Benefits counselor vs benefit specialist

Differences between benefits counselor and benefit specialist duties and responsibilities

Benefits counselor example responsibilities.

• Manage vendors for medical, dental, pharmacy, vision, HSA, long-term care and work-life resource and referral programs.
• Utilize HIPAA confidentiality of all employee data.
• Follow all HIPAA guidelines as required by law.
• Follow HIPPA by verifying the member's identity.
• Handle plan claims and appeals in ERISA and non-ERISA plans.
• Simplify and improve the FMLA process, procedures, and paperwork.
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Benefit specialist example responsibilities.

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