Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future.
Pharmacy benefits is one of the fastest-growing segments of the healthcare industry, and pharmacy benefits management (PBM) arrangements can be extremely complicated. Milliman's CMH Health practice is seeking a Senior Pharmacy Benefits Analyst to work in a fast-growing area of the practice to help support clients by helping them navigate the complex industry and provide data-driven solutions that can improve or lower the cost of care.
Who We Are
Independent for 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world's most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation.
Job Responsibilities
Provide qualitative and financial evaluations of PBM contracts, including pricing and fee schedules
Assist with developing models to conduct detailed analyses of pharmacy data, including pharmacy claims, eligibility data, etc.
Acquire, standardize, and merge various data sets to provide summarized reports
Contribute to drafting proposals, presentations, exhibits, RFPs, and reports
Be able to work independently, but in a collaborative team environment
Minimum requirements
Bachelor's degree in pharmacy or data analytics related field
At least two years of pharmacy claims analysis or similar experience
Strong business software capabilities, especially with Microsoft office tools (Excel) and data analysis technologies (SAS/SQL)
Experience in the pharmacy benefits industry (ex. PBM, health plan, etc.) preferred but not required
Knowledge of pharmacy claims reimbursement (ex. WAC, AWP, discounts, rebates, etc.) preferred but not required
Experience with handling large pharmacy claims datasets preferred but not required
Experience creating models and reports focused on opportunities for formulary management, prior authorizations, drug pricing, etc. preferred but not required
Competencies and Behaviors that Support Success in this Role
Experience working with large pharmacy claims data sets and development of custom reports
Analytical thinking and the ability to evaluate analyses for downstream impact
Creative problem solving and analytical skills.
Superior verbal and written communication skills
Client focused and results oriented
Ability to work independently and in a team environment
Self-motivated, creative and resourceful
The Team
Milliman is one of the leading experts in healthcare financing and delivery. We advise clients on a wide range of issues-from assessing the impact of healthcare reform on organizations or populations to streamlining operations while advancing the quality of patient care. Our consulting work is supported by a powerful toolkit of data analytics solutions and informed by the most trusted, comprehensive set of cost guidelines in the industry.
Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.
Salary:
The overall salary range for this role is $93,700 - $177,675.
For candidates residing in:
Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, New York City, Newark, San Jose, San Francisco, Pennsylvania, Virginia, Washington, or the District of Columbia:
$107,755 - $177,675
All other states:
$93,700 - $154,500
A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc.
Location: It is preferred that candidates work on-site at our Brookfield, WI, Chicago, IL, or Hartford, CT office, however, remote candidates will be considered.
The expected application deadline for this job is May 25, 2026.
Benefits
We offer a comprehensive benefits package designed to support employees' health, financial security, and well-being. Benefits include:
Medical, Dental and Vision - Coverage for employees, dependents, and domestic partners.
Employee Assistance Program (EAP) - Confidential support for personal and work-related challenges.
401(k) Plan - Includes a company matching program and profit-sharing contributions.
Discretionary Bonus Program - Recognizing employee contributions.
Flexible Spending Accounts (FSA) - Pre-tax savings for dependent care, transportation, and eligible medical expenses.
Paid Time Off (PTO) - Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis.
Holidays - A minimum of 10 observed holidays per year.
Family Building Benefits - Includes adoption and fertility assistance.
Paid Parental Leave - Up to 12 weeks of paid leave for employees who meet eligibility criteria.
Life Insurance & AD&D - 100% of premiums covered by Milliman.
Short-Term and Long-Term Disability - Fully paid by Milliman.
Equal Opportunity
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All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, national origin, disability, or status as a protected veteran.
#LI-CS1 #LI-REMOTE
$107.8k-177.7k yearly 27d ago
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Benefits Specialist
Laforce Inc. 4.2
Benefit specialist job in Green Bay, WI
LaForce has an opening for a BenefitsSpecialist in our Green Bay, WI location. If you're passionate about helping employees understand and get the most out of their benefits-and you enjoy working in a fast-paced, people-focused environment-this is an exciting opportunity to join our Human Resources team. The BenefitsSpecialist will work closely with the Benefits Manager to manage the day-to-day administration of LaForce's comprehensive benefits package. You'll play a vital role throughout the employee life cycle using the HRIS system and become a go-to resource for employees with benefits-related questions.
What You'll Do:
In this position, you will support employees by answering benefits-related questions, conducting meetings and orientations, and providing clear education and communication regarding benefit plans. You will manage new hire enrollments, qualifying life event changes, and oversee FMLA requests, including disability administration. Responsibilities also include maintaining the HRIS system with a focus on data integrity and reporting, performing benefits administration tasks such as claims resolution, billing, and open enrollment, and ensuring compliance with all applicable federal and state regulations. Additionally, this role assists with the administration and development of HR plans, procedures, and policies.
What You'll Bring:
Qualified candidates will have a Bachelor's degree in Human Resources or a related field, along with 2-5 years of HR experience, preferably with an emphasis in benefits administration. Strong attention to detail, written and verbal communication skills, and computer proficiency are essential. The ability to problem-solve and manage multiple projects is critical. Bilingual (Spanish) skills and experience with UKG Pro are a plus.
What We Offer:
We offer a comprehensive benefits package that includes medical, dental, vision, and life insurance; a matching 401(k); short- and long-term disability; paid time off; and voluntary hospital indemnity, accident, and critical illness plans. You'll also enjoy access to our onsite health clinic and onsite nurse through Emplify Health, and our wellness and volunteer programs-all within a culture that values teamwork, growth, and community.
Join Us!
