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Benefit specialist jobs in Tennessee - 91 jobs

  • Corporate Benefits Manager

    Unaka Company Inc. 3.7company rating

    Benefit specialist job in Greeneville, TN

    We are seeking a detail-oriented and experienced Benefits Manager to lead and manage employee benefits programs across multiple locations. This role will ensure consistent administration and compliance with federal, state, and local regulations, while aligning benefits offerings with the company's overall HR strategy. The Benefits Manager will serve as the subject matter expert on health, wellness, and leave programs and be responsible for vendor management, plan communication, and continuous improvement of benefits offerings. ESSENTIAL DUTIES AND RESPONSIBILITIES: Oversee the administration of all employee benefit programs, including health, dental, vision, life insurance, short and long-term disability, wellness programs, and leaves of absence. Coordinate benefits administration across multiple locations, ensuring consistency and compliance with local regulations and company policies. Serve as the primary contact for benefits vendors and brokers; manage annual renewals, contract negotiations, and issue resolution. Lead the annual open enrollment process, including system setup, employee communications, and coordination with internal stakeholders. Monitor and ensure compliance with all applicable laws and regulations (e.g., ACA, ERISA, COBRA, HIPAA, FMLA, and state-specific laws). Analyze and report on benefits utilization, cost trends, and ROI to support data-driven recommendations. Partner with HR Business Partners and Payroll teams at each location to streamline benefits processes and resolve employee concerns. Develop and maintain clear, engaging communication materials to educate employees on available benefits and changes. Manage benefits onboarding for new hires and offboarding processes for terminations, ensuring a seamless employee experience. Stay informed of market trends and best practices to recommend competitive, cost-effective benefits solutions. REQUIRED EDUCATION and/or EXPERIENCE Bachelor's degree in Human Resources, Business Administration, or related field (Master's or certification such as CEBS or PHR/SPHR a plus). 5+ years of progressive experience in employee benefits administration. Strong knowledge of applicable benefits laws and compliance requirements. Excellent interpersonal and communication skills, with the ability to explain complex information clearly. Proficiency with HRIS systems and benefits administration platforms. Strong analytical, organizational, and project management skills. Ability to travel occasionally to various company locations as needed. WORKING CONDITIONS General office, warehouse and distribution center environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $66k-119k yearly est. 5d ago
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  • Benefits Specialist, USA Benefits (Cambridge, MA or Nashville, TN)

    Philips 4.7company rating

    Benefit specialist job in Nashville, TN

    As the Benefits Specialist, USA Benefits, you will be a member of the Philips People Business Services Rewards Team within the global People Function, supporting the day-to-day operations of the U.S. Health & Wellness programs. This includes ensuring compliance with regulations, vendor oversight, market analysis, and project management. Your role (but not limited to): * Leading and supporting projects related to the USA Benefits programs, including medical, Rx, dental, vision, retiree health, disease/condition management and other wellbeing programs. Fostering strong relationships with advisors, third-party administrators, and other vendors. * Managing regulatory reporting and compliance activities, including filing Form 5500, plan document management, plan audits, and required notices. Participating in benchmarking surveys and preparing competitive analyses. Coordinating periodic audits and conducting plan reconciliations to monitor service provider performance and ensure operational excellence. * Supporting and responding to questions from employees, managers, or People Partners that require specialized knowledge of company programs and plans. Collaborate with Philips legal, privacy and procurement teams to support plan administration You're the right fit if: * You've acquired 3+ years' experience in areas such as Benefits Administration, Health &Wellness (H&W) Consulting, Rewards Management, and Human Resources * Your skills include: Knowledge of U.S. benefits plans, with specific experience in health plans/wellness programs, Strong analytical and quantitative skills, Strong attention to detail, Strong vendor management skills, Strong written and verbal communication skills, Proficiency in Microsoft Excel, Excellent organizational skills with proven ability to manage time, meet deadlines and manage multiple priorities simultaneously, the ability to work independently and as part of a team * You have a Bachelor's Degree in Human Resources, Business Administration or equivalent. * You must be able to successfully perform the following minimum Physical, Cognitive and Environmental job requirements with or without accommodation for this position. How we work together We believe that we are better together than apart. For our office-based teams, this means working in-person at least 3 days per week. Onsite roles require full-time presence in the company's facilities. Field roles are most effectively done outside of the company's main facilities, generally at the customers' or suppliers' locations. This is an office role. About Philips We are a health technology company. We built our entire company around the belief that every human matters, and we won't stop until everybody everywhere has access to the quality healthcare that we all deserve. Do the work of your life to help improve the lives of others. * Learn more about our business. * Discover our rich and exciting history. * Learn more about our purpose. * Learn more about our culture. Philips Transparency Details The pay range for this position in Nashville, TN is $90,000 to $142,000. The pay range for this position in Cambridge, MA is $100,000 to $159,000. The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity. In addition, other compensation, such as an annual incentive bonus, sales commission or long-term incentives, may be offered. Employees are eligible to participate in our comprehensive Philips Total Rewards benefits program, which includes a generous PTO, 401k (up to 7% match), HSA (with company contribution), stock purchase plan, education reimbursement and much more. Details about our benefits can be found here. At Philips, it is not typical for an individual to be hired at or near the top end of the range for their role and compensation decisions are dependent upon the facts and circumstances of each case. Additional Information US work authorization is a precondition of employment. The company will not consider candidates who require sponsorship for a work-authorized visa, now or in the future. Company relocation benefits will not be provided for this position. For this position, you must reside in or within commuting distance to Cambridge, MA (preferred) or Nashville, TN. This requisition is expected to stay active for 45 days but may close earlier if a successful candidate is selected or business necessity dictates. Interested candidates are encouraged to apply as soon as possible to ensure consideration. Philips is an Equal Employment and Opportunity Employer including Disability/Vets and maintains a drug-free workplace.
    $45k-66k yearly est. Auto-Apply 10d ago
  • Benefits Specialist

