Benefit specialist jobs in Florida

Pharmacy Benefits Specialist Medix Healthcare Maitland, FL 32751 Monday-Friday 8am-5pm or 9am-6pm $19-24 / Hour Qualifications 2+ years of experience in healthcare (patient access, case management, or reimbursement support) Strong knowledge of benefit investigations, prior authorizations, and insurance verification Excellent communication, attention to detail, and ability to manage multiple cases Proficient in Microsoft Office and case management tools; HIPAA-compliant with sensitive info High school diploma or GED Essential Duties and Responsibilities: As a Pharmacy Benefits Specialist you will… Conduct benefits investigations for requests submitted by medical offices (MDOs) Contact insurance companies to verify medical, specialty pharmacy, and/or prescription benefits Communicate with medical offices to obtain or follow up on clinical documentation, prior authorizations, transfers, and other case needs Collaborate regularly with Field Access Managers (FAMs) and Key Account Managers to ensure alignment and support for program objectives Assist and support sales representatives with case-related updates or provider needs Maintain accurate and timely documentation of all case activities in accordance with program and HIPAA guidelines Serve as a liaison between providers, insurance carriers, and internal teams to facilitate patient access to therapy Respond promptly and professionally to case inquiries, escalating issues as necessary Work Environment: This position is going to be ON SITE. Monday-Friday 8am-5pm or 9am-6pm EST (Need flexibility) $19-24 / Hour #MedixWest

We're hiring a Benefits Analyst with strong self-funding expertise to join our growing team at All Atlantic Benefits in Hollywood, FL. If you thrive on turning data into strategy and love building innovative benefits solutions, we want to talk to you. About Us: All Atlantic Benefits is a fast-growing, boutique benefits agency based in Hollywood, FL. With 30+ years of experience across the broker and carrier sides, we deliver out-of-the-box, creative benefits strategies for clients nationwide. At the core of our collaborative, family-like team is a shared mission: insuring the most valuable asset in someone's life, the one they eat, sleep, and talk in every single day. The Role: We're seeking a Benefits Analyst with deep self-funding expertise and strategic vision. This role goes beyond quoting and renewals: it's about seeing the bigger picture in funding mechanics and guiding clients toward smart, innovative choices. Working closely with consultants and account managers, you'll help deliver exceptional renewal strategies, mid-year reviews, and plan designs. What You'll Do: Support quoting and analysis across fully insured and self-funded plans, interpreting claims data, identifying cost drivers, and modeling plan design impacts. Develop and recommend strategic funding scenarios, leveraging an understanding of stop-loss, AG/spec levels, and other key funding mechanics. Deliver accurate, insightful renewal strategies and client presentations, ensuring proposals are clear, competitive, and actionable. Collaborate with consultants and account managers to evaluate carrier proposals, recommend revisions, and provide innovative options beyond standard quoting. Contribute to the agency's competitive edge by applying an analytical, visionary approach to benefits strategy that aligns with client objectives. What We're Looking For: 2-4 years of experience in benefits analysis, with direct self-funding expertise (required). Associate's degree in a related field or equivalent, relevant training/experience. Bachelor's degree preferred. Strong analytical mindset with the ability to translate data into actionable strategies. High proficiency in Excel and comfort working with large data sets. Excellent communication skills with the ability to clearly explain funding mechanics to colleagues and clients. What We Offer: Competitive compensation with bonus potential. Comprehensive benefits package including health, dental, vision, 401(k) with company contribution, PTO/holidays, and more. Professional development support, covering industry association memberships and licensing. Collaborative, supportive team environment with on-site leadership. Career growth opportunities with mentorship from seasoned industry experts.

Are you looking to join Florida's fastest growing mechanical contracting team? B&I Contractors, Inc., a proud four-time winner of the Great Place to Work certification, is seeking an experienced and dedicated Benefits Specialist to join our dynamic and expanding team. Why Choose B&I Contractors, Inc.? Industry Leader: As Florida's fastest growing mechanical contractor, we specialize in large-scale commercial projects. Continuous Development: Benefit from our NCCER-certified in-house and online training that equips you with the skills needed to advance in your career. Comprehensive Benefits: Enjoy employer-paid health insurance, accrued vacation, and sick time, along with a wellness reimbursement program to support your overall well-being. Retirement Benefits: We are a 100% employee owned company with an ESOP. You can also participate in our 401(k) plan with company match and explore post-tax Roth IRA options to secure your financial future. Established Legacy: Join a team of over 1000 employees contributing to our success since 1960, with a proven track record of excellence in mechanical contrac The Benefits Specialist is responsible for the strategic direction, administration, compliance, and communication of employee benefits programs, including health and welfare plans, retirement plans, wellness initiatives, leave programs, and related policies. The Benefits Manager ensures that the company's benefits offerings are competitive, cost-effective, compliant with all legal requirements, and aligned with business goals. This position partners with leadership and cross-functional teams to foster a positive employee experience. Duties and Responsibilities Administer and manage all employee benefits programs, including medical, dental, vision, life, disability, retirement (401k), wellness, COBRA, and leave of absence programs (FMLA, ADA, personal leave, etc.). Monitor benefits trends, benchmarks, and best practices; make recommendations for plan design changes or enhancements. Utilize analytics tools to track and analyze benefits utilization, cost trends, employee engagement, and benchmarking data; provide actionable insights to inform benefits strategy and optimize plan design Lead annual open enrollment processes, including vendor coordination, employee communication, education sessions, system setup, and enrollment processing. Serve as the primary liaison between employees and benefits vendors/carriers to resolve complex benefit inquiries and issues in a timely and professional manner. Ensure compliance with federal, state, and local laws and regulations related to benefits, including ERISA, ACA, HIPAA, COBRA, and IRS guidelines. Oversee benefits-related audits, reporting, and filings, including Form 5500, nondiscrimination testing, ACA reporting, and other government-mandated reports. Maintain accurate benefits records, systems, and files; manage data integrity within HRIS and benefits administration platforms. Partner with Payroll to ensure accurate processing of benefit deductions and adjustments. Collaborate with the HR team on employee communication strategies related to total rewards and benefits. Continuously evaluate benefit offerings for competitiveness, cost, and alignment with employee needs. Support vendor selection and contract negotiation processes for benefits-related services. Lead or participate in special projects and initiatives related to employee wellbeing, engagement, or compensation & benefits. Other duties as assigned by the Human Resources Director. Job Qualifications and Skills Bachelor's degree in Human Resources, Business Administration, or related field preferred; high school diploma or GED required. 7+ years of progressive experience in benefits administration or total rewards, with demonstrated expertise in managing complex benefit programs. In-depth knowledge of benefits-related laws and regulations (ERISA, ACA, COBRA, HIPAA, FMLA, ADA, etc.). High level of proficiency with Microsoft Excel, Word, Outlook, and analytics tools (experience with benefits administration systems strongly preferred). Strong analytical skills with the ability to interpret and explain benefits-related data. Excellent written and verbal communication skills. Strong organizational skills and attention to detail. Proven ability to handle sensitive and confidential information with discretion. Ability to manage multiple priorities and deadlines in a fast-paced environment. Experience leading benefits projects or open enrollment cycles preferred. Bilingual a plus. Work Conditions This position operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand, walk, use hands to finger, handle or feel, bend or stoop, reach with hands and arms and be able to lift up to 30 lbs.

