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Benefits Specialist

Posted 6 days ago

reserves networkTampa (FL)

SENIORITY

Senior

SALARY

$49,000–$57,000 annually

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About the role

Benefits: Specialist | $49,000–$57,000 | Hybrid | Direct Hire Lincoln, NE | Full-Time | 3 Days Onsite / 2 Days RemoteAre you someone who enjoys solving problems, researching information, and helping people understand their healthcare benefits? An established organization is looking for Benefits Specialists to join its growing team! This direct hire opportunity combines healthcare benefits, insurance claims research, and member support. You'll help individuals navigate coverage questions, understand medical claims, and find answers while building a career with an organization known for exceptional benefits and long-term employee retention. Why You'll Want to Explore This Opportunity
Salary: $49,000–$57,000 annually, depending on experience. Direct Hire: Permanent, full-time opportunity with eight positions available. Hybrid Schedule: Three days in the office and two days working remotely.
Outstanding Benefits: Comprehensive benefits package, including a pension plan. Career Stability: Join an organization where many employees have stayed for 15 years or longer.
Location: Lincoln, NE. Candidates must reside within approximately one hour of the office. Meaningful Work: Help members better understand their healthcare benefits and resolve insurance-related concerns.
What You'll Be Doing: As a Benefits Specialist, you'll serve as a knowledgeable resource for members seeking assistance with medical and vision insurance benefits. You'll research questions, explain coverage details, and work toward accurate resolutions while providing a positive member experience. Your day-to-day responsibilities will include:
  • Respond to approximately 20–25 incoming calls daily regarding medical claims, insurance benefits, and coverage questions.
  • Explain Explanation of Benefits (EOB) statements, claim status, payments, deductibles, copays, and eligibility.
  • Research member accounts and insurance information to answer questions and resolve discrepancies.
  • Review claims and payment details to help members understand how their benefits apply.
  • Navigate multiple computer systems to locate information and document conversations.
  • Collaborate with internal teams to resolve more complex issues.
  • Maintain accurate records of member interactions, resolutions, and follow-up activities.
  • Handle confidential healthcare information with care and professionalism.
  • What Makes You a Strong Candidate?
  • We're looking for professionals who are detail-oriented, comfortable working with insurance or financial information, and genuinely enjoy helping others.
  • Relevant experience may include:
  • Health insurance, medical claims, or benefits administration.
  • Medical billing, patient accounts, or insurance verification.
  • Healthcare customer service, patient registration, or medical office administration.
  • Insurance customer service or claims-related call center support.
  • Customer service involving billing inquiries, account research, or payment resolution.
Skills and qualifications: Strong verbal and written communication skills with the ability to explain detailed information clearly. Excellent research, problem-solving, and organizational abilities. Confidence handling customer questions while navigating multiple computer applications. Working knowledge of Microsoft Outlook, Word, and Excel. Accurate data entry and thorough documentation skills. Ability to manage follow-up tasks, prioritize responsibilities, and maintain attention to detail. Dependability, professionalism, and a commitment to delivering quality service. Previous healthcare or insurance experience is preferred. Candidates with strong transferable experience in customer service, billing, or account resolution are also encouraged to apply. A Workplace Worth Staying ForImagine joining an organization where employees regularly celebrate 15 years or more of service. This employer offers the stability of an established organization, a collaborative work environment, and a benefits package designed to support your future. With hybrid flexibility, a pension plan, and opportunities to develop your healthcare insurance knowledge, this is a position where you can build a lasting career. Ready for Your Next Opportunity? The Reserves Network is partnering with this established organization to connect qualified professionals with rewarding career opportunities. As a veteran-founded, family-owned staffing firm, we provide personalized recruiting support throughout the hiring process. Apply today to learn more about this Benefits Specialist opportunity! The Reserves Network is an Equal Opportunity Employer.

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