Associate - Account Management

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
Required Skills
Minimum 2+ years of experience in Health Insurance, Life Insurance, Disability Benefits, Leave Administration, Claims Processing, Healthcare Operations, or related domains.
Strong attention to detail and analytical skills
Effective verbal and written communication skills
Ability to interpret procedures and apply judgments within guidelines
Strong organizational and time-management skills
Proficiency in multiple systems and applications
Ability to work independently and manage competing priorities
Education
Graduate in any discipline or equivalent work experience
Preferred Qualifications
Experience in contact center operations within disability, leave administration, insurance, claims processing, healthcare operations domain
Experience working with productivity and quality performance metrics
Experience handling provider outreach or benefit-related support activities

Employment type
Full-time

Work arrangement
No