If you're passionate about benefits and helping employees, LaForce is the place for you. Apply today and take the next step in your career. We look forward to meeting you!
$39k-57k yearly est. 21d ago
DME Medical Insurance Benefit Specialist
Joints In Motion Medical 4.4
Benefit specialist job in Pewaukee, WI
Joints In Motion Medical, LLC (JIMM) is hiring a DME Medical Insurance BenefitSpecialist to join our orthopedic-focused team. This role is ideal for someone with a strong background in medical insurance benefit verification, pre-authorization for durable medical equipment (DME), and the ability to navigate insurance denials and appeals processes. Experience in a medical office and familiarity with Orthopedic DME products is highly valued.
Key Responsibilities:
· Assess and verify insurance benefits for orthopedic-related DME products and services.
· Obtain prior authorizations and address denials and appeals.
· Review clinical documentation to determine medical necessity.
· Work effectively within software systems and with medical office staff.
Compensation & Schedule:
· Pay typically starts between $18 to $23/hour, based on experience and education.
· Full-time and part-time roles available weekdays between hours of 8 am and 5 pm.
· Initial training required on-site in Pewaukee, WI, with potential for a hybrid/remote schedule thereafter.
Requirements
Preferred Qualifications:
· Proven experience verifying medical insurance benefits and securing authorizations.
· Strong understanding of medical necessity and insurance documentation requirements.
· Previous work in a medical office, particularly with orthopedic or rehab DME, is a significant plus.
$18-23 hourly 60d+ ago
Employee Benefits Internal Specialist
Sun Life Financial 4.6
Benefit specialist job in Milwaukee, WI
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 8d ago
Coordinator, Benefits Eligibility and Authorization
Cardinal Health 4.4
Benefit specialist job in Madison, WI
**_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
Marian University (Wi 4.1
Benefit specialist job in Fond du Lac, WI
List of Benefits by Employee Type * Full-Time Faculty * Part-Time ProRata Faculty * Full-time Staff * Part-Time Staff * Health * Vision * Dental * Retirement 403(b) * Group Life Insurance * Group Long Term Disability * Supplemental Life Insurance * Short Term Disability
* Employee Assistance Program (EAP)
* Flexible Spending Account
* Tuition Remission
* St. Mary Springs 50% Tuition Discount
* Employee Assistance Program (EAP)
* Retirement 403(b) (for .50 FTE and above)
* Prorated Tuition Remission (for .50 FTE and above)
* Health
* Vision
* Dental
* Retirement 403(b)
* Group Life Insurance
* Group Long Term Disability
* Supplemental Life Insurance
* Short Term Disability
* Employee Assistance Program (EAP)
* Flexible Spending Account
* Tuition Remission
* St. Mary Springs 50% Tuition Discount
* 11 Paid Holidays
* 11 Paid Four-hour Early Release Before a Holiday
* Paid vacation up to 192 hours based on years of service
* Paid Sick Leave up accrued on a prorated basis to a maximum of 40 days
* Paid Summer-hours (4 hours per week from Friday after May commencement to first Friday in August; hours prorated based on FTE)
* Employee Assistance Program (EAP)
* Paid Sick Leave accrued on a prorated basis to a maximum of 40 days
* Retirement 403(b) (for .50 FTE and above)
* Prorated Tuition Remission (for .50 FTE and above)
$52k-67k yearly est. 12d ago
Employee Benefits Consultant
Accession Risk Management Group
Benefit specialist job in Wisconsin
Our Parent Company in Milwaukee, WI is growing and looking to add experienced professionals to our Employee Benefits team! This is an opportunity to step into a client-facing, strategic role where you'll have ownership, influence, and the ability to make a meaningful impact on both clients and their employees. These roles are ideal for individuals with a strong background in servicing and managing client relationships who enjoy collaborating with internal teams to deliver exceptional service, support compliance, and drive new business opportunities.
The Employee Benefits Consultant will work closely with clients and producers to service new and existing accounts to achieve Agency sales goals and service standards. On accounts with no assigned producer, the expectation is that of a Producer. This individual is responsible for securing the retention of specifically assigned Employee Benefits accounts, via both internal and external renewal responsibilities.
How You Will Contribute
Develop and execute client benefit strategies; advise clients on all areas of compliance.
Assist in preparing requests for proposals and renewals of benefit coverage.
Provide client utilization and monthly financial reporting to team lead and clients with analysis of activity and large claim detail.
Partner with team leader to lead client meetings and presentations, and onboard new clients.
Provide guidance and training to Account Managers and Analyst, Delegate tasks, training, and onboarding to specialist as appropriate
Work with team to develop reporting requirements and any deviations or customizations in those reports.
Participate in market meetings, client functions, industry seminars and training programs as directed.
Maintain intermediate knowledge of benchmarking, reporting & analytics, compliance, and regulations in the benefits arena.
Perform miscellaneous duties and projects.
Licenses and Certifications:
Active Life/Accident and Health Insurance Agent License
Skills & Experience to Be Successful
Bachelor's degree, preferred
1-3+ years functioning in Employee Benefits Department at agency or company level, preferred
Proficient in Microsoft Office Suite
Risk Strategies is the 9th largest privately held U.S. brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, Risk Strategies serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies is an Accession Risk Management Group company, with over 200 offices and more than 5,000 employees across the U.S. and Canada.
Our industry recognition includes being named a Great Place to Work, Best Places to Work in Insurance, and on the Inc. 5000 list as one of America's Fastest Growing Private Companies. We are committed to being good stewards for our company, culture, and communities by having a strong focus on Environmental, Social, and Governance issues.
Risk Strategies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at Risk Strategies by visiting our careers page: ********************************
Personal information submitted by California applicants in response to a job posting is subject to Risk Strategies' California Job Applicant Privacy Notice.
$50k-80k yearly est. Auto-Apply 9d ago
Retirement Benefits Specialist
Wilson-McShane Corp
Benefit specialist job in Altoona, WI
Full-time Description
Our Retirement BenefitSpecialists play an important role in providing retirement benefits to hardworking people in various trade unions. Whether it be a person planning on retiring or an individual that has been retired for some time, our specialists ensure that they receive the assistance and benefits that they have worked so hard for!
The schedule is Monday-Friday, 8:00 AM to 5:00 PM with a compensation range of $23.00-$23.75 per hour.
Essential Duties and Responsibilities include the following:
Calculate pension payment amounts
Provide participants with benefit estimates
Process pension applications
Explain pension benefits to participants
Interpret and follow the rules outlined in Plan Documents
Draft correspondence to participants
Answer incoming participant calls relating to the Pension Plans
Regularly meet with participants to answer questions related to their pension benefits, communicate with other Fund Professionals
Other duties and projects as assigned
The Retirement Benefits position is a non-exempt position and includes benefits such as the following:
Low Deductible Health, Prescription Drug and Dental Benefits
Voluntary Vision, Accident, Critical Illness and Pet Insurance
401(k) and Roth 401(k)
Paid Holidays and Paid time off
Employee Assistance Program, including access to confidential counseling (virtual and in-person)
To perform the job successfully, an individual should have the following qualifications:
Proficient in Microsoft Word and Excel.
Previous pension experience preferred.
Experience with Taft-Hartley Funds preferred.
Travel may be required up to 5%
Salary Description $23.00 - $23.75 per hour
$23-23.8 hourly 18d ago
Benefit Analyst
Lockton Companies Social Sourcing 4.5
Benefit specialist job in Milwaukee, WI
Lockton is hiring Benefit Analysts to join our People Solutions team. In this role, you will participate in an extensive onboarding and training program, intended to immerse you into the benefits consulting industry. You will be embedded in teams, quickly impacting the delivery of health and benefit solutions to clients, all while becoming integrated into our caring and diverse culture. This is a foundational role, intended to promote growth and accelerate career pathing within the teams and organization.
Essential Duties
- Work as part of a team to deliver consulting advice to in your assigned book of business
- Support Account Managers with day-to-day client service, project management, and issue resolution
- Acquire apply health and benefits knowledge and consulting skills
- Build client/vendor relationships and presentations skills
- Collect, analyze, prepare information to support client deliverables
- Learn to interpret information and data that impacts client decisions
- Build and execute on clients' employee communication initiatives
Compensation and Benefits
Lockton Companies LLC is committed to offering competitive pay and benefits and complies with all relevant state/local pay transparency laws. The entry base salary offered for this opportunity may vary, and is contingent upon candidate education, skills, abilities, essential competencies, experience, professional designations, unique qualifications, and geographic location.
Performance Bonus: This role may be eligible for an annual performance bonus, based upon the financial performance of the organization and the individual contributions of the Associate.
Check out Lockton Benefits Offerings Here
- Status as a currently enrolled student, scheduled to graduate by May 2026, or comparable years of corporate experience
- Preferred majors are business, insurance, marketing, finance, statistics, or health sciences, however, all majors are encouraged to apply
- Strong customer service, communication, and project management skills
- Ability to work both independently and in a fast-paced team environment
- Organizational and time management skills to prioritize workloads and meet deadlines
- Strong verbal, written, interpersonal, and analytical skills
- Experience working in MS Office (Excel, Outlook, PowerPoint, etc.)
- Legal right to work in the United States
Additional Information
$50k-64k yearly est. 30d ago
Health and Welfare Benefits Manager
Rosen's Diversified Inc. 4.5
Benefit specialist job in Green Bay, WI
Under the general direction of the Director of Health and Welfare Benefits, the Health and Welfare Benefits Manager will assist with the administration, communication and implementation of all health and welfare benefits offered to employees. A candidate should have strong experience in designing, implementing and administrating self-funded employee benefit programs including pharmacy carve-out solutions and pre-tax (FSA, HRA and HSA) offerings.
ESSENTIAL JOB FUNCTIONS
* Collaborate with Director of Health & Welfare (H&W) Benefits, EVP of Human Resources and Benefits Committee to:
* Evaluate and select employee benefits (including health insurance, dental, vision, ancillary coverages, and voluntary benefit options.)
* Re-evaluate and/or re-negotiate vendors in search of cost-saving opportunities.
* Perform M&A activities and due diligence.
* Foster collaboration across corporate functions and the Company's subsidiaries to accomplish key H&W benefits objectives and compliance.
* Partner with brokers and third-party administrators to ensure all benefit plans sponsored through subsidiaries meet all federal and state requirements including, but not limited to 5500 filings, FSA discrimination testing, ACA reporting and HIPAA required notices.
* Assist in developing H&W department employees in all facets of benefits.
* Aid in the supervision, mentoring and motivation of team members, setting clear performance expectations and providing feedback.
* Participate in annual performance reviews and/or check-ins on Benefits Administrators.
* Partner with Director of Health & Welfare Benefits and EVP of HR to develop multi-year strategic recommendations for benefit programs balancing multiple perspectives (e.g., regulatory, corporate, financial and employee perspectives).
* Participate in Benefits Department annual Strategic Planning meeting.
* Work with company's subsidiaries to ensure all sponsored benefit plans are administered in compliance with all federal and state laws and regulations including, but not limited to ACA, ERISA, HIPAA, COBRA, and FMLA.
