Associate - Account Management
Prefer a full account with a password? Sign Up to Apply
Job Description
The Benefits Support Specialist - Independently manages benefit administration activities, including provider outreach, claim support processes, documentation review, and workflow management. This role handles more complex scenarios, supports process improvement efforts, and serves as a resource for less experienced team members.
Key Responsibilities
• Process complex benefit administration activities with minimal supervision
• Review claim documentation and determine appropriate next steps
• Contact providers and other stakeholders to obtain required information
• Manage follow-up activities and resolve outstanding requests
• Ensure compliance with quality, productivity, and service-level standards
• Identify and resolve processing exceptions
• Maintain accurate and complete documentation
• Support multiple product lines and workflows
• Assist with training, coaching, and knowledge sharing
• Escalate issues or exceptions to leadership when needed
• Recommend process improvements and efficiency opportunities
Requirements
Function: Customer Service
Experience Level: Not Applicable