    Amsurg 4.5company rating

    Benefit specialist job in Columbia, TN

    Verification Specialist The Surgery Center of Middle Tennessee We are currently searching for a (Full-Time) Verification Specialist to work Mondays - Fridays (8:30-5:00) who can work cooperatively with staff and physicians and perform a variety of tasks. This position is responsible for the daily functions of the insurance verification process, which includes verifying benefits, checking patient eligibility to determine coverage, and notifying patients of their financial obligations, as well as ensuring that money will be collected the day of surgery. ESSENTIAL DUTIES AND RESPONSIBILITIES: Reviews and maintains records to ensure accuracy Enters data electronically to process patient information Maintains all patient records Abstract clinical information from a variety of medical records Maintains strictest confidentiality and adheres to all HIPAA guidelines and regulations Manages proper submission of documents in a timely fashion Attends in-services, seminars, and webinars for additional education and performance improvement Reviews insurance benefits and insurance requirements on all new patients prior to surgery Verification of medical benefits, which includes contacting private insurance companies, Medicare, and Medicaid to obtain benefit information (phone or electronically) Determines if the patient can be seen at the ASC based on their insurance coverage Updates the upfront collections log as needed Meets with patients regarding their insurance benefits Works with the Physician practice to coordinate benefits and upfront collections where needed Completes verification in a timely manner to allow time for patient liability calls Contacts patients with patient liability information Makes arrangements for patient payments based on center guidelines Strong experience with 10-key Types a minimum of 40 wpm Strong knowledge of Microsoft Excel and Outlook Attends all required education Regular and predictable attendance Performs other duties as assigned Cognitive Skills Exhibit mental alertness for quality decision making and exercising good judgment Ability to multi-task effectively, efficiently, accurately, and with attention to details Ability to recognize/define problems, collect data/facts, draw valid conclusions, and correct errors Ability to interpret instructions in a variety of forms and deal with abstract and concrete variables Communication Ability to effectively communicate patient care needs and significant information to healthcare team to promote continuity of patient care Ability to respond to questions and professionally interact verbally and/or written with managers, co-workers, patients, and the general public Teamwork Work well with others - be a team member Report observed or suspected safety violations, hazards, and policy/procedure non-compliance to Safety Officer or other designated person, following the Chain of Command Participate in staff meetings, in-services, and continuing education as required MATHEMATICAL SKILLS: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, decimals, and percentages LANGUAGE SKILLS: Ability to understand, read, write, and speak English, if bilingual Center, bilingual language is required. Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to successfully write business correspondence. Ability to effectively present information, respond to questions, and professionally interact with healthcare team, clients, vendors, and the general public. REASONING ABILITY: Demonstrates an ability to recognize and define problems, collect data, establish facts, draw valid conclusions, and correct errors. Ability to understand and interpret basic financial data. Ability to interpret a variety of instructions in a variety of forms and dealt with abstract and concrete variables. PHYSICAL DEMANDS: Ability to stand and walk for 6-8 hours per day Ability to exert maximum muscle force to lift, push, pull, or carry objects up to 50 pounds in weight Ability to use abdominal and lower back muscles to support part of the body repeatedly or continuously without "giving out” or fatiguing Ability to perform physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling of materials. Ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position Ability to exert yourself physically over long periods of time without getting winded or out of breath Ability to quickly respond (with the hand, finger, or foot) to a signal (sound, light, picture) when it appears Specific vision abilities for close and distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus WORK ENVIRONMENT: Days and hours of work may vary to meet patient needs The Center provides preoperative beds, procedure rooms, and post-procedure beds The Center is a well-lit, ventilated and climate controlled environment. The Center may require decreased lighting to meet patient care needs, such as laser rooms and some OR/Procedure rooms Staff will work with medical and office equipment, some of which will have moving parts Noise level is usually quiet to moderate Staff may have exposure to blood and other potentially infectious body fluids and materials or toxic chemicals and cleaning solutions The Center procedure rooms are often small, and due to equipment may have little room to work around and may necessitate reaching, pulling, pushing Staff will work in close proximity to patients and co-workers You must possess a HS school diploma/GES, previous experience in health insurance verification/billing (REQUIRED), and knowledge of Microsoft Word/Excel. If you are interested in working in an environment that provides exceptional patient care, please apply online or send resume to: ****************** Apply Now! Come Join our Team! We offer Competitive Pay, Medical, Dental and Vision Plans Plus, Work/Life balance by Paid Time Off Effective November 1, 2021, AMSURG's Vaccination Policy requires all teammates, including clinicians and independent contractors, to be fully vaccinated for COVID-19 as a condition of employment or engagement. Regardless of position, all new hires must submit proof of vaccination and or obtain an approved medical or religious exemption as a condition of employment. This policy is designed to protect the health and safety of our patients, communities, and each other. Must pass a background check and drug screen. We do not discriminate in practices or employment opportunities on the basis of an individual's race, color, national or ethnic origin, religion, age, sex, gender, sexual orientation, marital status, veteran status, disability, or any other prohibited category set forth in federal or state regulations. We are an equal opportunity employer.
    $38k-51k yearly est. Easy Apply 3d ago
  • Verification of Benefits Specialist

    Charlie Health Behavioral Health Operations

    Benefit specialist job in Nashville, TN

    Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection-between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we'd love to meet you. About the Role This role is responsible for overseeing and managing the verification of benefits process ensuring efficient, accurate policy reviews and effectively handling referral complexities. Obtaining accurate benefits is the first step in financial process meaning accuracy is key as it determines patient responsibility and our ability to get reimbursed for services. Our team is comprised of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way. Responsibilities Verifies insurance policy benefits for new and returning patients with payers Assures all insurance information has been completely and accurately obtained Document all pertinent insurance information into SalesForce Informs teams of support actions necessary for insurance or referral issues Identifies special policy clauses per policy information to aid in financial and admission decisions Educates patients, families and internal teams on insurance issues Identifies all third party financial benefits and directs them for financial counseling and revenue cycle as appropriate Provides support to admissions and revenue cycle teams as necessary Investigate escalated insurance billing inquiries and inaccuracies and take appropriate action to resolve the account Other duties as assigned Requirements 3-5 years related work experience in health care administrative, financial, insurance, customer services, claims, billing, call center, or management Knowledge of medical billing practices, office policies and procedures Knowledge of all confidentially requirements regarding patients and strict maintenance of proper confidentiality on all such information Excellent written and verbal communication skills Organizational skills Ability to maintain a high level of integrity and confidentiality of medical information Strict attention to details Able to work a hybrid schedule of 4 days per week in our Nashville office and located within 75 minutes' commuting distance of the office Benefits Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.#LI-HYBRID Please note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota. Our Values Connection: Care deeply & inspire hope. Congruence: Stay curious & heed the evidence. Commitment: Act with urgency & don't give up. Please do not call our public clinical admissions line in regard to this or any other job posting. Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: ******************************************************* Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent *********************** email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services. Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals. At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people. Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation. By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.
    $34k-50k yearly est. Auto-Apply 60d+ ago
  • Coordinator, Benefits Eligibility and Authorization

