• Benefits Specialist

    Location US-OK-Tahlequah
    Posted Date 6 days ago(11/6/2018 6:29 PM)
    Job ID
    2018-15174
    Closing Date
    11/13/2018
    Salary
    $13.44 Hourly
    Group
    Human Resources - Benefits
    Position Status
    Regular Full-Time
    Childcare/Law Enforcement Position
    No
  • Job Summary

    Assists employees, providers, and third-party administrators with eligibility and insurance claims filing processes; prepares and reconciles appropriate billing; strictly maintains multiple spreadsheet logs and records keeping systems; disseminates benefit eligibility and claims information to providers and employees; and assists in coordinating claims issues with the third-party administrator or insurance company.

    Job Duties

    Assists employees, providers, and third party administrator with eligibility and claims and/or loan filing processes.  Verifies participation, eligibility, level, and type of benefit by telephone and/or written notice.  Verifies and reconciles billing for self-administered and traditional benefit programs.  Prepares reconciliation schedules reflecting adjusting/correcting entries for additions, deletions, type, eligibility, and services provided to insured.  Prepares appropriate check request for payment obtaining authorized signature.  Composes reports and correspondence.  Maintains eligibility logs and files.  Tracks participant eligibility and payments.  Generates related reports.  Conducts new employee orientation and/or open enrollment, enrolls eligible employees in respective benefit programs.  Designs and conducts training on benefit related policies, processes, and regulations.  Coordinates claim and/or loan filing process.  Verifies eligibility and complies required paperwork.  Submits completed documentation for appropriate signature.  Maintains schedules and logs on various benefit programs.  Reconciles payroll deduction with monthly billings.  Prepares respective reports.  Attends meetings.

     

    Other duties may be assigned.

     

    SUPERVISORY RESPONSIBILITIES

    This job has no supervisory responsibilities.

    Qualifications

    EDUCATIONAL REQUIREMENT

    Associate's degree from two-year college or technical school in Business Administration or related field; or three years related experience and/or training; or equivalent combination of education and experience.  May include two years or more of undergraduate college course work.

     

    EXPERIENCE REQUIREMENT

    An additional two years experience in a related business field is required.  Prefer one year of experience in the insurance field.

     

    CERTIFICATES, LICENSES, REGISTRATIONS

    Must possess a valid driver's license with a driving history verified through a motor vehicle report that meets requirements for Cherokee Nation underwriting rating.

     

    OTHER SKILLS AND ABILITIES

    Computer literate.  Must be knowledgeable with word processing, spreadsheets, and graphic software; routine office equipment; must have excellent written and verbal communication skills.

    Options

    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed