| Benefit Specialist (San Francisco, CA) Summary – The Benefits Specialist is an entry level position and will provide customer service, determine, maintain, and terminate member and/or dependent eligibility for health care benefits and pension benefits. Bilingual in Spanish is a requirement. Essential Duties and Responsibilities include but not limited to - Understanding of the plan rules for eligibility/pension as outlined in the Summary Plan Description (SPD) for each fund.
- Collect completed forms and add all members and their eligible dependents to the BeneSys computer system and any/all outside carrier systems. Send requests for additional documentation on incomplete enrollment forms and/or denial with rights to appeal.
- Audit vendor reports and invoices on a monthly or weekly basis.
- Determine qualifying events and notify member/dependent of COBRA rights.
- Prepare and mail eligibility correspondence including but not limited to enrollment forms, enrollment packages and self-payment notices.
- Scan and index documents into document storage system.
- Provides exceptional customer service via phone and email to internal and external customers.
- Regular and predictable attendance is an essential function of this job.
Qualifications - Bilingual in Spanish is a requirement
- Excellent customer service and phone skills
- Proficient in MS Word, Excel and Outlook
- Ability to read and interpret plan rules, department rules and procedures manual and COBRA compliance manual
- Ability to speak clearly and effectively to explain eligibility requirements to members, dependents, providers and union officials
- Ability to multi-task
- Prior experience in a clerical and customer service, preferred
- Post High School education or prior related work experience, preferred
Work Schedule - Full-time. Monday – Friday, 8:00am - 4:30pm. Required in office (No at-home days). Competitive Benefits and Compensation Package - Vacation days earned at a rate of 1 day per each full month worked (for your first pro-rated year)
- 12 paid holidays
- 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 Hourly rate ranges from $31.00 - $32.00. Actual rate dependent on location, skills, education, experience 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.
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