Talento has partnered with a rapidly growing organization that's seeking to grow their benefits department in HR. We're looking for a Benefits Specialist to join the team that strives to deliver an exceptional employee experience. This role is responsible for supporting the administration of the benefit programs-health, retirement, and wellness-while serving as a go-to resource for employee inquiries and ensuring compliance with federal and company policies. You'll partner closely with internal teams and vendors to keep benefit operations running smoothly and employees well supported. Responsibilities Serve as the primary contact for employee benefit questions and issue resolution. Support the day-to-day administration of health, retirement (401k), and voluntary benefit programs. Maintain data accuracy in Workday, process life events, and ensure compliance with ERISA, HIPAA, ACA, and COBRA. Partner with Payroll and vendors on 401(k) enrollments, contributions, and audits. Coordinate benefit communications, open enrollment, and new hire onboarding. Manage wellness initiatives, employee recognition programs, and vendor reimbursements. Prepare and review invoices, check requests, and related documentation. Handle confidential employee information with professionalism. Provide outstanding customer service to employees and internal partners. Requirements Bachelor's degree in Human Resources, Business Administration, or related field. 3+ years of experience in benefits administration or employee support. Solid understanding of benefits regulations (ERISA, HIPAA, ACA, COBRA, FMLA). Advanced Excel skills (pivot tables, VLOOKUP, charts); data visualization experience preferred. Experience with Workday or similar HRIS. Strong attention to detail, organization, and communication skills. Bilingual (English/Spanish) preferred. Talento Human Capital Management is an equal opportunity employer, people are at the centre of what we do! Our organization continues to thrive through our ongoing commitment to building an inclusive and diverse workforce from different backgrounds and perspectives . People + Passion + Perseverance = Progress. About Talento: Talento Human Capital Management provides talent and organizational solutions enabling businesses to evolve beyond tactical human resources management. Our footprint spans across the US, Latin America and Asia.

Job Title: Compensation Analyst Job Type: Contract Compensation Analyst The primary function of the role is to support the compensation team in the creation and management of content for internal stakeholders in addition to collaborating with the team to document and implement new business processes. The secondary function of the role would be to calculate and audit monthly commissions and other variable pay as well as assist the team with data analysis. The role will continue to change and will require the associate to pursue and promote change. Identify areas for process improvement Create and present process improvement reports and team progress Administer the update of process and procedure policies and documentation Coordinate communications flow/timing to stakeholders Tailor messages to a diversity of audiences (Executives, HR, General associate population) Assess and report on the effectiveness of communication strategies Organize team meetings, source discussion topics and create agenda for meetings including team-building questions/exercises Identifies communications opportunities to inform and engage associates Develops, administers, executes and evaluates strategies that support the objective of associates communications Support project management activities (e.g., project plans, project schedules) Create reports for internal teams and/or external clients Collaborate with team members to collect, analyze, and present data Assist in the analysis, development, recommendation, and administration of fixed and variable (commission and bonus) programs. Calculate and audit monthly commissions and other variable pay. Assist with the maintenance and creation of structured compensation reports using excel and beqom.

Horace Mann is looking for individuals who want to work with purpose. Being part of our organization means you can empower educators and others who serve the community to receive better benefits and financial stability. The Wise Benefits™ product suite captures the supplemental benefit offerings of Horace Mann's Worksite Division. These policies help offset the costs major medical insurance may not cover. Support the heroes in our schools and communities by helping them achieve financial peace of mind. Responsibilities Become a licensed life and health insurance agent Work alongside top agents in a supportive, results-driven environment Participate in hands-on training and mentorship programs to grow your skills and advance your career Set meetings with schools, fire stations, municipalities, and more to present products Submit sales reports and applications in a timely manner Perform other follow-up and administrative tasks as needed Requirements Strong communication skills Self-motivated Highly interpersonal Outgoing Service-oriented What we offer We deliver your leads - you drive the results You work during normal business hours, so no nights, weekends, or holidays All the training and support you need Experience the freedom to work independently, with no office requirements and no cap on your income Our team manages the admin - you focus on driving results and growing your career Please use the following scheduling link to select a convenient time to discuss: Schedule a Time Here #vizi# #Ll-CH1

Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The PBM Pricing Strategy Analyst, Senior is responsible for Administrative Services Only (ASO) support functions. How You Will Make an Impact Primary duties may include, but are not limited to: * Implements new processes, process improvements, and best practices related to guarantee monitoring and ASO pass back activities. * Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization. * Creates tools and processes to monitor margin revenue and client retention. * Monitors revenue performing below thresholds and implements necessary tasks to bring performance to or above targets. * Implements pricing in the system related to margin. * Supports the Pharmacy Services team in implementing future revenue, member expansion and growth capacity. Minimum Requirements: Requires a BA/BS in Finance or related field and a minimum of 3 years of experience with Pharmacy Benefits Manager (PBM), data analysis; or any combination of education and experience, which would provide an equivalent background. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $86,064 to $129,096 Locations: Minnesota In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

We are seeking a Pharmacy Benefits Coordinator to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Pharmacy Benefits Coordinator plays a critical role in managing and optimizing pharmacy benefit programs. This position is responsible for coordinating with prescribers and targeted beneficiaries to ensure appropriate payment determination, evidence-based drug selection, and resolve medication-related problems. By maintaining accurate records and facilitating communication among stakeholders, the role helps improve patient outcomes and control pharmacy-related expenses. Minimum Qualifications: State of Florida Registered Pharmacy Technician License (RPT) required. At least 2 years of experience in managed care pharmacy required. Strong understanding of pharmacy benefit management, insurance claims processing, and healthcare regulations. Preferred Qualifications: Bachelor's degree in Health Administration, Pharmacy, Business, or a related field. Experience working with electronic health records (EHR) and pharmacy claims adjudication systems. Knowledge of Medicare, Medicaid, and commercial insurance pharmacy benefit structures. Familiarity with data analysis tools and reporting software. Bilingual in English & Spanish. Responsibilities: Engage in drug utilization review (DUR) by supporting letter campaigns, and telephonic outreach to members/providers. Maintain accurate documentation and records related to pharmacy benefits administration and communications. Monitor medication therapy management (MTM) services through prescriber follow-up and collaborations with other departments. Document and record oversight/activities in appropriate databases/software to ensure compliance with CMS and Florida Medicaid requirements. Consult with pharmacists and/or physicians regarding the use of medications and advise of appropriate formulary alternatives when requested. Respond to inquiries from other departments, physicians, and members related to formulary and prescription benefits. Refer all prescribers (MD, DO, APRN etc.) and customer calls related to medical questions to the Pharmacist.

The Cannington Agency is hiring an EMPLOYEE BENEFITS SPECIALIST. We are looking for hard working, motivated leaders in the CENTRAL FLORIDA JACKSONVILLE METRO area. This last year has been one of unprecedented growth (UP 50% GROWTH FROM PRIOR YEAR!) that has broken many company records! If you are looking for a strong company that offers a more-than generous compensation plan, a culture of growth, and the ability to quickly advance in leadership/management positions, we want to talk to YOU! Benefit Specialist work hand-in-hand with business owners helping them set up packages for their employees. The Cannington Agency training process provides new hires with the needed guidance, support and encouragement. The position is an ENTRY LEVEL MANAGEMENT position, with the ability to move up quicker with EXPERIENCE. If you are interested in a management position, we have an accelerated training program. Primary duties include: Must pass approved training program that includes classroom and field. Ensuring that all system based training is utilized according to company standards. Participation in weekly in-office agency training. Working with business owners in providing employee benefits. * Average income range-$60,000-$82,000 Annually. *** Leadership experience preferred, but not required. Job Type: Full-time This Job Is Ideal for Someone Who Is: Dependable -- more reliable than spontaneous People-oriented -- enjoys interacting with people and working on group projects Achievement-oriented -- enjoys taking on challenges

Job Description Are you ready to be part of something Extraordinary? Look no further than Harvard is the largest family-owned provider of premier commercial janitorial and professional security services in the United States. We believe in the power of our people. Here, every team member is valued, empowered, and trained to contribute their best. We foster an inclusive workplace culture where diversity is celebrated and every voice matters. A day in the life: The Benefits Manager will be responsible for designing, implementing, and managing employee benefit programs that align with Harvard's business goals, financial objectives, and talent strategy. This role requires balancing employees' well-being with cost effectiveness, ensuring benefits deliver measurable value to both employees and the organization. Responsibilities Program Administration: Manage all benefit programs, including medical, dental, vision, life, disability, HSA, FSA, EAP, 401(k), and additional offerings. Manage the relationship with the benefits administration vendor to ensure service delivery meets contractual obligations and established SLAs. Oversee the benefits administration vendor to ensure day-to-day activities-including enrollment, qualifying life events, and medical support notices-are processed accurately and in compliance. Review reconciled monthly invoices and weekly payroll deductions to ensure accuracy, and any discrepancies are resolved. Compliance & Risk Management: Ensure compliance with all federal and state regulations (PPACA, FMLA, HIPAA, COBRA, ACA, etc.). Prepare and file required forms and reports with IRS, DOL, insurance commissioners, and other regulatory bodies. Monitor legislative and regulatory changes; develop action plans in collaboration with HR leadership. Strategy & Process Improvement: Partner with brokers, carriers, and vendors to design cost-effective, high-value programs. Partner with Senior HR Leadership and Finance to evaluate the ROI for benefit offerings. Provide Benchmark details to ensure competitiveness and sustainability. Lead annual benefits planning, renewal negotiations, and open enrollment. Streamline and automate benefits administration procedures to increase efficiency and accuracy. Partner with HRIS and TPA teams to ensure accurate data flow across systems. Employee Experience & Communication: Develop and execute benefits communication strategies in partnership with HR leadership and brokers. Introduce innovative programs that drive engagement and retention. Educate HR business partners, managers, and employees on benefits programs and processes. Handle escalations to ensure timely, fair, and empathetic resolution. Analytics & Governance: Deliver benefits reporting and analytics to support decision-making. Provide data and guidance to sales and pricing teams as needed. Support the SVP, HR Operations, in administering the Benefits Committee. Qualifications Bachelor's degree required. 7-10 years of progressive experience in benefits administration. Strong Financial acumen in managing large budgets and analyzing cost impact. Strong HRIS expertise; experience integrating HRIS with benefits platforms. Advanced MS Excel, PowerPoint, and Word skills. Excellent written and verbal communication, as well as presentation skills.

Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $47,700.00 - $78,600.00 Target Openings 1 What Is the Opportunity? Under moderate supervision, manage Workers' Compensation Claims with: Stable Lifetime Indemnity and/or Medical Benefits where the medical expenditures are not expected to exceed $6,000 annually and there are settlement opportunities. Death Benefits Payment of Award only Minimal active/pending litigation, including mediation As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. What Will You Do? * Manage and resolve stable lifetime claims. * May use structured settlement/annuity as appropriate for the jurisdiction. * Manage existing offsets, including apportionment, contribution and subrogation. * Facilitate timely claim resolution by leveraging any mitigation opportunities. * Establish and update reserves to reflect claim exposure and document rationale. * Work in collaboration with specialty resources (i.e. medical and legal) to proactively pursue claim resolution opportunities, (i.e., structured settlement, discontinuation of benefits through litigation). Collaborate with our internal nurse resources (Medical Case Manager) in order to integrate the delivery of medical services into the overall claim strategy. * Apply knowledge to determine causal relatedness of medical conditions. * Negotiate settlement of claims within designated authority. * Proactively manage inventory with documented plans of action to ensure timely and appropriate file closure or reassignment. * Manage cases telephonically with an emphasis on maximizing quality and controlling costs through aggressive case resolution. * Review, approve and issue accurate and timely indemnity, medical and expense payments for lifetime/long-term claims. * Determine Value of Claim. * Complete required letters and state forms and any other documents as required. * Establish and maintain incurreds which reflect the exposure of the claim, and document a clear reserve rationale. * Apply coverage (limits, endorsements). * Determine and apply offset/contribution from 3rd party, second injury fund, liens, etc. * Develop and Execute Resolution Strategy. * Determine and actively develop ongoing strategic plans for resolution as required and when a significant event impacts the claim. * Utilize and manage resources as necessary to resolve outstanding issues. * Communicate and complete denials on medical and indemnity issues. * Manage inventory to ensure timely file closing or timely reassignment if necessary. * Settlement Evaluation and Negotiation. * Evaluate and document a detailed settlement analysis, value and range within settlement authority. * Execute negotiation strategy and communicate status. * Identify and evaluate the need for Allocation or Medicare Set Aside and make appropriate referral. * Customer Engagement. * Participate in Telephonic and/or onsite File Reviews. * Respond to inquiries - verbal and written. * Keeping injured worker apprised of claim status. * Engage specialty resources as needed. * In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. * Maintain Continuing Education requirements as required. * Perform other duties as assigned. What Will Our Ideal Candidate Have? * College degree. * Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making. * Communication: Expresses, summarizes and records thoughts clearly and concisely orally and in writing by applying proper content, format, sentence structure, grammar, language and terminology. * Ability to effectively present file resolution to internal and/or external stakeholders. * Negotiation: Basic ability to understand alternatives, influence stakeholders and reach a fair agreement through discussion and compromise. * Working Insurance Contract Knowledge: Interprets policies and contracts, applies loss facts to policy conditions, and determines whether or not a loss comes within the scope of the insurance contract. * Principles of Investigation: Introductory investigative skills including the ability to take statements. * Follows a logical sequence of inquiry with a goal of arriving at an accurate reconstruction of events related to the loss. * Value Determination: Basic ability to determine liability and assigns a dollar value based on damages claimed and estimates, sets and readjusts reserves. * Settlement Techniques: Basic ability to assess how a claim will be settled, when and when not to make an offer, and what should be included in the settlement offer package. * Legal Knowledge: Working knowledge, understanding and application of state, federal and regulatory laws and statutes, rules of evidence, chain of custody, trial preparation and discovery, court proceedings, and other rules and regulations applicable to the insurance industry. * Medical knowledge: Working knowledge of the nature and extent of injuries, periods of disability, and treatment needed. * Understanding of when to utilize a medical resource is needed. * WC Technical: * Basic ability to demonstrate understanding of WC Products and ability to apply available resources and technology to resolve claims. * Demonstrate a clear understanding and ability to work within jurisdictional parameters within their assigned state. * Customer Service: * Advanced ability to build and maintain productive relationships with our insureds and deliver results with optimal outcomes. * Teamwork: * Advanced ability to work together in situations when actions are interdependent and a team is mutually responsible to produce a result. * Planning & Organizing: Intermediate ability to establish a plan/course of action and contingencies for self or others to meet current or future goals. What is a Must Have? * High School Diploma or GED and one year of customer service experience OR Bachelor's Degree. What Is in It for You? * Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. * Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. * Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. * Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. * Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************

