Processing Specialist I
Job Summary
Providing advanced HR support in a remote full-time capacity, the Processing Specialist I will manage complex cases related to benefit processing, compliance, and member services, ensuring accuracy and adherence to regulations.
Key responsibilities
- Review and process appeals, condolences, QMCSO orders, and Medicare L-564 forms accurately
- Verify eligibility, manage elections, and submit life and disability claims in a timely manner
- Communicate professionally with members and partners while maintaining compliance with HIPAA, IRS, and CMS regulations
Required qualifications
- Bachelor's degree preferred in Human Resources, Business Administration, or related field
- 2-3 years of experience in HR operations or employee support
- Strong knowledge of benefits processing and compliance requirements
- Proficiency with HRIS and Microsoft Office
- Ability to manage confidential information effectively
Complete Job Description
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