* Lead the investigation, proposal and implementation of new programs and "Wellbeing Champion" program aiding in the education and encouragement of employees putting wellbeing of self as a priority and understanding smart consumerism of benefits/healthcare.
* Serve as a valuable team member with the management of benefits enrollments, including, but not limited to:
* Review and update of UKG and Benefit Third-Party Administrator (TPA)
* Participate in annual U.S. Open Enrollment (OE) preparation:
* Complete system testing
* Partner with Payroll to ensure accurate file feeds and deductions of all benefit premiums.
* Update vendor import files (file feeds) from UKG (Benefits Administration).
* Review premium calculations.
* Design OE guides and other employee education materials (e.g., email announcements, webinars, digital guides).
* Develop new hire benefits onboarding materials (e.g., new hire orientation education).
* Conduct training/seminars to educate employees.
* Develop strong relationships with vendors including UnitedHealthcare, Optum, Optum Financial, and UKG (Benefits Administration).
Qualifications
KNOWLEDGE, SKILLS, AND EXPERIENCE
* Bachelor's degree or work experience equivalent to 8+ years in health and welfare benefits implementation and administration.
* Previous experience leading a team and coordinating with employees throughout an organization.
* Full understanding and experience with managing benefit offerings for groups with 5,000+ employees including self-funded, pharmacy carve-out, complex pre-tax (FSA, HRA, HSA) offerings.
* Previous experience working with United Healthcare, Optum and Optum Financial for pre-tax preferred.
* Previous experience with on-site clinics, Social Determinants of Health (SDOH) and community/population health preferred but not required.
* Experience with UKG and Plan Source, a plus.
* Proven ability to manage tasks with competing priorities and deadlines, independently determining order of priority and self-initiating other value-added tasks.
ADDITIONAL SKILLS/EXPERIENCE/REQUIREMENTS
* Advance knowledge in Microsoft Suite including Excel, Word, and PowerPoint.
* Excellent interpersonal and collaborative skills, with a professional demeanor and the ability to interact with all levels of management, colleagues, and vendors.
* Strong problem-solving skills with the ability to deal with and resolve ambiguous, confidential, and sensitive situations and issues of a complex nature while providing flexible solutions.
* Ability to maintain confidentiality and understand how sensitive information and data should be handled.
* Critical thinking skills including, logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
* Organized, with a sense of urgency and the ability to multitask, prioritize, and manage shifting responsibilities in a dynamic, cross-functional teamwork environment.
* All positions have an essential job function to be able to perform face-to-face work with colleagues onsite in corporate office located in Eagan, MN.
INTENT AND FUNCTION OF S
s assist organizations in ensuring that the hiring process is fairly administered and that qualified employees are selected. All descriptions have been reviewed to ensure that only essential functions and basic duties have been included. Requirements, skills, and abilities included have been determined to be the minimal standards required to successfully perform the positions. In no instance, however, should the duties, responsibilities, and requirements delineated be interpreted as all-inclusive. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Job descriptions are not intended as and do not create employment contracts. The organization maintains its status as an at-will employer. Employees can be terminated for any reason not prohibited by law.
Summary
OUR FAMILY CULTURE
We are a family-owned business established in 1946 with nearly 5,000 employees. Over the years, Rosen's Diversified, Inc. ("RDI") has grown into a holding company of vertically integrated business units, including American Foods Group, America's Service Line, Scientific Life Solutions, and Rosen's Inc. By understanding our employees, our customers and ourselves, we are preparing RDI for the future generations of success.
Our Company is comprised of innovative entrepreneurs who value our casual and down to earth culture. As a member of the Rosen's family, you will find yourself challenged and rewarded for your professional contributions as well as the Company's success.
WHAT WE OFFER
* Privately held, family-owned (three generations) business which operates with a mentality of what should be done versus share holder requirements.
* Excellent health and welfare benefits including but not limited to medical, dental, vision, disability, and a variety of voluntary benefit options.
* 401(k) benefits with annual company match for eligible employees.
* Professional and personal development programs including Career and Learning Paths providing opportunities for advancement.
$55k-94k yearly est. Auto-Apply 15d ago
Employee Benefits Consultant
Bridge Specialty Group
Benefit specialist job in Milwaukee, WI
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 an Employee Benefits Consultant to join our growing team in Milwaukee, WI.
How You Will Contribute
Develop and execute client benefit strategies; advise clients on all areas of compliance.
Assist in preparing requests for proposals and renewals of benefit coverage.
Provide client utilization and monthly financial reporting to team lead and clients with analysis of activity and large claim detail.
Partner with team leader to lead client meetings and presentations, and onboard new clients.
Provide guidance and training to Account Managers and Analyst, Delegate tasks, training, and onboarding to specialist as appropriate
Work with team to develop reporting requirements and any deviations or customizations in those reports.
Participate in market meetings, client functions, industry seminars and training programs as directed.
Maintain intermediate knowledge of benchmarking, reporting & analytics, compliance, and regulations in the benefits arena.
Perform miscellaneous duties and projects.
Licenses and Certifications:
Active Life/Accident and Health Insurance Agent License; or willing to obtain
Skills & Experience to Be Successful
Bachelor's degree, preferred
1-3+ years functioning in Employee Benefits Department at agency or company level, preferred
Proficient in Microsoft Office Suite
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”.
$49k-81k yearly est. Auto-Apply 16d ago
Employee Benefits Attorney
Gamarc Consulting
Benefit specialist job in Milwaukee, WI
The client is seeking an attorney with 1 to 8 years of relevant experience to join the Health Benefits Practice within the Employee Benefits & Executive Compensation Practice Group, located in either the Chicago or Milwaukee office. Alternate office locations may be considered depending on business needs and candidate qualifications. This is a full-time position, which may be on a partner or non-partner track, depending on the candidates background, interest, and experience.