    Cardinal Health 4.4company rating

    Benefit specialist job in Nashville, TN

    **_What Benefits Eligibility and Authorization contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a medical practice. This position is responsible for reviewing the physician's daily schedule and obtaining verification of patients' insurance benefits for their scheduled visits. They will also obtain authorization for all requested procedures, tests, drugs, etc. The Coordinator, Benefits Eligibility and Authorization may be asked to perform other duties if necessary & must be knowledgeable of a variety of insurance plans and policies **_Responsibilities_** + Verify all new, returning, and annual patient eligibility to confirm insurance status and benefits including patient responsibility such as deductible, out of pocket, copay and coinsurance prior to services rendered. + Communicate with patients, front end staff, physicians & payors as needed in order to obtain updated insurance and/or clinical information. + Submit authorizations for all internal and external orders including, but not limited to, radiation, chemotherapy, PET/CT, urology and scans. + Follow up within 48 hours on any existing authorizations that are pending approval. + Ensure proper documentation outlining all steps taken to ensure authorizations have been submitted, followed up on and obtained. + Upon approval, enter all authorization information into the billing system and attach confirmation into the patients account in registration overlay. + Take any action necessary for any denials received by the payor to inform the clinician of changes that may need to happen to not delay patient care. + Complete any pre-service appeals to obtain paying approval based on medical necessity. + Communicate effectively with all Revenue Cycle Management staff and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received. + Maintain a high level of confidentiality for patients in accordance with HIPAA standards. + Coordinate with clinical staff to ensure patients are contacted prior to appointments informing them of any treatment schedule changes if necessary. + Effectively completes other duties and projects as assigned. + Regular attendance and punctuality. + Execute all functions of the role with positivity and team effort by accomplishing related results as needed. + Effectively completes other duties and projects assigned. **_Qualifications_** + 4-8 years of experience, preferred + Bachelor's degree in related field, or equivalent work experience, preferred + Knowledge of medical terminology. + Familiar with Oncology, Urology, Chemotherapy and Radiation Billing preferred + Experience with computerized billing software and interpreting EOBs + Working knowledge of ICD-9/ICD-10, CPT, HCPCS, and CPT coding. + Experience with GE Centricity preferred + Knowledge of computer/telephony support, preferably in a healthcare environment preferred + Strong customer service background, preferably in a healthcare environment. + Excellent verbal communication skills. + Competence with computer processing functions and other standard office equipment. + Ability to manage and prioritize multiple tasks. + Ability to calmly and professionally resolve customer issues with diplomacy and tact. + Ability to work independently with minimal supervision. + Strong organizational skills. + Understanding of managed care contracts and fee schedules, including Medicare and Medicaid. **_What is expected of you and others at this level_** + Applies acquired job skills and company policies and procedures to complete standard tasks. + Works on routine assignments that require basic problem resolution. + Refers to policies and past practices for guidance. + Receives general direction on standard work; receives detailed instruction on new assignments. + Consults with supervisor or senior peers on complex and unusual problems. **Anticipated hourly range:** $21.00 - $27.72 **Bonus eligible:** No **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:** 2/15/26 *if interested in opportunity, please submit application as soon as possible. _The hourly 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._ _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 (***************************************************************************************************************************
    $21-27.7 hourly 60d+ ago
  • Employee Benefits Internal Specialist

    Sun Life Financial 4.6company rating

    Benefit specialist job in Nashville, TN

    Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: The opportunity: The Employee Benefits Internal Specialist, Group Underwriting position supports the Sales Representative with all aspects of the Request for Proposal (RFP) process through to sold case. This position provides key support to assigned Employee Benefit Representatives (EBR)/Small Business Sales Specialists (SBSS) within their team by generating timely and quality proposals, efficient discounting discussions and decisions with UW on the EBR/SBSS behalf and sold case processing. The position will also work closely with the EBIS and Underwriting, as well as Implementation. How you will contribute: * Review and evaluate RFP for all Sun Life Group Insurance Products. Examine all documentation supplied with RFP to decide what proposal(s) and/ or potential variations to provide. Documentation may include prior carrier certificates, contracts, prior plan rates, census files, prior claims experience, sales rep preferences, broker special arrangements. * Manipulate census data provided, to properly analyze the specific risk for each client. * Configure system with all relevant data, plan design(s) and census data, and calculate manual rates. * Perform rate analysis and rate adjustments within authority leveraging Manual Pricing Tool (MPT) and generate formal proposals with resulting rates. * Support discounting discussions and approval with Sales Rep and UW when outside of authority limits. * Process Sold Cases, including License and Appointment verification, marking cases sold in our administrative system, and setting up benefit enrollments utilizing our Case Manager system. * Ordering of benchmarking reports (BPTs), Disruption reports and Netminders and order print materials through ePrint. * Build strong relationship with EBRs through collaboration and communication on a daily basis. * Assist and order gifts and giveaways through our fulfillment partners. * Recognize and identify continuous improvements for the role and our team. * Attend strategy calls for large-case (over 500 lives) groups. * Conduct daily team huddles with learning opportunities. * What you will bring with you: * Ability to work with a diverse range of people * Employee Benefits or Group Benefits products knowledge * Bachelor's degree or equivalent year of experience preferred * Knowledge of insurance products and systems a strong plus * Ability to develop and maintain effective, professional business relationships across all levels of the organization * Demonstrate a responsive, service oriented professional approach in all interactions * Ability to think creatively and use professional judgment to resolve non-routine quoting issues * Organizational skills to approach work in an organized fashion and to effectively follow-up on outstanding details * Strong customer service skills, displaying flexibility and adaptability * Strong written and verbal communication skills and experience * Strong decision making and problem solving skills and experience with attention to detail * Demonstrate ability to work independently and effectively in a multi-site organization, with minimal supervision * Demonstrated ability to establish and maintain excellent team-oriented interpersonal working relationships * Demonstrated ability to work in a fast-paced, deadline oriented environment with multiple priorities and established performance standards * Proficiency in Microsoft Office with strong technical knowledge of Excel Salary Range: $60,200 - $90,300 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Underwriting - Group Posting End Date: 11/03/2026
    $60.2k-90.3k yearly Auto-Apply 6d ago
  • Benefits Consultant

    Interview Hunters

    Benefit specialist job in Chattanooga, TN

    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
    $63k-110k yearly est. Auto-Apply 60d+ ago
  • Medicare Benefit Consultant