Job DescriptionDescription: The Compensation and Benefits Analyst is responsible for evaluating the integrity, accuracy, and compliance of the organization's compensation and benefits programs. This role conducts audits for compensation structures, and benefit reconciliations to ensure alignment with internal policies and regulatory standards. The position plays a key role in identifying risks, ensuring compliance, and recommending improvements across compensation and benefits processes. RESPONSIBILITIES Conduct compensation benchmarking, job evaluations, and salary surveys to support competitive compensation structures. Assist in the development and maintenance of salary ranges and incentive programs. Support the administration of employee benefits programs including health insurance, retirement plans, wellness initiatives, and leave programs. Perform benefit reconciliation audits to ensure accurate enrollment, deductions, and vendor billing across health, retirement, and wellness programs. Generate compensation and benefits reports and provide data analysis to support HR decisions. Collaborate with HR, finance, and department leaders to support workforce planning and budgeting. Ensure compliance with federal, state, and local laws and regulations affecting compensation and benefits. Assist in the communication and education of employees regarding total rewards programs. Partner with external vendors, and consultants as needed Identify discrepancies, control weaknesses, or non-compliance issues and recommend corrective actions for benefits. Collaborate with HR, Finance, and Legal teams to ensure compensation and benefits practices are transparent, equitable, and legally compliant. Prepare detailed audit reports for compensation and benefits programs and present findings. Monitor changes in compensation and benefits regulations and assess their impact on internal policies. Coordinate and support internal and external audits of retirement plans (e.g., 401(k), pension plans), ensuring accurate and timely data submission. Ensure retirement plan compliance with ERISA, IRS, and DOL regulations; monitor plan operations and recommend corrective actions when needed. Review and execute short-term incentive (STI) plans to assess effectiveness, participation, and alignment with business objectives. Review of annual merit increases, to highlight findings and recommend improvements. Perform additional duties as required. Requirements: QUALIFICATIONS Bachelor's degree in Accounting, Finance, Business, Human Resources, or a related field. Bilingual in English and Spanish 2-4 years of experience in compensation and/or benefits analysis or HR analytics. Strong analytical and quantitative skills High level of integrity and discretion in handling confidential information. Proficiency in Microsoft Excel, Word and Power Point and familiarity with HRIS or benefits compliance software. Adaptability to change priorities and willingness to learn and grow in a dynamic work environment. Experience with Power BI, is a plus Candidate must reside in the Greater Santo Domingo Area

**_What Benefits contributes to Cardinal Health_** Human Resources designs, implements and delivers human resource programs and policies, including recruitment, talent management, diversity and inclusion, compensation and benefits, among others. This function anticipates and plans for long-term human resource needs in alignment with business strategies. Benefits designs, implements and administers benefits plans, ensuring that the total benefits package is competitive with the market, meets company objectives, and is compliant. This job family manages relationships and coordinates with third party vendors for benefits plan development and administration, and collaborates with the Internal Communications family to educate employees and promote enrollment. **_Job Summary_** As a Senior Benefits Consultant on the U.S. Benefits team, you'll lead the administration and continuous improvement of Cardinal Health's leave and disability programs while supporting benefits projects for our expanding Navista/MSO (Management Services Organization) population. **_Responsibilities_** + Manage day-to-day operations for Cardinal Health's leave programs, including FMLA, short term and long-term disability, parental, and personal leaves. + Serve as the primary contact for the external leave vendor (e.g., MetLife), ensuring high quality service delivery and timely resolution of escalations. + Partner with HR Operations, Payroll, Legal, and Employee Relations to ensure compliant, consistent leave administration and accurate pay continuation. + Lead MSO-specific leave management efforts-configuring entity-specific processes, onboarding new practices, and aligning policies across multiple EINs. + Support reporting and project management for MSO benefits initiatives, including annual enrollment, plan onboarding, and vendor transitions. + Track milestones and deliverables to ensure timely execution of benefits projects and accurate communication to stakeholders. + Collaborate across HR, Finance, Legal, and Procurement to drive operational alignment and compliance. + Identify and implement process improvements that enhance efficiency, accuracy, and the employee experience. **_Qualifications_** + Bachelor's degree in related field (Human Resources, Business, etc.) or equivalent work experience, preferred. + 5+ years of experience in employee benefits, leave management, or HR operations within a complex or multi-entity organization preferred + Strong understanding of FMLA, ADA, and state leave regulations. + Proven experience managing third-party vendors and monitoring service-level performance. + Advanced Excel and data-management skills; Power BI or Tableau experience a plus. + Finance background or experience with financial reconciliation or cost tracking a plus. + Strong project-management, communication, and relationship-building skills. + Ability to manage multiple priorities, deliver results in a matrixed environment, and operate with discretion and professionalism. **_What is expected of you and others at this level_** + Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects + Participates in the development of policies and procedures to achieve specific goals + Recommends new practices, processes, metrics, or models + Works on or may lead complex projects of large scope + Projects may have significant and long-term impact + Provides solutions which may set precedent + Independently determines method for completion of new projects + Receives guidance on overall project objectives + Acts as a mentor to less experienced colleagues **_Anticipated salary range_** **:** $105,100-150,100 **_Bonus eligible_** **:** Yes **_Benefits_** **:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **_Application window anticipated to close_** **:** 11/30/2025 *if interested in the opportunity, please submit application as soon as possible. _The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity._ _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

