Top 79 Benefit specialist Jobs in Rochester Hills Mi

Document Processor (Troy, MI)
BeneSys, Inc. —Troy, MI
- $23 an hour
- Full-time
- Spanish
- Basic math
- Office
- AD&D insurance
- Paid holidays
Quick Apply
Associate Benefits Analyst – Employee Health & Benefits
Marsh McLennan Agency —Troy, MI
- Full-time
- Hybrid work
- Microsoft Word
- HIPAA
- Research
- Health insurance
- Tuition reimbursement
Eligibility Coordinators
Solxsys Administrative Solutions —Troy, MI
- Mid-level
- Children
- 2 years
Benefits Analyst – Employee Health & Benefits
Marsh McLennan Agency —Troy, MI
- Full-time
- Hybrid work
- Writing skills
- Research
- Mid-level
- Dental insurance
- Tuition reimbursement
Client Benefits Coordinator
Austin Benefits Group —Bloomfield Hills, MI
- Full-time
- Hybrid work
- Microsoft Excel
- Mid-level
- Administrative experience
- Paid holidays
- Health insurance
Quick Apply
Customer Benefits Specialist (Remote)
S&A Group —Detroit, MI
- $50,000 - $65,000 a year
- Full-time
- Remote
- High school diploma or GED
- Communication skills
- Entry level
Quick Apply
Group Benefits Coordinator
Manquen Vance —Troy, MI
- Email
- HIPAA
- Mid-level
- 3 years
Health Care Project Manager
Stellantis —Auburn Hills, MI
- 5 years
- Research
- Mid-level
- Employee discount
Pension Benefit Representative
Solxsys Administrative Solutions —Troy, MI
- Customer service
- Writing skills
- Mid-level
Client Manager – Employee Health & Benefits
Marsh McLennan Agency —Troy, MI
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Outlook
- Public speaking
- Dental insurance
- Tuition reimbursement
Employee Benefits Consultant
Wilshire Benefits Group Inc —Troy, MI
- $70,000 - $180,000 a year
- Microsoft Word
- Microsoft Excel
- 5 years
Quick Apply
Benefit and Leave Specialist
Ascent Aerospace —Macomb, MI
- Weekends as needed
- Ability to walk for extended periods
- 5 years
- Pass drug screening
- Paid parental leave
- Health savings account
Quick Apply
Global Mobility Leader
Koch —Auburn Hills, MI
- $175,000 - $250,000 a year
- Pass drug screening
- Organizational skills
- Senior level
- Paid parental leave
- Health savings account
Pharmacy Benefits Specialist - Specialty - Full Time Days - Rochester Hills
Henry Ford Health —Rochester Hills, MI
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- Home Health
- Health insurance
- Dental insurance
10d
Benefit Coordinator
Northwood Inc. —Center Line, MI
- Full-time
- Entry level
Director of Total Compensation & Benefits
Atwell, LLC —Troy, MI
- $130,000 - $145,000 a year
- Hybrid work
- Microsoft Excel
- Bachelor of Science
- HIPAA
- Paid parental leave
- Health savings account
Quick Apply
8d
Pension Coordinator (Troy, MI)
BeneSys, Inc. —Troy, MI
- $20 - $25 an hour
- Full-time
- Spanish
- Microsoft Outlook
- Writing skills
- AD&D insurance
- Paid holidays
Quick Apply
HR Specialist
Singh Management —West Bloomfield Township, MI
- HIPAA
- Mid-level
- Bachelor's degree
10d
Plan Administrators / Account Executives
Solxsys Administrative Solutions —Troy, MI
- Research
- Mid-level
- Office
HR Leave Specialist
Singh Management —West Bloomfield Township, MI
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
10d

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Document Processor (Troy, MI)

BeneSys, Inc. -
Troy, MI

Quick Apply

Job Details

Full-time
$23 an hour

Benefits

AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Dependent health insurance coverage
Vision insurance
401(k) matching
Referral program

Qualifications

Basic math
High school diploma or GED

Full Job Description

Document Processor (Troy, MI)

Summary – The Eligibility Processor will review and process eligibility inquiries as well as determine, maintain, and terminate member and/or dependent eligibility for healthcare benefits. Processors provide support to the healthcare service team, supervisors, and manager, when necessary.

