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Become A Benefits Representative

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Working As A Benefits Representative

  • Getting Information
  • Analyzing Data or Information
  • Communicating with Supervisors, Peers, or Subordinates
  • Interacting With Computers
  • Evaluating Information to Determine Compliance with Standards
  • Mostly Sitting

  • $60,850

    Average Salary

What Does A Benefits Representative Do At Cigna

* Engage and provide employee communication/health/wellness strategies to clients regarding their purchased services
* Handle, refer, or delegate complex questions, issues, and problems to appropriate CHC resources on a wide range of products as they relate to the assigned account
* Partner with the Client Management team in the development of client-specific strategies and in the pursuit of growth opportunities and health promotion activities
* Conduct analysis to identify account opportunities and to recommend strategies that address client-specific needs to improve the team and organization's results
* Refer client service issues, administrative functions, eligibility/claim issues, billing questions, installation matters, and settlement production matters to appropriate service organization representatives (Client Advocacy Team (Client Service Executive), Customer Service Claim and Call Centers, etc.)
* Partner with Client Manager and Client Service Executive to proactively educate and provide recommendations to customers regarding procedural, legislative and other changes affecting them
* Support the achievement of customer-specific performance guarantees
* Conduct open enrollment sessions with clients
* Maintain knowledge and expertise in all products, programs, services and enrollment activity
* Effectively articulates and demonstrates CIGNA's capabilities and tools in the marketplace

What Does A Benefits Representative Do At Sanford Health

* Handle calls from Members, pharmacies, and providers concerning pharmacy issues such as coverage, prior authorization, step therapy, networks, and overrides.
* Review incoming faxes and contact providerS office, pharmacy, prior authorization department, or Member (depending on where the fax originates) to clarify the intent of the fax and identify any potential missing information.
* Enter prior authorization and formulary exception requests into referral form.
* Review Plan policy to determine which requests need to be sent on the clinical pharmacist team for review.
* Serve as a liaison with Express Scripts, Inc. and Accredo in regards to pharmaceutical questions or issues that arise.
* Serve as a resource for other departments within the health plan

What Does A Benefits Representative Do At Hobby Lobby

* Process Health, Life, LTD, and Flexible Spending benefits Process Change in Status and Special Enrollment Events for benefits Assist with Online Enrollment System design and audits Generate and process weekly Flexible Spending Reports and Flexible Spending Audit Assist and respond to Life Insurance and LTD claim inquiries Process and pay Life Insurance and LTD bills Process and respond to Qualified Medical Child Support Orders Assist with 401(k) and Non
* Qualified Deferred Compensation (NQDC) Plan enrollments Coordinate deposits for the 401(k), NQDC, and IRA account Conduct Monthly and Quarterly audits for the Health Plan Problem solving with employees and Third Party Administrators Understand and Interpret Plan Documents Distribute New Hire Packets Auto req ID 2474BR Job Title Benefits Representative Job Description
* Requirements 2
* years Benefits Administration experience with Health, Dental, Life Insurance, LTD, Flex, and COBRA Knowledge of 401(k), ERISA, HIPAA, and Health Care Reform regulations Proficient in Microsoft Word, Excel, and Outlook Experience with HRIS benefits systems (SAP preferred) High level of attention to detail Strong communication and organizational

What Does A Benefits Representative Do At Ameriplan & The Johnson Agency of Georgia

* Interviewing and training members; Inbound & Outbound calling Emailing and texting clients Marketing
* Posting Ads Online Must be able to work from your home office WE OFFER:
* Excellent Pay, Commissions & Bonuses
* Work morning, afternoon or evenings
* Flexible contract schedules
* Family Health Plans (starting day one)
* Personalized Websites
* Supportive Team & Opportunity for Advancement
* Excellent Benefits, Comprehensive Online Training & Support Please respond to request a telephone interview by calling