FuturePlan is the nation's largest third-party administrator (TPA) of retirement plans, partnering with advisors in all 50 states. FuturePlan delivers the best of both worlds: high-touch personalized service from local TPAs backed by the strength and security of a large national firm, Ascensus. Our roots go back decades, with nearly 30 outstanding legacy firms now joined together to deliver unmatched levels of service, innovation and expertise to a fast-growing client base from coast to coast. The FuturePlan team includes more than 500 credentialed plan professionals, 60 actuaries, and one of the industry's largest in-house ERISA teams. Learn more at FuturePlan.com. Section 1: Position Summary Serve as a resource to plan sponsors and financial advisors for matters related to ERISA compliance, plan design and governmental reporting. This person is the single point of contact for employer, financial profession and plan sponsor for their accounts. A Retirement Plan Consultant is able to handle client meetings both in person and via phone. This position serves as the retirement Plan expert on testing, 5500, loans and distributions. Additionally, this individual can easily grasp plan design with the ability to assist in plan operation and document updates. Section 2: Job Functions, Essential Duties and Responsibilities Provide timely, exceptional customer service, including problem solving and issue resolution with minimal inconvenience to clients Provide effective verbal and written communications in a clear, concise and informative manner Act as a mentor to Retirement Plan Coordinators, collaborating to meet or exceed defined business objectives, firm goals and client obligations, as applicable Assist clients with all initial and ongoing plan design and document needs, including promoting awareness and educating all clients in regards to their obligations with the IRS and DoL regulations. Assist clients in meeting all IRS and Department of Labor deadlines necessary for qualified retirement plan Assist clients with Service and IRS Plan terminations Maintain up-to date knowledge of present legislation and proposed legislative changes with regard to ERISA law through self-study and company-sponsored training sessions Complete/Assist with payroll processing as required by the products assigned Accountable for all aspects of valuation reports, participant statements and annual testing Review or perform, as needed, the annual testing for plans, including ADP/ACP, Top Heavy, 410(b), 415, 401(a)(4),deductibility, and 402(g) Work with assigned coordinator(s) to provide compliant and accurate valuation reports, participant statements, trust accounting, annual testing and reporting as applicable Review distribution paperwork and coordinate processing of distributions with asset holder Review loan paperwork and coordinate processing of loans with asset holder Review or prepares Form 5500 and coordinate with plan sponsor to help ensure timely filing Assist auditors if a plan is subject to an audit Assist IRS and DOL auditors, if the plan is subject to an IRS or DOL audit Coordinate with all applicable parties, both internal and external, to ensure accurate conversion process for new clients (including but not limited to actuaries, financial advisors, attorneys) As applicable, work with assistant to coordinate and oversee activities that will ensure timely and accurate completion of book of business Assist with other tasks and projects as assigned * Responsible for protecting, securing, and proper handling of all confidential data held by Ascensus to ensure against unauthorized access, improper transmission, and/or unapproved disclosure of information that could result in harm to Ascensus or our clients. * Our I-Client service philosophy and our Core Values of People Matter, Quality First and Integrity Always should be visible in your actions on a day to day basis showing your support of our organizational culture. * Assist with other tasks and projects as assigned Section 3: Experience, Skills, Knowledge Requirements * Bachelors degree preferred * 3-5 or more years ERISA experience in the retirement industry * Experience in analysis of financial data required * Experience in Relius software desirable, but not required * Strong Word, Excel, and Outlook skills * Strong written and oral communication skills * Strong analytic mentality associated with problem solving skills * Detail oriented with the ability to prioritize and manage tasks to partner with business operations, including related ERISA compliance matters * Ability to effectively plan and assign work to and oversee plan associates that are qualified to assist with plan modifications We are proud to be an Equal Opportunity Employer Be aware of employment fraud. All email communications from Ascensus or its hiring managers originate ****************** ****************** email addresses. We will never ask you for payment or require you to purchase any equipment. If you are suspicious or unsure about validity of a job posting, we strongly encourage you to apply directly through our website. For all virtual remote positions, in order to ensure associates can effectively perform their job duties with no distractions, we require an uninterrupted virtual work space and there is also an expectation of family care being in place during business hours. Additionally, there is an internet work speed requirement of 25 MBps or better for individual use. If more than one person is utilizing the same internet connection in the same household or building, then a stronger connection is required. If you are unsure of your internet speed, please check with your service provider. Note: For call center roles specifically, it is a requirement to either hardwire your equipment directly to the internet router or ensure your workstation is in close proximity to the router. Please ensure that you are able to meet these expectations before applying. Ascensus provides equal employment opportunities to all associates and applicants for employment without regard to ancestry, race, color, religion, sex, (including pregnancy, childbirth, breastfeeding and/or related medical conditions), gender, gender identity, gender expression, national origin, age, physical or mental disability, medical condition (including cancer and genetic characteristics), marital status, military or veteran status, genetic information, sexual orientation, criminal conviction record or any other protected category in accordance with applicable federal, state, or local laws ("Protected Status").

We are looking for a representative to join our team. This person will operate as the lead on all critical business accounts. The focus of this vital role is to manage the relationship with the client by creating a positive working relationship. The manager is responsible for addressing client issues and responding to questions. The ideal candidate comes with experience in and developing new business opportunities among both existing and new customers. Excellent cross-functional experience working with customer service and product development to improve the entire customer experience is a critical factor in this role. Responsibilities: Oversee customer account management - Includes developing new business along with negotiating contracts and agreements to maximize profits. Collaborate cross-functionally - Work closely with the sales team to achieve quotas while keeping clients satisfied and engaged with products and services. Ensure delivery to customers - Facilitate the timely and successful delivery of solutions according to customer needs and objectives. Requirements: Sales or related field Strong verbal and written communications skills Excellent listening, negotiation, and presentation abilities Proven ability to juggle multiple account management projects at a time, while maintaining sharp attention to detail Demonstrable ability to communicate, present and influence key stakeholders at all levels of an organization, including executive and C-level Our employees enjoy a work culture that promotes hard work, dedication, working well with those around you, and work diligently to addressing problems with costumers. Employees can also take advantage of Generous Compensation Program, Weekly Performance Bonus, and Leadership Development Programs to Take Your Career to the Next Level

