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Benefit Specialist skills for your resume and career
15 benefit specialist skills for your resume and career
1. Customer Service
Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.
- Finance Invoice/Billing Reconciliation Customer Service Receptionist
- Re-engineered established Benefits Department by introducing self-funding concepts/markets to current clients and prospects while training producers and customer service representatives.
2. HR
HR stands for human resources and is used to describe the set of people who work for a company or an organization. HR responsibilities revolve around updating employee records and carrying out management processes like planning, recruitment, evaluation, and selection processes. HR is a key contributor to any company or organization's growth as they are in charge of hiring the right employees, processing payrolls, conducting disciplinary actions, etc.
- Managed administrative functions within department to include assisting HR Manager with recruitment, hiring, and completion of new-hire administration processes.
- Provided administration of benefits including responding to employee inquiries and entering benefit elections in the HR information system.
3. Patients
- Advised HIV/AIDS and chronically/terminally ill patients about rights and filing for temporary or permanent disability based on status and clinical condition.
- Worked closely with billing department regarding detailed information for patients with multiple payers and any specialized billing instructions.
4. HRIS
- Conducted periodic HRIS systems' audits to verify data integrity; identified and resolved discrepancies, initiated and implemented corrective action.
- Handled benefit related questions from employees and maintaining information in HRIS system involving participant benefits and elections.
5. Life Insurance
- Manage the tuition reimbursement program, short/long term disability, maternity leave and employee benefit elections including voluntary life insurance.
- Resolved administrative problems with the carrier, initiate benefits and prepared claims for disability insurance and life insurance representatives.
6. Cobra
COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985) is a federal law that allows employers of 20 or more employees who provide health care benefits to offer the option of continuing this coverage to individuals who would otherwise lose their benefits due to termination of employment, reduction in hours or certain other events. It is a temporary coverage that provides cash for medical expenses up to 18 months. The policy is helpful for retirees, former employees, former spouses, dependent children and spouses, workers laid off, on strike, fired for work, etc.
- Distributed Cobra continuation of coverage information to employees experiencing termination and assisted retired employees with benefit coverage options including Medicare.
- Processed required documents through payroll and providers to ensure accurate records and deductions and initiated COBRA documentation upon terminations.
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Long-term disability is a kind of insurance policy that protects the income of workers when they sustain severe injuries or are bedridden with sicknesses that keeps them out of work for more than 3 months or more. The insurance scheme also covers a situation where the worker is permanently disabled and can no longer resume work.
- Provided information regarding information pertaining to the status of their short-term and long-term disability which was managed by MetLife.
- Maintained invoices for short-term and long-term disability including preparation of short-term disability reports summarizing claims and coverage period.
8. FMLA
- Analyzed, processed and managed FMLA claims to determine eligibility and certification in compliance with state and federal regulations.
- Counseled employees and supervisors about FMLA rights and responsibilities while maintaining appropriate confidentiality of employee medical information.
9. HIPAA
- Handle confidential information with discretion and sensitivity in accordance to HIPAA and Data Privacy requirements Provided functional information for benefits website.
- Educated customers on extensive line of insurance products- Responsible for completing customer applications- Maintained client accounts and ensured confidentiality- Ensured HIPAA compliance
10. Health Insurance
- Communicated daily with company Plan Administrators and Human Resources departments to verify the authenticity of Health Insurance claims.
- Participated in a competitive sales environment, selling alternative health insurance for consumers denied major medical coverage.
11. Open Enrollment
Open enrollment means a duration that comes every year that a person can sign up for health insurance or change the plan that a person has, for instance, if a person needs to deregister. The activity always features in a few weeks or months within a year. It allows workers to alter their benefit plans, including vision, dental, health insurance, life insurance, and disability.
- Coordinated activities surrounding benefits open enrollment, including answering an average of 75+ daily calls during peak open enrollment periods.
- Coordinated and conducted open enrollment meetings for all plans, including preparing and coordinating distribution of communication materials.
12. Data Entry
Data entry means entering data into a company's system with the help of a keyboard. A person responsible for entering data may also be asked to verify the authenticity of the data being entered. A person doing data entry must pay great attention to tiny details.
- Compose professional quality correspondence, accurately perform all data entry, assist in creating procedure documentation and perform quality control.
- Perform required data entry regarding client accounts for the purpose of analyzing and providing accurate information to customers.
13. Benefits Administration
- Provided retirement plan/benefits administration support.
- Championed benefits administration for 2 out of 5 new store openings, performing benefit comparisons, conducting presentations and overseeing orientation.
14. PowerPoint
- Designed and delivered employee orientation and all related material; created and delivered PowerPoint presentations of benefit plans.
- Worked with training manager to develop a bi-weekly PowerPoint presentation for new employee orientation program.
15. Payroll Deductions
- Assist employees, beneficiaries and/or insurance providers for the purpose of verifying eligibility, conveying information and processing accurate payroll deductions.
- Audited benefit payroll deductions, managed databases and reconciled benefit insurances and answered benefit inquiries applying specific state regulations as needed.
12 Benefit Specialist Resume Examples
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List of benefit specialist skills to add to your resume
The most important skills for a benefit specialist resume and required skills for a benefit specialist to have include:
- Customer Service
- HR
- Patients
- HRIS
- Life Insurance
- Cobra
- Long-Term Disability
- FMLA
- HIPAA
- Health Insurance
- Open Enrollment
- Data Entry
- Benefits Administration
- PowerPoint
- Payroll Deductions
- Workers Compensation
- ERISA
- FSA
- Benefit Programs
- ACA
- Insurance Benefits
- Social Security
- Medicaid
- Insurance Carriers
- Status Changes
- HSA
- Hippa
- Short-Term Disability
- Disability Insurance
- Party Administrators
- Tuition Reimbursement
- Health Benefits
- Inbound Calls
- Wellness Programs
- Insurance Coverage
- Medical Claims
- Outbound Calls
- ADP
- Plan Changes
- Leave Management
- Benefit Enrollments
- STD
- Benefit Issues
- Leave Administration
- Payroll System
- Cobra Administration
- Benefit Changes
- PeopleSoft
- Plan Provisions
Updated January 8, 2025