Benefit specialist vs benefits representative

Differences between benefit specialist and benefits representative 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 representative example responsibilities.

• Determine eligibility and process FMLA initial notification letters for employees which lead to immediate use of benefits.
• Service consumers inbound inquires via phone and live chat regarding HRA, FSA and HSA accounts.
• Work with clients to ensure ACA compliance.
• Train in and apply HIPAA privacy and security regulations and maintain strict confidentiality of claims.
• Contact any FSA or HRA groups concerning any outstanding payments for claims and/or admin fee invoices.
• Produce benefit-related reports from HRIS.
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