The role involves working on ERISA health and welfare employee benefits and/or regulatory compliance for health insurance and third-party administrators, particularly those servicing PBMs, TPAs, and HRA vendors. The position requires a strong interest in regulatory developments, legal changes, and compliance issues in the health benefits space.
Education & Licensing:
Juris Doctor (JD) from an ABA-accredited law school
Must be in good standing and an active member of the Bar in the relevant jurisdiction
Experience
1 to 8 years of relevant experience in ERISA health and welfare benefits and/or health insurance regulatory compliance
Experience assisting employers, TPAs, PBMs, HRA administrators, consultants, or insurance companies with HIPAA, Affordable Care Act, No Surprises Act, Mental Health Parity, Health Savings Accounts, Wellness Programs, or Cafeteria Plans
Skills
Strong research, regulatory analysis, and drafting skills
Ability to draft both complex contracts and simplified legal language
Excellent writing, communication, and organizational skills
Strong interpersonal skills, positive attitude, and strong work ethic
$31k-51k yearly est. 60d+ ago
Supervisor Role for Insurance Benefit Enrollments
Global Elite Empire Agency
Benefit specialist job in Eau Claire, WI
BREAK FREE FROM THE DAILY 9-5!
STOP WORKING FOR SOMEONE ELSE- WORK FOR YOURSELF!
BUILD A TEAM OF LIKE-MINDED PEOPLE!
Are you tired of working to build your employer's financial freedom and would like to build your own instead?
We are offering the opportunity for you to do just that!
Join the financial service industry where you can enjoy rapid career growth and advanced opportunities.
AO Globe Life is one of the largest providers of supplemental coverage to labor unions, credit unions and associations. We are licensed in 47 states.
In this role you will assume a vital position in securing families' financial well- being.
There is no prior experience required as we have industry-leading training and support to provide you with the tools to be successful and achieve your personal and professional goals. You must be able to obtain a Life and Health Insurance license from your state of residence.
Through providing personalized benefits solutions, you'll be the architect of your client's
secure tomorrow. In this role, you can expect to:
• Converse virtually with clients, weaving financial strategies that empower.
• Cultivate client bonds that stand the test of time.
• Ride the crest of industry trends, fortifying your knowledge.
• Work alongside a dynamic remote team, where collaboration is the heartbeat of
success.
Responsibilities:
• Calling and receiving calls from clients
• Scheduling appointments with clients who request our benefits
• Presenting and explaining insurance products and benefits packages over Zoom
video call
• Completing applications for insurance products
• Attending ongoing, optional training sessions
What We Offer:
• Work virtually, from anywhere
• Comprehensive training provided
• A fun, energetic, and positive team environment
• Rapid career growth and advancement opportunities
• Weekly pay and bonuses
• Medical Reimbursement program after 90 days
• Residual Income
• Ability to qualify for all-expense-paid incentive trips around the world
$30k-48k yearly est. Auto-Apply 60d+ ago
Employee Benefits Consultant
Hausmann Industries 3.9
Benefit specialist job in Milwaukee, WI
At Hausmann Group, we pride ourselves on being the true technical experts in the industry. We leverage that commitment to expertise as a key differentiator on what makes us the best broker in the business. As Employee Benefits Consultant you'll be responsible for demonstrating that expertise as you prospect and retain new clients for the Agency.
Strategic Sales Focus: Create and execute an aggressive sales marketing plan to achieve established sales goals. Network at the executive level to foster and maintain productive relationships. Provide leads to, and support the sales efforts of, other departments. Retain book of business at or above the retention target percentage.
Communication: Demonstrate strong interpersonal skills and ability to work collaboratively with support and service team members. Strong presentation, oral and written communication skills coupled with the ability to influence others.
Technical Knowledge: Demonstrates a high degree of knowledge of insurance coverage forms and policies. Aware of current & emerging market trends. Reviews compliance & disclosure requirements, vendor & carrier contracts, and employee communications.
Requirements
You represent Hausmann and undoubtedly live by our core values.
You are a kind and empathetic colleague that values a welcoming office environment for all.
Obtain and maintain a valid Wisconsin Health and Life Insurance Agents license within 90 days of hire.
You manage the expectations and deliverables with your team, internal and external business partners, and key stakeholders.
You know your way around a computer and won't have any concerns navigating an array of websites, generating reports and spreadsheets, and engaging with your active and prospective clients.
You are a clear and effective writer and communicator.
You have a high degree of self-motivation and ability to make decisions when faced with ambiguity.
You are results driven.
Physical Requirements:
Able to work in a stationary position 90% of the time.
Constantly able to operate a computer and other office productivity machinery 90% of the time.
Constantly able to observe details, including letters, numbers and colors, at close range.
Able to move or transport objects weighing up to 20lbs. Frequency and duration will vary
Working Conditions
Position will be headquartered in the Milwaukee, Wisconsin office.
Regularly work during our core business hours: Monday through Friday, 8am-4:30pm.
A valid driver's license and reliable transportation are required. Estimating 60-80% regional travel; travel will be to client locations (day trips), mainly around southern WI.
Hausmann Group offers a flexible hybrid working environment.
Hausmann Group is an Equal Opportunity Employer. We are committed to creating an inclusive environment for all associates and applicants. We provide reasonable accommodations to qualified individuals with disabilities to ensure they can perform essential job functions. If you require an accommodation due to a disability, please contact Human Resources.
Don't meet every single requirement? If you're excited about this role, but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.