    Curana Health

    Benefit specialist job in Nashville, TN

    At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities. Founded in 2021, we've grown quickly-now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for. If you're looking to make a meaningful impact on the senior healthcare landscape, you're in the right place-and we look forward to working with you. For more information about our company, visit CuranaHealth.com. Summary Curana Health seeks an outgoing and driven individual with sales experience to join our expanding Medicare Advantage sales team. The Medicare Benefit Consultant (MBC) is a field-based position responsible for enrolling Medicare beneficiaries, residing in senior living facilities into the Special Needs Plan(s) (ISNP/IESNP/MAPD). Sales and enrollment activities will be performed from your home office or onsite at senior living facilities. The Medicare Benefit Consultant role reports to the Regional Sales Director. Essential Duties & Responsibilities You must provide verification you hold the appropriate state health licenses at point of offer extension, and upon hire you successfully complete our Sales Agent New Hire training class. If not currently licensed but have the other required skills, we will consider candidates on a case-by-case basis. However, upon hire, candidate would be required to obtain the appropriate state health license within the first 30 days of hire, which includes passing the state license exam and AHIP. Your licensed and appointment will be captive through Curana Health The Medicare Benefit Consultant is responsible for enrolling Medicare members through telephonic and in-person sales appointments Must demonstrate the ability to create and maintain effective business relationships with agencies and organizations focused on the Medicare population in assigned territory Will be responsible for prospecting, sales, servicing, retention, and penetration within assigned territory The Medicare Benefit Consultant must have the ability to work independently daily and effectively manage their time and territory to ensure that all sales and service standards are maintained Become proficient in all plans and products in the assigned book of business Conduct Plan training sessions with partner staff to drive sales efforts Utilize traditional sales strategies to uncover needs and introduce features and benefits of the plan Generate enrollments consistent with targets established for the territory Document all activity to ensure compliance with Medicare Marketing Guidelines Provide an excellent customer experience through all phases of the enrollment Resolve customer service inquiries which could include: Benefit and Eligibility information Possess strong verbal communication skills including the ability to overcome objections Goal-oriented with a focus on achieving sales objectives Competitive personality and self-motivation Qualifications EDUCATION Minimum requirement Associate Degree or 3-5 years relevant work experience Bachelor's Degree preferred. QUALIFICATIONS This individual must be able to prioritize objectives in an everchanging and fast-paced environment and demonstrate advanced knowledge of the current Medicare industry and trends Additionally, this individual should have a proactive servicing approach, superior organization skills, a strong sense of urgency in responding to client matters on time, and advanced problem-solving skills 3+ years of sales or customer service experience analyzing and identifying customer needs Sales experience in a B2C or B2B setting or experience working in a senior living community Experience in business development, account management, hospice, medical sales, social work, senior living community admissions, case management, or senior guardians preferred. Appropriate state insurance licensure within 30 days of hire date or the ability to obtain Ability to maintain licensure and product certification based on policies and procedures Maintain a state driver's license and access to reliable transportation Effective verbal and written communication skills are required Demonstrated ability at public speaking required Demonstrated ability to initiate and place cold calls to prospects is required Working knowledge of computers Ability to lift 25 pounds of collateral material required Demonstrated experience meeting or exceeding sales goals Demonstrated account management skills (including planning, documentation, and measurement) Ability to travel 90% throughout the designated local territory We're thrilled to announce that Curana Health has been named the 147 th fastest growing, privately owned company in the nation on Inc. magazine's prestigious Inc. 5000 list. Curana also ranked 16 th in the “Healthcare & Medical” industry category and 21 st in Texas. This recognition underscores Curana Health's impact in transforming senior housing by supporting operator stability and ensuring seniors receive the high-quality care they deserve.
    $63k-109k yearly est. Auto-Apply 31d ago
  • Benefits and Leave Coordinator

    Easter Seals Tn 4.0company rating

    Benefit specialist job in Lexington, TN

    Job DescriptionDescription: The Benefits and Leave Coordinator is responsible for the administration of company benefits. This position will also be responsible for managing all employee leaves. This position may require traveling to job sites and other locations as needed. ESSENTIAL FUNCTIONS Administer all employee benefit programs, to include 403(b) administration. Conduct benefit orientations with new hires and conduct open enrollment meetings. Assisting staff with self-enrollment systems. Maintain employee benefits filing system and ensure benefits are entered in a timely manner in the HRIS system. Validate all monthly benefit billing statements. Ensuring accuracy and verifying against deductions. Resolve administrative issues with the carriers and act as the point of contact with benefit vendors and brokers. Ensure all aspects of benefit compliance are complete, including mailings and filings. Communicate with COBRA vendor as needed. Ensure 1095's are correct and mailed within the required timeframe. Assist the CCHRO with annual benefit renewals. Administer all company leaves, including FMLA. Track usage of all company leaves and ensure proper documentation is received. Be the backup for the HR Coordinator for new hire orientation. Be a FA/CPR certified trainer. Assist other members of the Human Resources team as needed. Other duties assigned by CCHRO. WORK ENVIRONMENT This position operates in a professional office environment on a normal basis. This position routinely uses standard office equipment. This position will require some travel to job sites within Tennessee. PHYSICAL DEMANDS This position requires the employee to regularly talk or hear, stand, walk, use hands to finger, handle or feel, and reach with hands and arms. Requirements: Education Required: High School Diploma required. Preferred: At least 2 years of college Experience Required: At least 3 years of benefits administrative experience. Preferred: Clerical/administrative experience. Licenses/certifications Valid driver's license & current automobile insurance Competencies Computer proficiency in Microsoft Office and HR databases Experience with benefits and leaves. Ability to work independently, be effective under pressure and handle deadlines. Ability to multi-task with good time management skills Ability to learn new skills, including using computer programs Have a passion for the mission of the company.
    $27k-33k yearly est. 5d ago
  • Benefit Counselor/Enroller (UNIONS) - Per diem, Memphis, TN