When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide: + Award-winning culture + Inclusion and diversity as a priority + Performance Based Incentive Plans + Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability + Generous PTO (including paid time to volunteer!) + Up to 9.5% 401(k) employer contribution + Mental health support + Career advancement opportunities + Student loan repayment options + Tuition reimbursement + Flexible work environments **_*All the benefits listed above are subject to the terms of their individual Plans_** **.** And that's just the beginning... With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you're directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today! **General Summary:** Minimum starting hourly rate is $22.00 The Customer Benefit Advisor (CBA) I is the entry level in a three-level career path. A CBA I is a critical first point of contact for our customers. To be successful in this role, the incumbent is responsible for demonstrating exceptional customer service for business serviced by Unum/Colonial Life. It is critical to provide accurate information on benefits, claims, and or policy administration with minimal operational oversight. Incumbents in this role will be tasked with compiling information for multiple product types, from multiple systems, and providing responses to customers that are thorough, clear, and concise. All work is carefully performed according to established protocols/procedures. In this role, incumbents must demonstrate a willingness to provide strong customer service - providing accurate information to customers, expressing appropriate empathy, and resolving customer issues where appropriate. This position requires the use of multiple system applications and administrative processes. While service is focused on our external customers, this position is responsible for creating detailed/appropriate documentation for our internal cross-functional business partners. In addition to providing excellent customer service in accordance with established standards, incumbents will need to demonstrate proficiency in individual metrics (i.e. accuracy, post-interaction surveys, average handle time, after call work, schedule adherence, etc.) that are in line with pre-set expectations and drive results for the Customer Contact Center. **Principal Duties and Responsibilities** + Be the customers' first line of sight (advisor) by being available to assist via multiple avenues of communication with timely and accurate information regarding policy and coverage-related questions. + Meet or exceed company goals and metrics to guarantee the best experience for customers. + Be open and motivated by feedback and guidance to be at your best for customers. + Protect customers' privacy (both internal and external) and reassure them with empathy and professionalism. + Be available to work a regularly assigned shift between the hours of 8:00 am and 8:00 pm Eastern time Monday-Friday. + Reliable attendance in accordance with contact center attendance guidelines. + Successfully complete all required training and associated support periods. + Ability to obtain information from multiple systems and relay to customers in a seamless manner. + Follow all documented processes/workflow to enhance customer service and reduce customer effort/operating efficiency. + Utilize resources and tools to accurately respond to customer inquiries. + Demonstrate a passion for the values outlined in value statements. + May perform other duties as assigned. **Job Specifications** + 1 year customer service experience preferred, with a strong preference that the experience be in the insurance/healthcare/medical/financial field or equivalent area. + Highschool diploma or GED required. + Successful completion of Contact Center training program, including demonstrating phone proficiency and passing required knowledge checks. + A passion for helping customers and exceeding their expectations with high integrity. + Answering customer inquiries, translating documents and acting as an interpreter for English and Spanish languages. + Excellent verbal and written communication skills with the ability to flex your communication style to best meet the needs of customers, both in English and Spanish. + Enthusiasm for working in a fast-paced, structured environment, answering numerous inquiries for customers at their greatest time of need. + Strong computer and multi-tasking skills as well as the ability to confidently work in multiple systems with dual monitors. + Familiarity with Microsoft applications such as Outlook, Word, and Excel. + Intellectual curiosity and a desire to continually learn and grow. + An excellent work ethic and ability to adapt and work successfully in a continually changing environment. + Dependability - being available when needed by teammates and customers. + Comfortable with video communications via MS Teams throughout the day to communicate with teammates and leadership face to (virtual) face. + Must meet attendance requirements and in office expectations when applicable. ~IN3 \#LI-LM2022 Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide. Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status. The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience. $36,000.00-$62,400.00 Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans. Company: Unum

Job Description Harrison Gray Search has partnered with a well-established independent insurance brokerage to find a dynamic Employee Benefits Producer to join their successful team. This individual will be responsible for selling new accounts, renewing existing accounts, and ensuring both firm and personal sales goals are achieved. The ideal candidate will thrive in building long-term client relationships, developing creative benefit solutions, and driving new business growth in the employee benefits space. Location: This role can be positioned out of the Fort Walton or Pensacola area. Department: Employee Benefits Reports to: Director of Sales FLSA Status: Exempt Position Summary The Employee Benefits Producer plays a critical role in expanding the firm's book of business by identifying prospects, presenting tailored benefit solutions, and consulting with clients on their employee benefits needs. This role requires a proactive approach to business development, client retention, compliance oversight, and collaboration with internal teams and insurance carrier partners. Key Responsibilities Manage sales pipeline by scheduling appointments, analyzing client exposures, and presenting strategic insurance solutions. Gather underwriting data and prepare detailed proposals and quotes for benefit plans. Oversee service delivery through renewals, financial evaluations, benchmarking, and plan design in partnership with account management teams. Develop and execute ongoing sales strategies to penetrate target markets and achieve growth goals. Build relationships with referral sources, centers of influence, and industry partners. Qualify and assess prospect opportunities based on company criteria and guidelines. Stay current on industry trends, compliance requirements, and carrier product offerings. Participate in sales meetings, training, and professional development opportunities. Maintain accurate and timely communication with all clients, carriers, and internal stakeholders throughout the sales and renewal process. Work a full-time schedule with occasional business travel as needed. Perform additional duties and responsibilities as assigned. Desired Education, Skills, and Experience An active state Life & Health Insurance license is required. Bachelor's degree preferred. Minimum of 3 years of successful employee benefits sales experience, or an equivalent combination of education and experience. Strong interpersonal skills with the ability to communicate effectively with clients, carriers, and colleagues. Professional presence and consultative approach to client relationships. Proven ability to work independently and as part of a team. Proficiency in Microsoft Office Suite (Outlook, Excel, Word, etc.). Self-starter with excellent time management and organizational skills. Perks: Strong base compensation with commission structure (40% new business, 30% on renewals Comprehensive Benefits 401k PTO