$33k-46k yearly est. 60d+ ago
Large Loss & Litigation Specialist
Society Insurance Company
Benefit specialist job in Fond du Lac, WI
Job InformationJob TitleLarge Loss & Litigation Specialist Home Department:ClaimsEmployment Status:Exempt; Full-time Schedule:Flexible Scheduling Opportunities Position Location:Remote Worker (States include: CO, GA, IA, IL, IN, MN, TN, TX, WI)
This position offers flexible remote work scheduling and we are targeting candidates who are located within the 9 states which Society conducts business in. Visit us at
*****************************
to learn more.
Overview
Protecting our policyholders dreams, passions, and livelihoods has a direct impact on the communities we serve. We work towards excellence, conduct ourselves with high integrity, and take our work seriously, but not ourselves. Small Details. Big Difference. Find out how you can make a difference with a career at Society.Society Insurance is seeking an experienced Large Loss & Litigation Specialist to join our claims team. This position will independently resolve 3rd party large and complex claims for a multi-state territory and will oversee a large pending of litigated claims by directing the activity of defense attorneys. You will utilize your expertise in casualty claims handling and litigation management to investigate, evaluate, and negotiate large loss claims while effectively managing relationships with insureds, attorneys, and other stakeholders. This role will also mentor claims adjusters to further their development of a litigation skillset.
About the Role
Determines insurance coverage by examining claim forms, policies, and other records; interviewing claimants, insureds, and witnesses; consulting police and hospital records; consulting with experts as needed; and resolves questionable claims by investigating claim and evaluating evidence.Settles large and significantly complex claims independently by determining insurance carriers liability; reaching agreement with claimants according to policy provisions and authority level; and handling mediations, arbitrations, and subrogation.Mentors and develops less experienced litigation handlers by providing guidance on file handling and auditing of suit/nonsuit files.Directs the activities of defense attorneys on a large pending of litigated files; establishes a joint case plan with defense counsel that is resolution-focused; reviews case law, motions, expert selection, and witness determination as dictated by the file.Focuses on cost constraints and containment as part of the litigation process by reviewing billing and practices.Coordinates new loss set up in managers absence.Utilizes alternative dispute resolution (ADR) and determines creative approaches of ADR to resolve litigated files.Maintains expertise in a specified line(s) of business and litigation through training courses and participating in continuing education coursework/classes.Attends in-person mediations, key discovery depositions, and field investigations throughout our service area.Keeps focus with continued file handling by collecting, analyzing, and summarizing information, as well as making recommendations to managers regarding reserve changes and future handling of files over his/her authority level.Ensures company guidelines and procedures are followed by overseeing independent vendors during investigations, discovery, and settlement.Ensures proper file documentation of assigned files by complying with company and state requirements.
About Yo
u You enjoy evaluating information and making decisions based on logic and data.You take accountability and conduct yourself with integrity and composure.You enjoy using analysis to solve problems and can communicate findings in a concise manner.You are curious and enjoy seeking additional information always asking the why.You are quality-focused and can manage multiple responsibilities in a timely manner.You are a continuous learner and goal-oriented.You are analytical and have a strong attention to detail and documentation.You enjoy negotiating and identifying win-win solutions.
What it Will Take
Bachelors degree in business or related field and 5+ years of multi-line experience handling complex claims OR 7+ years of claims-handling experience involving discretionary decision-making and increasing levels of claims severity including specialized coverages and loss adjustments. Valid drivers license and a satisfactory driving record.Ability to obtain and maintain proper licensing prior to handling a state that requires it.Technical proficiency in commercial property and/or casualty claims demonstrated through knowledge and experience in insurance policies and coverage; claim payment procedures; insurance regulations, and legal terminology.Willingness to travel in person to: mediations, agency visits, key discover depositions, and field investigations where necessary throughout our service area.Familiarity with PC applications including word processing, Internet, spreadsheets, and e-mail technology. Professional designations (i.e. AIC, ARM, CIC, CPCU or equivalent) highly desirable.
What Society Can Offer
Comprehensive Benefits Package: Salary with bonus plan; health, dental, life, and vision insurance Retirement: Traditional or Roth 401(k) Defined Contribution Plan PLUS Profit-Sharing PlanWork-Life Balance: Company-paid holidays; flexible scheduling; PTO; telecommuting options Education: Career Coaching; company-paid courses; student loan and tuition reimbursement Community: Charitable Match; paid volunteer time; team sponsorships Wellness: Employee Assistance Program; wellness initiatives/rewards; health coaching; and more
Society Insurance prohibits discrimination and harassment of any type against applicants and employees on the basis of race, color, religion, sex, national origin, age, handicap, disability, genetics, veteran status or military service, marital status or sexual orientation, gender identity or expression, or any other characteristic or status protected by federal, state or local laws. Society Insurance also provides reasonable accommodations to qualified individuals with disabilities in accordance with the requirements of the Americans with Disabilities Act and applicable state and local laws.
PIc84d6a962a81-31181-39227233
$39k-67k yearly est. 7d ago
Employee Benefits Consultant
Risk Strategies 4.3
Benefit specialist job in Mount Pleasant, WI
Our Parent Company in Milwaukee, WI is growing and looking to add experienced professionals to our Employee Benefits team! This is an opportunity to step into a client-facing, strategic role where you'll have ownership, influence, and the ability to make a meaningful impact on both clients and their employees. These roles are ideal for individuals with a strong background in servicing and managing client relationships who enjoy collaborating with internal teams to deliver exceptional service, support compliance, and drive new business opportunities.
The Employee Benefits Consultant will work closely with clients and producers to service new and existing accounts to achieve Agency sales goals and service standards. On accounts with no assigned producer, the expectation is that of a Producer. This individual is responsible for securing the retention of specifically assigned Employee Benefits accounts, via both internal and external renewal responsibilities.