    Employee Family Protection 3.7company rating

    Benefit specialist job in Memphis, TN

    The Benefit Counselor educates union members about voluntary benefit plans, communicates available programs to eligible members, and members in elected benefits through various enrollment platforms. The position offers a flexible schedule, paid travel, training, and a per day contract rate. Essential Functions: 1. Actively participate in case, enrollment, product, and systems training. Through face-to-face, telephonic Benefit Center, and/or web, educate union members about benefit programs. Communicate available benefit programs to eligible members. 2. Enroll members in elected programs through web site and/or electronic enrollment system. 3. Accurately and thoroughly complete and submit all applications in compliance with data entry and data privacy policies and regulations. 4. Conduct all business and actions according to highest possible standards or professional conduct. Maintain confidences and protect confidential and proprietary information obtained in the course of employment. Requirements Educational Requirements: High school diploma required. Active state life and health insurance license required. Experience Requirements: Insurance background and/or voluntary benefits experience strongly preferred. Computer skills, including experience with and knowledge of, Microsoft Word, Excel, and Outlook; Internet Explorer; Adobe Acrobat; databases; and web-based contact management systems. Ability to think critically and act logically to evaluate situations, solve problems and make recommendations. Reliable, professional, attention to detail, able to work with diverse group of clients and staff, ability to work in fast-paced team environment, and flexibility to manage changing parameters and timelines. Develop and maintain positive relationships with and provide excellent customer service to all.
    $52k-80k yearly est. 60d+ ago
  • Benefits Analyst

    MTSU Jobs

    Benefit specialist job in Murfreesboro, TN

    Job Title Benefits Analyst Department Human Resource Services Salary $49,942 - $61,678; commensurate with experience Job Summary/Basic Function Under the general supervision of the Sr. Specialist of Employee Benefits, the Benefits Analyst will assist in the administration of the employee benefits program including retirement, leave, wellness and insurance for approximately 2150 full-time employees. Conduct new employee benefits orientations and exit interviews. Assist employees with changes in benefits. Identify and resolve discrepancies in Edison billing information. Reconcile monthly billing for Flexible Benefits invoice payment. Process the monthly 401(k), 457 and loan data files for payroll load. Provide assistance for payroll processing of all regular employees. Provide back-up support for Senior Benefits Specialist for Family Medical Leave, Workers Compensation and Long Term Disability. Required Education Bachelor's degree required. Note: Four (4) years of directly related experience may be considered in lieu of the Bachelor's degree. Desirable Related Experience University and state software systems i.e., Banner, State of TN Insurance Administration, system, etc.; interpret eligibility and enrollment in state benefit plans. Documents Needed to Apply Cover Letter & Resume Required MTSU offers a comprehensive benefits package, including but not limited to the following: Sick Leave Vacation Leave for Administrative/Classified Staff/12-month Faculty 13 paid University holidays Medical, dental, vision, and life insurance Retirement plans Optional 401K and 403B Deferred Compensation Plans Educational benefits for the employee and their spouse and dependents Click here for additional information. MTSU is an equal opportunity employer. All qualified individuals are encouraged to apply. Proof of U.S. citizenship or eligibility for U.S. employment is required before employment (Immigration Control Act of 1986). Clery Act crime statistics for MTSU are available at *********************************************** or by contacting MTSU Public Safety at **************. MTSU is a Tobacco & Drug-Free campus. This position requires a criminal background check. Therefore, you will be required to provide information about your criminal history to be considered. For individuals requiring reasonable accommodation to apply: In compliance with the Americans with Disabilities Act Amendments Act (ADAAA), if you have a disability and would like to request an accommodation to apply for a position with MTSU, please call ************ or email ************. Application Review Date: January 30, 2026
    $49.9k-61.7k yearly 2d ago
  • Leave and Disability Claims Roles - 2026

    Unum Group 4.4company rating

    Benefit specialist job in Chattanooga, TN

    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:** Summary Minimum starting hourly rate is $22.12- $24.04 Training start date: Jan 2026 We are looking for candidates to fill various roles related to managing leave requests and disability claims. When you apply, you'll be considered for positions such as Integrated Paid Leave Specialist, STD Benefits Specialist Trainee, Associate Leave Specialist, Eligibility Specialist and Associate Life Event Specialist. Your placement will depend on your qualifications and role availability. These positions help ensure that our company complies with leave laws and policies while providing top-notch service to our customers. Each of these roles comes with a comprehensive training program, ensuring you gain all the knowledge and expertise needed. These roles are perfect for those who have strong analytical skills, like to learn, and want to help the working world thrive. Join us to make a meaningful impact and grow your career. This is a main campus based position, applicants will work in the Chattanooga, TN or Portland, ME office 3-5 days a week in office required. **Principal Duties and Responsibilities** + Handle leave, short-term disability (STD), or paid leave claims efficiently and accurately. + Determine if employees are eligible for different types of leave, such as FMLA, PFML, and corporate-paid plans. + Have an advanced understanding of compliance and regulations and use this to make fair decisions about eligibility and benefits. + Create necessary communications to comply with federal, state, and company leave policies. + Review medical certifications and other documents, consulting with internal teams as needed. + Stay updated on changes in leave laws and industry practices. + Maintain good relationships with employer contacts, HR administrators, and employees. + Answer questions and resolve issues for employees and employers promptly. + Work with other departments to ensure smooth operations. + Meet standards for accuracy, quality, and service in managing claims and leaves. + Provide excellent customer service by processing claims promptly and addressing inquiries quickly. **Job Specifications** + A 4-year degree or relevant experience is preferred. + Experience in medical, disability claims, or leave management is a plus. + Strong decision-making, analytical, and problem-solving abilities. + Ability to use independent judgment and think critically in making decisions. + Excellent interpersonal and communication skills (phone, email, and written). + Proficiency with Windows and basic computer skills (Word, Excel, Access). + Detail-oriented with strong organizational skills. + Ability to perform in a fast-paced environment while managing multiple tasks and priorities + Ability to make fair decisions quickly and efficiently. + Self-motivated and able to work independently and as part of a team. ~IN2 \#LI-JH1 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-$68,000.00 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
    $36k-68k yearly 60d+ ago
  • Sr. Compensation & Benefits Analyst