What Does A Benefits Representative Do At Tenet Healthcare

* Include the following.
* Others may be assigned._
* Responsible for obtaining complete and accurate clinical, demographic and financial information during the scheduling process.
* Enters data in scheduling system or other applications.
* Provides the customer with prep and other appointment instructions.
* Largely responsible for scheduling complex procedures.
* Follows guidelines for special requests/Stat/schedule modification procedures and coordinates communications with clinical areas to accommodate the customers’ requests.
* Answers telephone calls according to designated scripting for the scheduling process.
* Maintains positive customer service at all times, referring unresolved issues to appropriate supervisor.
* Notifies customer of physician order, pre-authorization and other financial clearance requirements.
* Performs functions of other PASU functions or registration when requested.
* KNOWLEDGE

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How To Become A Benefits Representative

Compensation, benefits, and job analysis specialists typically need a bachelor’s degree, and some specialists need related work experience.

Education

Most employers require that compensation, benefits, and job analysis specialists have a bachelor’s degree. Many specialists have a degree in human resources, business administration, finance, communication, or a related field. Some employers may accept previous work experience in lieu of a formal degree.

Not all colleges and universities offer an undergraduate degree in human resources, but many offer courses in human resources management, compensation analysis, and benefits administration. Students with a background in other disciplines may benefit from taking courses in business, management, finance, and accounting.

Work Experience in a Related Occupation

For many jobs, compensation, benefits, and job analysis specialists must have previous work experience. Employers commonly require that the previous experience includes performing compensation analysis, benefits administration, or general human resources work. Experience in related fields such as finance, insurance, or business administration, also may be beneficial.

Jobseekers without a degree in human resources must have relevant work experience. Some workers may gain this experience through internships. However, most gain experience from working in human resources.

Licenses, Certifications, and Registrations

Although certification is not required, it can demonstrate professional expertise. Some employers prefer to hire certified candidates, but many employers will have their employees become certified after they are already working. Certification programs for management positions often require several years of related work experience in order to qualify for the credential.

Many associations for human resources workers offer classes to enhance the skills of their members. Some associations, including the International Foundation of Employee Benefit Plans and WorldatWork, offer certification programs that specialize in compensation and benefits. Others, including the HR Certification Institute and the Society for Human Resource Management, offer general human resources credentials.

Advancement

Compensation, benefits, and job analysis specialists may advance to a compensation and benefits manager or a human resources manager position. Specialists typically need several years of work experience to advance.

Important Qualities

Analytical skills. Many specialists perform data or cost analyses to form logical conclusions. For example, they may analyze the cost of choosing a particular salary scale for a class of workers.

Business acumen. Specialists must understand basic finance and accounting.

Communication skills. Specialists often work with employees throughout their organization to provide information on compensation and benefits. They may give presentations or advise managers or employees about compensation policies or benefit plans.

Critical-thinking skills. Specialists must think critically when evaluating job positions, salary scales, promotion practices, and other compensation and benefits policies.

Detail oriented. Specialists must pay attention to detail, especially when ensuring that the organization is compliant with federal and state laws.

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Benefits Representative jobs

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Top Skills for A Benefits Representative

CustomerServiceProceduresCobraPayrollDeductionsTermDisabilityHRFmlaMedicalClaimsInsuranceCompaniesHealthInsuranceBenefitPlansBenefitProgramsAbsenceResourceAnnualOpenEnrollmentDataEntryInsuranceCarriersLifeInsuranceBenefitsHealthBenefitsHipaa

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Top Benefits Representative Skills

  1. Customer Service
  2. Procedures
  3. Cobra
You can check out examples of real life uses of top skills on resumes here:
  • Provided customer service to contracted clients for health and human services from 2006 to 2009.
  • Apply knowledge of company procedures to respond to incoming correspondence and documentation.
  • Serve as Quality Assurance lead on the processing of the clients daily carrier, payroll and COBRA files.
  • Verified the calculation of monthly premium statements for all group insurance policies, and reported and processed insurance premium and payroll deductions
  • Submit short term disability claims to The Hartford and other state funded short term disability programs.

Top Benefits Representative Employers

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