How You Will Contribute
* Develop and execute client benefit strategies; advise clients on all areas of compliance.
* Assist in preparing requests for proposals and renewals of benefit coverage.
* Provide client utilization and monthly financial reporting to team lead and clients with analysis of activity and large claim detail.
* Partner with team leader to lead client meetings and presentations, and onboard new clients.
* Provide guidance and training to Account Managers and Analyst, Delegate tasks, training, and onboarding to specialist as appropriate
* Work with team to develop reporting requirements and any deviations or customizations in those reports.
* Participate in market meetings, client functions, industry seminars and training programs as directed.
* Maintain intermediate knowledge of benchmarking, reporting & analytics, compliance, and regulations in the benefits arena.
* Perform miscellaneous duties and projects.
Licenses and Certifications:
* Active Life/Accident and Health Insurance Agent License
Skills & Experience to Be Successful
* Bachelor's degree, preferred
* 1-3+ years functioning in Employee Benefits Department at agency or company level, preferred
* Proficient in Microsoft Office Suite
Risk Strategies is the 9th largest privately held U.S. brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, Risk Strategies serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies is an Accession Risk Management Group company, with over 200 offices and more than 5,000 employees across the U.S. and Canada.
Our industry recognition includes being named a Great Place to Work, Best Places to Work in Insurance, and on the Inc. 5000 list as one of America's Fastest Growing Private Companies. We are committed to being good stewards for our company, culture, and communities by having a strong focus on Environmental, Social, and Governance issues.
Risk Strategies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at Risk Strategies by visiting our careers page: ********************************
Personal information submitted by California applicants in response to a job posting is subject to Risk Strategies' California Job Applicant Privacy Notice.
$50k-72k yearly est. Auto-Apply 8d ago
Benefits Specialist
Laforce Careers 4.2
Benefit specialist job in Green Bay, WI
LaForce has an opening for a BenefitsSpecialist in our Green Bay, WI location. If you're passionate about helping employees understand and get the most out of their benefits-and you enjoy working in a fast-paced, people-focused environment-this is an exciting opportunity to join our Human Resources team. The BenefitsSpecialist will work closely with the Benefits Manager to manage the day-to-day administration of LaForce's comprehensive benefits package. You'll play a vital role throughout the employee life cycle using the HRIS system and become a go-to resource for employees with benefits-related questions.
What You'll Do:
In this position, you will support employees by answering benefits-related questions, conducting meetings and orientations, and providing clear education and communication regarding benefit plans. You will manage new hire enrollments, qualifying life event changes, and oversee FMLA requests, including disability administration. Responsibilities also include maintaining the HRIS system with a focus on data integrity and reporting, performing benefits administration tasks such as claims resolution, billing, and open enrollment, and ensuring compliance with all applicable federal and state regulations. Additionally, this role assists with the administration and development of HR plans, procedures, and policies.
What You'll Bring:
Qualified candidates will have a Bachelor's degree in Human Resources or a related field, along with 2-5 years of HR experience, preferably with an emphasis in benefits administration. Strong attention to detail, written and verbal communication skills, and computer proficiency are essential. The ability to problem-solve and manage multiple projects is critical. Bilingual (Spanish) skills and experience with UKG Pro are a plus.
What We Offer:
We offer a comprehensive benefits package that includes medical, dental, vision, and life insurance; a matching 401(k); short- and long-term disability; paid time off; and voluntary hospital indemnity, accident, and critical illness plans. You'll also enjoy access to our onsite health clinic and onsite nurse through Emplify Health, and our wellness and volunteer programs-all within a culture that values teamwork, growth, and community.
Join Us!
If you're passionate about benefits and helping employees, LaForce is the place for you. Apply today and take the next step in your career. We look forward to meeting you!
$39k-57k yearly est. 18d ago
Coordinator, Benefits Eligibility and Prior Authorization
Cardinal Health 4.4
Benefit specialist job in Madison, WI
**_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 4d ago
Health and Welfare Benefits Manager
Rosen's Diversified 4.5
Benefit specialist job in Green Bay, WI
Under the general direction of the Director of Health and Welfare Benefits, the
Health and Welfare Benefits Manager
will assist with the administration, communication and implementation of all health and welfare benefits offered to employees. A candidate should have strong experience in designing, implementing and administrating self-funded employee benefit programs including pharmacy carve-out solutions and pre-tax (FSA, HRA and HSA) offerings.
ESSENTIAL JOB FUNCTIONS
Collaborate with Director of Health & Welfare (H&W) Benefits, EVP of Human Resources and Benefits Committee to:
Evaluate and select employee benefits (including health insurance, dental, vision, ancillary coverages, and voluntary benefit options.)
Re-evaluate and/or re-negotiate vendors in search of cost-saving opportunities.
Perform M&A activities and due diligence.
Foster collaboration across corporate functions and the Company's subsidiaries to accomplish key H&W benefits objectives and compliance.
Partner with brokers and third-party administrators to ensure all benefit plans sponsored through subsidiaries meet all federal and state requirements including, but not limited to 5500 filings, FSA discrimination testing, ACA reporting and HIPAA required notices.
Assist in developing H&W department employees in all facets of benefits.
Aid in the supervision, mentoring and motivation of team members, setting clear performance expectations and providing feedback.
Participate in annual performance reviews and/or check-ins on Benefits Administrators.
Partner with Director of Health & Welfare Benefits and EVP of HR to develop multi-year strategic recommendations for benefit programs balancing multiple perspectives (e.g., regulatory, corporate, financial and employee perspectives).