    Apex Placement & Consulting

    Benefit specialist job in Arlington, TN

    Job DescriptionAre you an experienced HR professional with a passion for accuracy, communication, and delivering exceptional employee support? We're looking for a Benefits & Payroll Administrator to join our client's team in Arlington, TN. In this role, you'll take ownership of benefit plan administration, payroll processing, compliance, and employee guidance - ensuring team members receive the service, clarity, and care they deserve. What's In It For You Medical, Dental, and Vision Insurance to support your overall health needs Generous Paid Time Off (PTO) and Paid Holidays to recharge and enjoy life outside of work 401(k) Retirement Plan with up to a 4% company match and immediate vesting Life Insurance Coverage for peace of mind Short-Term and Long-Term Disability Insurance to protect you during unexpected events Maternity Leave benefits to support growing families Bereavement Leave for life's most difficult moments Employee Assistance Program (EAP) offering confidential resources for personal and professional support Education Assistance to help you continue developing your skills and career Additional wellness and employee care programs designed to promote a healthy, balanced lifestyle What You'll Be Doing Manage and administer a wide range of employee benefit plans, including health, dental, vision, FSA/HSA, life insurance, disability, EAP, retirement savings, educational assistance, and more. Oversee benefit plan changes, new hire enrollment, open enrollment, premium calculations, cost analysis, and processing terminations. Partner closely with insurance brokers, third-party administrators, and benefit vendors to resolve issues and ensure accurate plan management. Lead payroll file maintenance for U.S. and Canada, including new hire setup, salary updates, deductions, garnishments, PTO tracking, and direct deposits. Process payroll accurately and timely, ensuring proper deductions, compliance, and reconciliation. Prepare tax filings and year-end documents such as W-2s, T4s, quarterly reports, and 401(k) contributions. Track, manage, and administer FMLA leaves and short-term disability cases. Reconcile HR benefit invoices, analyze monthly costs, and ensure payment accuracy. Serve as a resource to managers and employees regarding HR policies, procedures, and benefit questions. Assist in policy development and maintain updated knowledge of legislation affecting payroll and benefits. Complete annual system updates, including holidays, PTO accruals, and year-end audit tasks. Maintain a professional, positive presence when communicating with employees and external partners. What We Are Looking For Strong computer proficiency, especially advanced Excel skills; working knowledge of Word, Outlook, and PowerPoint. Experience with UKG HRIS (highly preferred). Broad knowledge of HR practices and ability to support daily HR operations. Excellent written and verbal communication skills, attention to detail, and strong interpersonal skills. High level of accuracy and professionalism in sensitive, data-driven work. Ability to interpret compensation data, support decision-making, and build compensation models. Bachelor's Degree in Human Resources Management or a related Business field (required) 7+ years of Human Resources experience 3+ years of benefits administration 3+ years of payroll processing (preferred) At Apex, we actively encourage applications from underrepresented groups. Your unique experiences and perspectives are valuable to us, and we're excited to see how you might contribute to our team. While we have outlined a set of qualifications for this role, we recognize that experience and skills can come from a variety of backgrounds. If you meet most of these qualifications and are eager to learn and grow with us, we invite you to apply.
    $49k-83k yearly est. 15d ago
  • Benefits Representative

    Spade Recruiting

    Benefit specialist job in Knoxville, TN

    About the Role If you're passionate about helping others and want to turn that passion into a meaningful career, this opportunity is for you. As a Benefits Representative, you'll play an essential role in guiding families through their available coverage options. Your focus will be on understanding each client's needs, explaining their benefits clearly, and ensuring they feel supported and confident in their choices. This role is built on trust, empathy, and service excellence - every interaction is a chance to make a positive impact. What You'll Do Meet with clients virtually to review and explain their benefit options Customize presentations to fit each family's unique situation Build lasting relationships through consistent, high-quality service Serve as a reliable point of contact for questions, guidance, and ongoing support Who You Are Service-Oriented: You take pride in helping others and delivering an outstanding client experience Clear Communicator: You can explain complex information in a simple, confident way Solution-Focused: You enjoy identifying the best options for each individual or family Motivated Professional: You're driven to grow, achieve, and make a lasting difference Ready to take the next step? Apply today to learn more about the flexible schedule, performance-based compensation, and clear path for long-term growth and leadership.
    $25k-35k yearly est. Auto-Apply 60d+ ago
  • Sr. Benefits Analyst

    Bridge Specialty Group

    Benefit specialist job in Brentwood, TN

    Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking a Senior Benefits Analyst to join our growing team in Nashville, TN. The Senior Benefits Analyst develops and expands the capabilities of the Analytics Team, ensures reports are completed accurately and timely and partners with the sales and service team by supporting them with consulting services and analytical projects. How You Will Contribute: Builds, develops, and expands reporting capabilities and creates tools and resources to improve efficiency. Ensures accuracy and timeliness of delivery of reports Build effective relationships and partners with the sales and service team in retention and growth of the business Responsible for building, expanding and solidifying client relationships at all levels within the company Creates ad hoc reporting and reporting schedules Presents analytics to clients and prospects Serves as a resource for presentations, ad hoc reporting, and due diligence Submits Decision Master Warehouse projects and oversee the process Assist with prospect data gathering and analysis Complete due diligence analysis and reports as requested Pursues a course of personal, professional development. License and Certifications: License or Designation (or willingness to obtain with 90 days of employment) Skills and Experience to be Successful: Bachelor's degree or equivalent education and experience 5 years' experience in Employee Benefits data analytics and underwriting Proficient with MS Office Suite Advanced Excel capabilities Minimum of 3 years' experience using Visual Basic for Applications Exceptional Communication Skills Ability to maintain a high level of confidentiality Actuary experience (Preferred) Experience with Reference-based Pricing Models (Preferred) Experience with Claros Analytics (Preferred) Teammate Benefits & Total Well-Being We go beyond standard benefits, focusing on the total well-being of our teammates, including: Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more. Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations. The Power To Be Yourself As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.
    $32k-46k yearly est. Auto-Apply 60d+ ago
  • Entry Level Benefits Advisor

    J&S Advisors

    Benefit specialist job in Nashville, TN

    Job Description Welcome to J&S Advisors, a dynamic and inclusive workplace focused on delivering exceptional service in the heart of Nashville, Tennessee. At J&S Advisors, we believe in fostering a culture where positivity meets purpose, making sure our team feels both valued and inspired every day. We are currently seeking an enthusiastic Entry Level Benefits Advisor who will play a key role in assisting clients with their benefit options and inquiries. In this onsite position, you will have the unique chance to grow within a supportive environment that encourages learning and development. Your role will involve providing insightful guidance to our clients, ensuring they understand their benefits and feel supported in their choices. Join us at J&S Advisors, where every day is an opportunity to make a difference and positively impact the lives of those we serve. Benefits Flexible Schedule Hands on Training Career Growth Opportunities Responsibilities Client Interaction: Provide exceptional client service by answering inquiries and guiding clients through the benefits options available to them. Needs Assessment: Identify and assess the specific needs of each client to provide tailored advice on benefits packages. Benefits Explanation: Articulate the details of various benefits plans comprehensively and clearly to ensure client understanding. Problem Solving: Address and resolve client issues and concerns related to their benefits, ensuring satisfaction. Documentation: Accurately maintain and update client records with necessary documentation regarding benefits packages and interactions. Follow-Up: Ensure to follow-up with clients to ensure their needs are being met and to provide additional assistance as needed. Requirements Education: High school diploma or equivalent is required. Experience: Previous experience in customer service or benefits advising is a plus. Communication Skills: Strong verbal and written communication abilities. Customer-Oriented: A desire to assist individuals and provide exceptional customer service. Problem-Solving Skills: The ability to efficiently solve client issues and answer inquiries. Team Player: Ability to cooperate effectively with fellow team members within the office environment. Tech-Savvy: Familiarity with basic computer programs and the ability to learn new software. Adaptability: Willingness to learn and adapt to new processes and strategies within the company.
    $39k-73k yearly est. 12d ago
  • Qualified Benefits Representative