Job DescriptionDescription: OBJECTIVE/FUNCTION The Benefits Advisor will drive sales growth by acquiring new business and manage relationships with customers. The Producer increases market penetration into assigned sales territory and retains and strengthens existing client relationships, this paramount for long term success. The Producer responsibilities include growing assigned territory's, account management, ensuring profitability, retention of accounts. The ability to negotiate as well as re-visit and negotiate rates as market trends change is vital to the success as an Account Manager. Requirements: DUTIES AND RESPONSIBILITIES Identifies opportunities to establish new staffing agreements through market demographics and sales contacts. Identify new prospects through phone sales using company database, online resources and cold calling with a minimum of 40 outbound calls per day. Negotiate contract terms with clients. Review and analyze client need by discussing requirements and qualifications, exposures and risks. Work proactively with Account Manager to market available candidates to existing and prospective clients. Work at ensuring employee relations are fluid and harmonious. Ability to travel to visit geographic territory as needed. Other duties and responsibilities as needed PHYSICAL REQUIREMENTS Must be able to drive, stand, sit and stoop for extended periods of time. Must be able to lift or reach arms over head or below waist. Must be able to lift, hold or carry items weighing up to 50 pounds unassisted. Must be able to see, hear and speak with or without accommodation. ENVIROMENTAL REQUIREMENTS Must be able to work in well-lighted or dim-lighted office environment. Temperature-controlled area air conditioned or heated offices at reasonable temperatures. EDUCATION AND EXPERIENCE: 10 plus years industry experience High School graduate or equivalent preferred Property & Casualty License Competent in use of Word, Excel, and Outlook AMS 360 Experience a plus PERSONALITY/OTHER: Must be an excellent presenter by articulating in a positive professional manner. Must be confident, great communicator with the ability to communicate in English, as well as oral and written communication skills. This position requires skills and influence and sales driving style. Work well under pressure and time deadlines. Ability to work in a fast pace environment. Must have a sense of urgency and ability to prioritize quickly and efficiently. Must be able to work well under a team environment or work independently as needed.

Job Description The ADRC serves elders aged 65 or older, adults aged 18-64 with a disability, and their caregivers. Staff support informed decision making, provide Medicaid eligibility assistance for the Statewide Medicaid Managed Care Long-term Care Program (SMMCLTCP), and provide the following duties and responsibilities through customer service that is streamlined, efficient, and consumer-friendly. Duties and Responsibilities: Medicaid Outreach and LTCPE, including: Counsel individuals on the Statewide Medicaid Managed Care Long-term Care Program (SMMCLTCP), available services, eligibility requirements, the application process, and additional information sources. Provide outreach that is standardized and consistent statewide to ensure public awareness of Medicaid programs and services and how to access them. Build relationships with and educate service providers and other professionals to facilitate referrals and increase awareness of Medicaid resources. Medicaid Eligibility Screening and Pre-enrollment (APCL/Waitlist) Placement, including: Accept referrals from the ADRC Helpline and other sources for screening utilizing the DOEA approved 701S screening instrument. Determine the individual's needs and enroll on the pre-enrollment list Waitlist (APCL/waitlist). Ensure accurate data entry into eCIRTS , and SharePoint. Inform individuals or individual's representatives about potential eligibility for the Medicaid programs, including their rights and responsibilities. Re-evaluate individuals on the pre-enrollment list (APCL/waitlist) using the standardized screening instrument as required or as requested due to a significant change. Enrollment Management System (EMS), including: Provide the duties outlined in the most recent DOEA EMS release procedure. Contact individuals on the release verbally and in writing. Verify an individual's current Medicaid eligibility status. Assist the client to pursue the eligibility process with meeting SMMCLTCP financial and medical eligibility. Work with client to obtain the Physician Referral form (3008). Coordinate with CARES (Comprehensive Assessment and Review for Long Term Care Services) staff for determination of medical eligibility. Track Medicaid applications through the eligibility process. Act as a consumer advocate by coordinating with CARES and DCF/ESS staff to resolve in a timely manner any eligibility issues that arise during the Medicaid eligibility determination process. Assist clients who have lost Medicaid to regain their active status in SMMCLTCP. Grievances and Complaints, including: Provide assistance to SMMCLTCP enrollees, concerning how to file grievances and complaints with the long-term care plans. Provide information concerning Medicaid Fair Hearings. Maintain a record of such complaints, in accordance with statewide procedures. Quality Assurance, including: Assist with quality assurance reviews of 701S and long-term care education contacts by ADRC staff. Assist with ensuring eCIRTS data integrity. Assist with tracking and reviews of EMS processing to ensure contractual compliance. Education: Possess a bachelor's degree from an accredited college or university; or Have an Associate of Arts Degree from an accredited college or university and a minimum of one year experience as a caseworker, case manager, intake specialist, or experience in performing human services related work; or Have a high school diploma or GED and two years' experience as a caseworker, case manager, intake specialist, or experience in performing human services related work. Skills/Qualifications: Knowledge of computer applications to perform the functions of the position, including word processing, database, and spreadsheet applications. The ability to work independently and with minimal supervision. Knowledge of available ADRC administered programs and available Medicaid programs. The ability to work with disabled adults, elders, caregivers, stakeholders, and community partners in a knowledgeable, engaged, and compassionate manner. The ability to set and track personal performance goals to efficiently manage workload. Special Requirements: Must pass DOEA Level II criminal background screening; must sign Medicaid Attestation Payroll Form per Department of Elder Affairs/AAAPP requirements. Must sign SMMCLTC Program - Prohibited Activities. Equal Opportunity Employer: At AAAPP, we take pride in providing equal employment opportunities to everyone regardless of their race, ethnicity, beliefs, religion, marital status, gender, citizenship status, age, veteran status, or disability. Accordingly, the purpose of this policy is to reinforce our commitment to the creation and maintenance of a diverse workplace where equality, respect, and consideration for one another are the norm. Job Type: Part-time - 25 hours per week Salary: $21 per hour Benefits: 401(k) 401(k) matching Paid time off Education: High school or equivalent (Required) Experience: Case management: 1 year (Required) Schedule: Flexible 5 hours daily - Monday to Friday Work Location: Hybrid remote in Saint Petersburg, FL 33702