Participate in Benefits Department annual Strategic Planning meeting.
Work with company's subsidiaries to ensure all sponsored benefit plans are administered in compliance with all federal and state laws and regulations including, but not limited to ACA, ERISA, HIPAA, COBRA, and FMLA.
Lead the investigation, proposal and implementation of new programs and “Wellbeing Champion” program aiding in the education and encouragement of employees putting wellbeing of self as a priority and understanding smart consumerism of benefits/healthcare.
Serve as a valuable team member with the management of benefits enrollments, including, but not limited to:
Review and update of UKG and Benefit Third-Party Administrator (TPA)
Participate in annual U.S. Open Enrollment (OE) preparation:
Complete system testing
Partner with Payroll to ensure accurate file feeds and deductions of all benefit premiums.
Update vendor import files (file feeds) from UKG (Benefits Administration).
Review premium calculations.
Design OE guides and other employee education materials (e.g., email announcements, webinars, digital guides).
Develop new hire benefits onboarding materials (e.g., new hire orientation education).
Conduct training/seminars to educate employees.
Develop strong relationships with vendors including UnitedHealthcare, Optum, Optum Financial, and UKG (Benefits Administration).
Qualifications
KNOWLEDGE, SKILLS, AND EXPERIENCE
Bachelor's degree or work experience equivalent to 8+ years in health and welfare benefits implementation and administration.
Previous experience leading a team and coordinating with employees throughout an organization.
Full understanding and experience with managing benefit offerings for groups with 5,000+ employees including self-funded, pharmacy carve-out, complex pre-tax (FSA, HRA, HSA) offerings.
Previous experience working with United Healthcare, Optum and Optum Financial for pre-tax preferred.
Previous experience with on-site clinics, Social Determinants of Health (SDOH) and community/population health preferred but not required.
Experience with UKG and Plan Source, a plus.
Proven ability to manage tasks with competing priorities and deadlines, independently determining order of priority and self-initiating other value-added tasks.
ADDITIONAL SKILLS/EXPERIENCE/REQUIREMENTS
Advance knowledge in Microsoft Suite including Excel, Word, and PowerPoint.
Excellent interpersonal and collaborative skills, with a professional demeanor and the ability to interact with all levels of management, colleagues, and vendors.
Strong problem-solving skills with the ability to deal with and resolve ambiguous, confidential, and sensitive situations and issues of a complex nature while providing flexible solutions.
Ability to maintain confidentiality and understand how sensitive information and data should be handled.
Critical thinking skills including, logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
Organized, with a sense of urgency and the ability to multitask, prioritize, and manage shifting responsibilities in a dynamic, cross-functional teamwork environment.
All positions have an essential job function to be able to perform face-to-face work with colleagues onsite in corporate office located in Eagan, MN.
INTENT AND FUNCTION OF S
s assist organizations in ensuring that the hiring process is fairly administered and that qualified employees are selected. All descriptions have been reviewed to ensure that only essential functions and basic duties have been included. Requirements, skills, and abilities included have been determined to be the minimal standards required to successfully perform the positions. In no instance, however, should the duties, responsibilities, and requirements delineated be interpreted as all-inclusive. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Job descriptions are not intended as and do not create employment contracts. The organization maintains its status as an at-will employer. Employees can be terminated for any reason not prohibited by law.
Summary
OUR FAMILY CULTURE
We are a family-owned business established in 1946 with nearly 5,000 employees. Over the years, Rosen's Diversified, Inc. (“RDI”) has grown into a holding company of vertically integrated business units, including American Foods Group, America's Service Line, Scientific Life Solutions, and Rosen's Inc. By understanding our employees, our customers and ourselves, we are preparing RDI for the future generations of success.
Our Company is comprised of innovative entrepreneurs who value our casual and down to earth culture. As a member of the Rosen's family, you will find yourself challenged and rewarded for your professional contributions as well as the Company's success.
WHAT WE OFFER
Privately held, family-owned (three generations) business which operates with a mentality of what should be done versus share holder requirements.
Excellent health and welfare benefits including but not limited to medical, dental, vision, disability, and a variety of voluntary benefit options.
401(k) benefits with annual company match for eligible employees.
Professional and personal development programs including Career and Learning Paths providing opportunities for advancement.
$55k-94k yearly est. Auto-Apply 14d ago
Employee Benefits Producer
Bridge Specialty Group
Benefit specialist job in Milwaukee, WI
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 an Employee Benefits Producer to join our growing team in Milwaukee, WI
The Employee Benefits Producer will report to the Sales Leader. Primary responsibilities are to sell new group Employee Benefit Insurance, assist as needed within the department, and manage assigned existing accounts or other duties as determined by your supervisor.
How You Will Contribute:
Prospect for new business every day to identify client's insurance and needs for Brown & Brown products or services
Actively pursue new client prospects through telemarketing, networking, and personal referrals
Participate in professional development activities to continue improving knowledge base needed for employee benefits
Maintain the proper documentation for existing and prospective clients
Acquire and/or maintain life and health license requirements
Oversee all aspects of your new groups with the assigned account manager
May supervise the work of assistants and other support positions
Licenses and Certifications:
Valid resident L&H license
Skills & Experience to Be Successful:
Proficient with internet usage, MS Office Suite, and Excel
Exceptional telephone demeanor
Ability to maintain a high level of confidentiality
This position requires routine or periodic travel which may require the teammate to drive their own vehicle or a rental vehicle. Acceptable results of a Motor Vehicle Record report at the time of hire and periodically thereafter, and maintenance of minimum acceptable insurance coverages are a requirement of this position.
Bachelor's degree (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”.