BRC Benefit Specialist

General Description: Assist clients and their employees with benefit or claim questions. 

Responsibilities: 

• Primary resource for clients and their employees with benefit or claim questions.
• Investigate and work with carrier contacts to solve claim problems.
• Respond to emails and voicemails within 24 business hours.
• Track and document all calls and interactions in Call Center database. 
• Assist clients with administrative questions regarding enrollment, eligibility, and special contract provisions.
• Assist with transition of care concerns due to a change in carrier.
• Provide help with coordination of benefits.
• Drafts appeal letters and perform claim audits as needed.
• Report trends to carrier and/or the account manager.
• Maintain open call volume in a timely manner.
• Keep informed about industry information and new product information.

Knowledge, Skills and Abilities:

• Prior customer service experience preferred.
• Must hold or be able to earn a Life and Disability insurance license within 90 days of hire date.
• Comfortable with internet-based programs and Microsoft Office products.
• Bilingual preferred, but not required.
• Strong attention to detail and ability to self-check work.
• Excellent time management skills, able to set priorities and manage deadlines.
• Ability to work in a team environment.
• Resourceful, eager to learn new concepts, and further professional development.
• Ability to define problems and generate potential solutions. 
• Strong verbal and written communication skills.
• Ability to remain calm in stressful situations.

Physical Demands:

Work is performed in a climate-controlled office environment with minimal noise and limited to no exposure to chemicals or toxins. Employees operate office equipment including telephone - headset, computer, computer monitors, keyboard, mouse, copier, scanner and mail machine. Physical tasks of job include walking, sitting, standing, bending and typing.

Analysis of Physical Demands:

• Constantly (over 66% of time) work performed requires employees to use repetitive hand motions such as typing, using a keyboard, and sitting at a desk.
• Frequently (34%-66% of time) work performed requires employees to handle and grasp things, walk on normal surfaces, stand and bend.
• Occasionally (1%-33% of time) work performed requires repetitive foot movements, walk on uneven or slippery surfaces to and from work and occasionally reach outward to grab things and bend.
• Rarely (< than 1 hour per week) work performed requires lifting/carrying items that range from 10-50lbs, pushing/pulling items that range from 10-50lbs, twisting/ turning including reaching over shoulder or above head, kneeling or squatting.

USI is committed to providing a full-suite of competitive benefits for our growing population and its diverse needs. We offer a wide range of health, welfare and financial benefits including medical, wellness, dental and vision, 401(k), flexible spending and health savings accounts, short and long-term disability, life insurance and other unique employer-sponsored and voluntary programs. USI also offers a generous paid time off policy, paid family leave benefit as well as paid holiday time.