Benefit specialist vs benefits advisor

Differences between benefit specialist and benefits advisor duties and responsibilities

Benefit specialist example responsibilities.

• Manage various employee program such as life, medical, dental pension, and HSA accounts.
• Examine HMO documents to verify eligibility to process or reject into or from a manage care plan when necessary.
• Input daily time and PTO, manage benefits, report new hires, input sales, oversee accounts receivable.
• Create reports using SQL database and manage reports, perform from internet-base tools for research projects need for client insight.
• Implement new vendor for FSA administration and manage outstanding issues through continuous follow-up and vendor accountability.
• Analyze, process and manage FMLA claims to determine eligibility and certification in compliance with state and federal regulations.
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Benefits advisor example responsibilities.

• Manage broker and group accounts throughout the year administering qualify changes, terminations, and ACA compliance.
• Create reports using SQL database and manage reports, perform from internet-base tools for research projects need for client insight.
• Function as a liaison between the patient, hospital and governmental agencies to obtain documentation require for Medicaid eligibility determination.
• Maintain employee benefit records in HRIS system, including qualifying event records, personal information updates, and employment status changes.
• Evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity application.
• Use tactful and effective interview techniques to obtain pertinent information to assure accurate eligibility determination for Medicaid.
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