Benefit Process Analyst

Customer ServiceHybrid Remote


Description

The focus of the Benefits Process Analyst I is to ensure accurate and timely processing of benefit transactions in compliance with client processes. Through quality assurance, speed, and accuracy, the Health & Welfare Benefits Process Analyst 1 will ensure that ongoing client teams meet both internal and external Service Level Agreements (SLA’s) tied to assigned processes and procedures.      
   
   

   
Description
The focus of the Benefits Process Analyst I is to ensure accurate and timely processing of benefit transactions in compliance with client processes. Through quality assurance, speed, and accuracy, the Health & Welfare Benefits Process Analyst 1 will ensure that ongoing client teams meet both internal and external Service Level Agreements (SLA’s) tied to assigned processes and procedures. 

Primary Responsibilities:

  • Provides benefit processing support for the day to day service and administration of Health and Welfare plans using documented standard operating procedures (SOPs)
  • Works under generalized direction within established processes and practices to ensure accuracy and timeliness.
  • Executes and tracks assigned client deliverables using processing guides according to the client specific processing calendar, and keeps process tracking tool up to date on a daily basis.
  • Complete data entry changes for employees and their qualified dependents for benefit levels and/or plan selection as required based upon client specific SOP.
  • Identify and escalate concerns to be analyzed and resolved  to  prevent reoccurring issues, improve quality, and reduce ongoing case volume
  • Collaborate with and  support team members in processing client related documents in a timely manner
  • Ability to recognize the breakdown in the processing and escalate to the stakeholders in a timely manner.
  • Maintain a basic understanding of Empyrean platform generated reports for assigned clients.
  • Consistently enhances knowledge, skills, and abilities through training and coaching.
  • Develop, review and maintain standard operating procedures for assigned clients on an ongoing basis.
  • Initiate basic research into client processing issues under guidance and report findings.
  • Performs other duties as assigned.
   
Qualifications:   
  • College degree a plus 
  • Previous experience in Benefits Administration, Health or Life insurance Customer Service, or Transactional Processing. 
  • Or, any equivalent combination of education, experience, and training that provides the required knowledge, skills, and abilities.
  • Working knowledge of Microsoft Office suite, including Excel
  • Adaptable
  • Multi-tasker
  • Consistent
  • Responsible
  • A sense of urgency and ability to prioritize to meet deadlines.
  • Demonstrated ability to be flexible and work under pressure to meet strict deadlines in a team environment
  • Work under supervision and/or guidance
  • Strong interpersonal, verbal, writing and analytical skills
  • Excellent attendance and punctuality are essential
  • A drive to learn and become a subject matter expert
  • Ability to read, write and verbally communicate effectively in English
  • Ability to maintain confidential and sensitive information
  • Ability to understand and follow instructions