Essential Duties and Responsibilities include but not limited to

Understand the plan rules for eligibility as outlined in the Summary Plan Description (SPD)
Process month end reporting
- Use reports to determine eligibility, reinstatement, or termination of coverage
- Prepare & mail enrollment packages and ID cards for newly eligible members
- Review calc reports and exception reports to update eligibility, as needed
- QA self-payment notices, COBRA notices, status slips, member/dependent letters to ensure accurate information and timely mailing to participants
Processing eligibility documents in OnBase for clients
- New member forms
- Vital information forms
- Medicare information forms
- Other insurance information forms
- Member/dependent PHI
- ACH authorization
- Death notifications
- Qualified Medical Child Support Order (QMSCO)
- Eligibility appeals
- Loss of time credits
- Enrollment escalation requests (call center resolution form)
- Vendor file approvals
- Vendor discrepancy reports
Evaluate legal documents such as divorce decrees, marriage certificates, birth certificates, etc. to determine dependent eligibility according to Plan rules
Process payments for health & welfare coverage
Request missing information from members
Process eligibility escalations within 24 hours and call back members with updates, as needed
Work with the pension department to ensure H&W deduction amounts are correct and properly set up for retired members and surviving spouses
Responsible for class code and coverage changes when member’s status changes, such as adding/terming dependents, disability, retirement, or death
Understand Medicare rules and regulations to determine eligibility for Medicare benefits and update coordination of benefits in appropriate systems
Verify and maintain employee demographic information, such as member or dependent address, contact numbers, birth date, social security number, or MBI number
Comment system with appropriate updates based on documentation received
Review and approve any plan changes, such as H&W rate changes, eligibility rule changes, or benefit changes with a vendor
Meet daily/weekly quota requirements set by management team
Update Redbook when necessary; within 24-48 hours of change notification
Be knowledgeable of policies, procedures, and coverage of various funds
Regular and predictable attendance is an essential function of this job

Qualifications - Excellent multi-tasking skills are a must.

Preferred Qualification - Spanish speaking.

Education and/or Experience – High school diploma or GED and one year of eligibility experience.

Language Skills – Must speak clearly and professionally. Ability to understand directions and follow them to completion of requested task.

Mathematical Skills – General math skills.

Reasoning Ability - Ability to apply common sense to carry out detailed written or verbal instructions.

Work Environment - Fast-paced department. Must be able to work independently as well as in a team, must be able to multi-task and detailed oriented.

Work Schedule - Full time. Monday - Friday, 7:30am - 4:30 pm. Requires in-office days but also offers at-home flexibility after 90 days.

Competitive Benefits and Compensation Package

12 paid holidays
Paid Time Off (PTO)
- Pro-rated during first year of employment
- 15 days of PTO provided in the next calendar year!
3 days paid bereavement
Up to 20 days paid jury leave
Medical, dental, and vision insurance, with option for dependent coverage
Company-paid basic life, short-term disability, long-term disability, and AD&D insurance
401k with employer match
Tuition reimbursement program
Career development opportunities
Referral bonus for all successful full-time referrals
Annual opportunities for increases

Pay - The pay for this position is $23.00 an hour. Actual salary is dependent on skills, experience, education, and other business factors.

Our Culture

BeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees' successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a place where employees can find long-term growth and potential.

Our culture focuses on three core values:

Collaboration: working together across 31 locations to achieve the best for the company and our clients
Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues
Integrity: doing what we say we will do. Upholding strong ethical and moral principles

ADA & EEO

Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.

Quick Apply

Refine Your Search

benefit specialist jobs in rochester hills mi

Document Processor (Troy, MI)

Associate Benefits Analyst – Employee Health & Benefits

Eligibility Coordinators

Benefits Analyst – Employee Health & Benefits

Client Benefits Coordinator

Customer Benefits Specialist (Remote)

Group Benefits Coordinator

Health Care Project Manager

Pension Benefit Representative

Client Manager – Employee Health & Benefits

Employee Benefits Consultant

Benefit and Leave Specialist

Global Mobility Leader

Pharmacy Benefits Specialist - Specialty - Full Time Days - Rochester Hills

Benefit Coordinator

Director of Total Compensation & Benefits

Pension Coordinator (Troy, MI)

HR Specialist

Plan Administrators / Account Executives

HR Leave Specialist

I want to receive the latest job alert for benefit specialist in rochester hills mi

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