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Since 1998, Businessolver has delivered market-changing benefits technology and services supported by an intrinsic responsiveness to client needs. The company creates client programs that maximize benefits program investment, minimize risk exposure, and engage employees with easy-to-use solutions and communication tools to assist them in making wise and cost-efficient benefits selections. Founded by HR professionals, Businessolver's unwavering service-oriented culture and secure SaaS platform provide measurable success in its mission to provide complete client delight.
Businessolver is growing and is looking to add a Processing Specialist to our team.
Responsible for reviewing and processing various benefits-related documentation, including appeals, life events, and coverage elections. Ensures compliance with regulatory requirements, maintains accurate records, and provides thorough responses to inquiries. Manages enrollment processes, supports claim submissions, and collaborates with internal and external partners. Demonstrates accountability, confidentiality, and adaptability in a fast-paced, quality-driven environment while contributing to team operations and continuous improvement.We are seeking passionate individuals with a strong drive to deliver delight to our clients.
The Gig:
- Review and accurately process complex documentation related to Appeals, Condolences, Qualified Medical Child Support Orders (QMCSO), Medicare L-564 forms, and Power of Attorney (POA) requests, ensuring compliance with legal and procedural standards.
- Analyze incoming documents to determine member eligibility for various health and benefit coverage options, applying policy guidelines and regulatory criteria.
- Facilitate the end-to-end enrollment process, including processing elections, updating member records, and ensuring timely and accurate activation of coverage.
- Respond to inquiries from members, internal teams, and external partners with professionalism and accuracy, documenting all interactions and resolutions in accordance with company standards.
- Process life event changes such as marriage, birth, or loss of coverage, and updating member records accordingly. Apply subsidies and other benefit adjustments as needed.
- Complete and submit life and disability insurance claim forms, ensuring all required information is accurate and submitted within required times.
- Ensure all processes align with state and federal regulations, including IRS requirements, and support fulfillment of mandated notices and documentation.
- Actively participate in daily team stand-ups, share updates, and contribute to a collaborative and informed team environment.
- Proactively identify potential issues or risks in processes or documentation and apply critical thinking to develop effective, compliant solutions.
- Take full responsibility for assigned tasks from initiation through resolution, ensuring quality, timeliness, and customer satisfaction.
- Follow established procedures and client-specific guidelines while maintaining strict confidentiality of sensitive personal and health information.
- Maintain consistent attendance, punctuality, and adherence to work schedules in a high-performance, metric-driven environment.
- Support other duties as assigned, contributing to team goals and organizational success with flexibility and an initiative-taking attitude.
What you need to make the cut:
- Bachelor’s degree or equivalent work experience
- 2 years experience with COBRA Administration, Verification Services, Leave of Absence, Retiree Services, and Document Fulfillment
- Keen attention to detail and high accuracy on processing information
- Dedication to providing exceptional customer service for both internal and external partners
- A thorough understanding and adherence to information confidentiality
- Flexibility - on this team, we roll up our sleeves and help out where help is needed and ability to adapt to change
- Proficiency in the use of Microsoft Office Products (especially Excel and Word) or similar productsand ability to use Windows and Internet web-browsing applications
- Strong written and oral communications (email/phone)
- Competitive, team player who strives for excellence
- Proven customer service experience with excellent phone etiquette and communication skills
- Benefit Administration experience / Life and Health license a plus
The pay range for this position is $14.00 to $22.00 per hour (pay to be determined by the applicant’s education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data).
Other Compensation: If this position is full-time or part-time benefit eligible, you will receive a comprehensive benefits package which can be viewed here: https://businessolver.foleon.com/bsc/job-board-businessolver-virtual-benefits-guide/
Dear Applicant.
At Businessolver, we take our responsibility to protect our clients, employees, and company seriously and that begins with the hiring process.
Our approach is thoughtful and thorough. We’ve built a multi-layered screening process designed to identify top talent and ensure the integrity of every hire. This includes quickly filtering out individuals who may attempt to misrepresent themselves or act in bad faith.
We also partner with trusted, best-in-class providers to conduct background checks, verify identities, and confirm references. These steps aren’t just about compliance, they’re about ensuring fairness, safety, and trust for everyone involved.
Put simply: we will always confirm that you are who you say you are. It's just one of the many ways we uphold the standards that matter most, to you, to us, and to the people we serve.
With heart,The Businessolver Recruiting Team
Businessolver is committed to maintaining an environment that protects client data. We train our employees to maintain leading class security practices and expect all employees to adhere to policy, procedures and controls.
(Applicable to all roles at an AVP, DIR, VP, Head Of or SVP and above level):
Serve as a security contact for the business unit. Responsible for driving adoption and compliance with information security and privacy practices. Serve as a liaison with the information security team on security and privacy matters.
Equal Opportunity at Businessolver:
Businessolver is an Affirmative Action and Equal Opportunity Employer and is proud to offer equal employment opportunity to everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, veteran status, and more. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements.
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