30+ days ago)3.3

You know that health benefits can be confusing to understand. Wouldn’t you love an opportunity to help people untangle their benefits to take better control of their health? West's Health Advocate division is looking to hire Benefits Specialists for our Plymouth Meeting location. Our Benefits Specialists are knowledgeable about health insurance and benefit plans, and great answer-finders and problem-solvers. As this is a member-facing role, our Benefits Specialists are also good listeners, friendly, and compassionate.

We offer Great Benefits! The benefits package for this position includes very generous Paid Time Off (PTO), paid holiday policy, tuition reimbursement and a 401(k) with a match. Health Advocate has an Onsite fitness facility, yoga classes, Employee Assistance Program, wellness programs, and employee activities to support employees with various goals.

As a Benefit Specialist, you would be responsible for:
Professionally answer incoming calls and respond to client inquiries
Provides guidance to members on open enrollment issues and benefit options. This includes compare and contrast benefits during Open Enrollment and Special Enrollment Periods
Connect with customers by phone and quickly develop a rapport to help the individual to navigate their benefit choices and options
Answer customer questions related to Benefit Plans, including the following topics:

Health Care Reform
Marketplace navigation
Exchange plan review and comparison
Medicare A, B, MediGap, Medicare Part D plans
High deductible health plans
Flex Spending Accounts, Health Savings Accounts, and Health Reimbursement Accounts
Coordination of Benefits and which plan is primary
Summary Plan Documents
Government programs and resources
Legislation and mandates
Fully insured and self-insured
Pharmacy benefits including injectable medications
Facilitate obtaining member’s medical records
Place outbound follow up calls for issues that cannot be resolved during the initial call
Respond to member cases in delegate box, answers and after hours calls


Applicant for this job will be expected to meet the following minimum qualifications:


High School Degree or GED required
Time spent in pursuit of a Bachelor’s degree (e.g. Junior and Senior year) may be substituted in lieu of experience requirements
Associate’s degree from an accredited college or university with major course work in business administration, liberal arts, public health, healthcare management, or a related field is preferred

Minimum of two years customer service, healthcare, or benefits experience required

Basic Knowledge of MS Word and Excel required
Previous benefits experience preferred
Strong communication skills and phone etiquette
Strong ability to explain complex issues to employees/retirees
Highly effective listening skills, customer service and customer resolution skills
Strong problem solving/issues resolution skills
Organizational and administrative skills
Familiar with Clinical Benefits clients and their benefits
Applications accepted through 07/05/18.

EEO Employer

Job: Operations

Primary Location: United States-Pennsylvania-Plymouth Meeting

Organization: Health Advocate USA

Schedule: Full-time

Job Posting: 06/21/2018, 5:00:00 AM