Benefits Operations Associate
Job Summary
The Benefits Administration Operations Associate supports initial case intake, data verification, and enrollment processes for BenAdmin technology platforms. Responsibilities include handling discrepancy reports, maintaining documentation, and ensuring data security in compliance with HIPAA standards. Candidates are required to have an associate degree, relevant experience, and proficiency in MS Excel and D365.
Responsibilities
- Support case intake and vetting for BenAdmin platforms
- Handle enrollment and follow up on eligibility issues
- Maintain and adjust documentation in Excel, OneNote, and Word
- Connect incoming cases with CRM records and ensure data security
Required Skills
- Associate degree in a related business field
- 1+ year experience in health and ancillary insurance benefits
- Experience in Dynamics 365
- Advanced Excel skills
- Excellent communication skills
Job Details
POSITION TITLE: Benefits Administration Operations Associate
WORK LOCATION: Alabang, Muntinlupa
WORK SETUP: Night Shift
SALARY: PHP 29k to PHP 30k
DUTIES & RESPONSIBILITIES
• Supporting Initial Case Intake and Vetting for all nationally supported BenAdmin Technology platforms through Online Access, Product Validation and Integration Notification.
• Sorting discrepancies reports.
• Facilitate enrollment and follow up of identified eligibility issues as needed. This includes but is not limited to entering information into the carrier website, completing carrier spreadsheets, emailing/faxing the document to the carrier or processing the transaction over the phone with the carrier contact and follow up with the carrier to obtain status updates.
• Maintain and adjust documentation per workflows, procedures, and protocols in Excel, OneNote and Word.
• Reviewing data for deficiencies or errors, reporting any incompatibilities.
• Connect incoming cases from both internal and external stakeholders with relevant records in CRM (D365) database.
• Identify and execute verification tasks within the relevant BenAdmin technology platform.
• Ensure the protection and security of a consumer’s personal, confidential and identifiable information in a professional and responsible manner, according to the standards and requirements of the Health Insurance Portability and Accountability Act (HIPAA).
JOB REQUIREMENTS
• Graduate with an associate degree in a related business field.
• At least 1 year of work experience in relevant or related role/capacity.
• Knowledge and experience of health and ancillary insurance products and benefit plan designs.
• Knowledge and experience with HCM Solutions is preferred.
• A solid working knowledge and experience of D365 is required for this role
Minimum Qualification:
At least 1+ year experience in handling health & ancillary insurance benefits
Exposure in Dynamics 365 is required
Advanced Excel skill
Excellent communication skills
Okay to work onsite on a graveyard schedule
Benefits:
Day 1 HMO with 1 free dependent
Day 1 Life Insurance
10% ND
15 leave credits after 1 year
Work Arrangement:
48 hours a week (Monday to Friday, night shift)
Onsite