    Ariasagencies3

    Benefit specialist job in Nashville, TN

    International company with over 65 years of service working privately with over 20,000 unions, credit unions, and associations in the US alone. Looking for independent, driven individuals who can organize and manager their own process and workflow. No experience required, all individuals will be trained (Paid Training) before starting the position full-time. This is a great opportunity for anyone interested in advancing their career! Job Description QUALIFIED BENEFITS REP (Nashville, TN) compensation: entry level 60k. Part-time and Full-time available . We are hiring for benefit consultants/representatives, entry- level managers, as well as experienced leaders. We are now seeking to fill 20 positions in our new Brentwood, TN office. We are a publicly traded company and have been in business for over 65 years. In those 65 years we have experienced ZERO LAYOFFS. We have maintained an A+ rating from A.M. Best, an independent analyst of companies. This rating indicates that A.M. Best believes that we have the strongest possibility to meet our client's needs over the long term. We are looking for responsible individuals with high integrity, the ability to teach, coach and train others. If you are highly motivated, coachable, have a positive mental attitude, want to make money, want to retire in 10 years, and like helping people, then experience isn't necessary with our professional training program. Our employees enjoy: Weekly pay , Weekly bonuses, Excellent health benefits , Life insurance, Goal-oriented promotions , Leadership development courses, Yearly all-expense paid company conventions , and Flexible schedules. We are particularly interested in those individuals who have excellent oral and written communication skills. Fast track to higher positions will be awarded to the proper candidates! If interested, please send a resume to our senior hiring manager, Edith Boyd. "The Ultimate Measure of a man it's not where he stands in moments of comfort, but where he stands in moments of challenge and controversy" - Martin Luther King Jr. Qualifications Good strong work ethic and a positive attitude. Additional Information Our employees enjoy: weekly pay , weekly bonuses, excellent health benefits , life insurance , goal-oriented promotions , leadership development courses , y early all-expense paid company conventions, flexible schedules.
    $25k-35k yearly est. 23h ago
  • Coordinator, Benefits Eligibility and Prior Authorization

    Cardinal Health 4.4company rating

    Benefit specialist job in Nashville, TN

    **_About Navista_** We believe in the power of community oncology to support patients through their cancer journeys. As an oncology practice alliance comprised of more than 100 providers across 50 sites, Navista provides the support community practices need to fuel their growth-while maintaining their independence. **_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of medical practices. **_Job Purpose:_** Revenue Cycle Management focuses on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient's account balance is zero. This position is responsible for reviewing the physician's daily schedule and obtaining verification of patients' insurance benefits for their scheduled visits. They will also obtain authorization for all requested procedures, tests, drugs, etc. The Coordinator, Benefits Eligibility and Prior Authorization may be asked to perform other duties if necessary and must be knowledgeable in a variety of Insurance Plans and Procedures. **_Responsibilities:_** + Verify all new, returning, and annual patient eligibility to confirm insurance status and benefits including patient responsibility such as deductible, out of pocket, copay and coinsurance prior to services rendered. + Communicate with patients, front end staff, physicians & payors as needed to obtain updated insurance and/or clinical information. + Submit authorizations for all internal and external orders including but not limited to radiation, chemotherapy, PET/CT, urology and scans. + Follow up within 48 hours on any existing authorizations that are pending approval. + Ensure proper documentation outlining all steps taken to ensure authorization have been submitted, followed up on and obtained. + Upon approval, enter all authorization information into the billing system and attach confirmation into the EMR. + Take any action necessary for any denials received by the payor to inform the clinician of changes that may need to happen to not delay patient care. + Complete any pre-service appeals to obtain paying approval based on medical necessity. + Communicate effectively with all RCM and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received. + Maintain a high level of confidentiality for patients in accordance with HIPAA standards. + Utilize CPT coding, ICD-10 coding knowledge to accurately document procedures and diagnoses. + Coordinate with clinical staff to ensure patients are contracted prior to appointments informing them of any treatment schedule changes. + Effectively complete other duties and projects assigned. + Stay up to date on insurance policies, managed care guidelines and relevant healthcare regulations affecting authorization processes. + Regular attendance and punctuality. + Execute all functions of the role with positivity and team effort. Qualifications: + High School Diploma or equivalent preferred. + 2-3 years of prior authorization experience preferred. + Experience with payor websites and authorization requirements. + Strong customer service background, preferably in health care environment. + Excellent verbal communication skills. + Competence with computer processing functions and other standard office equipment. + Ability to manage multiple priorities and prioritize multiple tasks in a fast-paced environment. + Ability to work independently with minimal supervision. + Strong organizational skills. + Knowledge of medical terminology. + Familiar with Urology, Chemotherapy and Radiation Billing. + Experience with computerized billing software and interpreting EOBs. + Working knowledge of ICD-9/ICD-10, CPT, HCPCS, and CPT coding. + Experience with GE Centricity. Preferred experience in Oncology billing preferred. + Knowledge of computer/telephony support, preferably in a healthcare environment. + Strong customer service background, preferably in a healthcare environment. + Excellent verbal communication skills. + Competence with computer processing functions and other standard office equipment. + Ability to manage and prioritize multiple tasks. + Ability to calmly and professionally resolve customer issues with diplomacy and tact. + Ability to work independently with minimal supervision. + Strong organizational skills. + Understanding of managed care contracts and fee schedules, including Medicare and Medicaid. **_What is expected of you and others at this level_** + Applies acquired job skills and company policies and procedures to complete standard tasks. + Works on routine assignments that require basic problem resolution. + Refers to policies and past practices for guidance. + Receives general direction on standard work; receives detailed instruction on new assignments. + Consults with supervisor or senior peers on complex and unusual problems. **Anticipated hourly range:** $21.00 - $26.45 **Bonus eligible:** No **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: 2/15/16** *if interested in opportunity, please submit application as soon as possible. _The hourly 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._ _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 (***************************************************************************************************************************
    $21-26.5 hourly 1d ago
  • Medicare Benefit Consultant

    Curana Health

    Benefit specialist job in Nashville, TN

    At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities. Founded in 2021, we've grown quickly-now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for. If you're looking to make a meaningful impact on the senior healthcare landscape, you're in the right place-and we look forward to working with you. For more information about our company, visit CuranaHealth.com. Summary Curana Health seeks an outgoing and driven individual with sales experience to join our expanding Medicare Advantage sales team. The Medicare Benefit Consultant (MBC) is a field-based position responsible for enrolling Medicare beneficiaries, residing in senior living facilities into the Special Needs Plan(s) (ISNP/IESNP/MAPD). Sales and enrollment activities will be performed from your home office or onsite at senior living facilities. The Medicare Benefit Consultant role reports to the Regional Sales Director. Essential Duties & Responsibilities * You must provide verification you hold the appropriate state health licenses at point of offer extension, and upon hire you successfully complete our Sales Agent New Hire training class. * If not currently licensed but have the other required skills, we will consider candidates on a case-by-case basis. However, upon hire, candidate would be required to obtain the appropriate state health license within the first 30 days of hire, which includes passing the state license exam and AHIP. * Your licensed and appointment will be captive through Curana Health * The Medicare Benefit Consultant is responsible for enrolling Medicare members through telephonic and in-person sales appointments * Must demonstrate the ability to create and maintain effective business relationships with agencies and organizations focused on the Medicare population in assigned territory * Will be responsible for prospecting, sales, servicing, retention, and penetration within assigned territory * The Medicare Benefit Consultant must have the ability to work independently daily and effectively manage their time and territory to ensure that all sales and service standards are maintained * Become proficient in all plans and products in the assigned book of business * Conduct Plan training sessions with partner staff to drive sales efforts * Utilize traditional sales strategies to uncover needs and introduce features and benefits of the plan * Generate enrollments consistent with targets established for the territory * Document all activity to ensure compliance with Medicare Marketing Guidelines * Provide an excellent customer experience through all phases of the enrollment * Resolve customer service inquiries which could include: * Benefit and Eligibility information * Possess strong verbal communication skills including the ability to overcome objections * Goal-oriented with a focus on achieving sales objectives * Competitive personality and self-motivation Qualifications EDUCATION * Minimum requirement Associate Degree or 3-5 years relevant work experience * Bachelor's Degree preferred. QUALIFICATIONS * This individual must be able to prioritize objectives in an everchanging and fast-paced environment and demonstrate advanced knowledge of the current Medicare industry and trends * Additionally, this individual should have a proactive servicing approach, superior organization skills, a strong sense of urgency in responding to client matters on time, and advanced problem-solving skills * 3+ years of sales or customer service experience analyzing and identifying customer needs * Sales experience in a B2C or B2B setting or experience working in a senior living community * Experience in business development, account management, hospice, medical sales, social work, senior living community admissions, case management, or senior guardians preferred. * Appropriate state insurance licensure within 30 days of hire date or the ability to obtain * Ability to maintain licensure and product certification based on policies and procedures * Maintain a state driver's license and access to reliable transportation * Effective verbal and written communication skills are required * Demonstrated ability at public speaking required * Demonstrated ability to initiate and place cold calls to prospects is required * Working knowledge of computers * Ability to lift 25 pounds of collateral material required * Demonstrated experience meeting or exceeding sales goals * Demonstrated account management skills (including planning, documentation, and measurement) * Ability to travel 90% throughout the designated local territory We're thrilled to announce that Curana Health has been named the 147th fastest growing, privately owned company in the nation on Inc. magazine's prestigious Inc. 5000 list. Curana also ranked 16th in the "Healthcare & Medical" industry category and 21st in Texas. This recognition underscores Curana Health's impact in transforming senior housing by supporting operator stability and ensuring seniors receive the high-quality care they deserve.
    $63k-109k yearly est. 29d ago
  • Leave and Disability Claims Roles - 2026

    Unum Group 4.4company rating

    Benefit specialist job in Chattanooga, TN

    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: Summary Minimum starting hourly rate is $22.12- $24.04 Training start date: Jan 2026 We are looking for candidates to fill various roles related to managing leave requests and disability claims. When you apply, you'll be considered for positions such as Integrated Paid Leave Specialist, STD Benefits Specialist Trainee, Associate Leave Specialist, Eligibility Specialist and Associate Life Event Specialist. Your placement will depend on your qualifications and role availability. These positions help ensure that our company complies with leave laws and policies while providing top-notch service to our customers. Each of these roles comes with a comprehensive training program, ensuring you gain all the knowledge and expertise needed. These roles are perfect for those who have strong analytical skills, like to learn, and want to help the working world thrive. Join us to make a meaningful impact and grow your career. This is a main campus based position, applicants will work in the Chattanooga, TN or Portland, ME office 3-5 days a week in office required. Principal Duties and Responsibilities Handle leave, short-term disability (STD), or paid leave claims efficiently and accurately. Determine if employees are eligible for different types of leave, such as FMLA, PFML, and corporate-paid plans. Have an advanced understanding of compliance and regulations and use this to make fair decisions about eligibility and benefits. Create necessary communications to comply with federal, state, and company leave policies. Review medical certifications and other documents, consulting with internal teams as needed. Stay updated on changes in leave laws and industry practices. Maintain good relationships with employer contacts, HR administrators, and employees. Answer questions and resolve issues for employees and employers promptly. Work with other departments to ensure smooth operations. Meet standards for accuracy, quality, and service in managing claims and leaves. Provide excellent customer service by processing claims promptly and addressing inquiries quickly. Job Specifications A 4-year degree or relevant experience is preferred. Experience in medical, disability claims, or leave management is a plus. Strong decision-making, analytical, and problem-solving abilities. Ability to use independent judgment and think critically in making decisions. Excellent interpersonal and communication skills (phone, email, and written). Proficiency with Windows and basic computer skills (Word, Excel, Access). Detail-oriented with strong organizational skills. Ability to perform in a fast-paced environment while managing multiple tasks and priorities Ability to make fair decisions quickly and efficiently. Self-motivated and able to work independently and as part of a team. ~IN2 #LI-JH1 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
    $36k-62.4k yearly Auto-Apply 21d ago

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