HR Benefits Advisor

4 weeks ago


Charleston, West Virginia, United States CommuniCare Family of Companies Full time

We are seeking a highly skilled HR Benefits Specialist to join our team at CommuniCare Family of Companies. This role will be responsible for providing exceptional support to employees in all matters related to insurance benefits.

Key Responsibilities:

  • Manage employee service requests and escalations with insurance
  • Assist with claims issues utilizing a variety of teaching methods
  • Assemble and distribute benefit summaries, benefit guides, and enrollment guides
  • Respond and handle incoming electronic escalation submissions of insurance issues
  • Identify and escalate quality of care issues through established channels
  • Serve as a point of contact for employee inquiries via phone, email, and in-person interactions
  • Ensure strict compliance with HIPAA and maintain the highest standards of patient confidentiality and trust

Requirements:

  • Minimum of 2 years working for a Healthcare Insurance Plan
  • Proven experience and knowledge providing benefit advice to self-funded employee benefit plan members
  • Knowledge of healthcare insurance industry and ability to successfully coordinate case navigation
  • Proficient computer skills and ability to navigate multiple systems
  • Strong advocacy, organizational, and administrative skills
  • Highly developed verbal and written communication skills
  • Superior time management and organization skills

What We Offer:

  • Full, robust benefit package
  • 2 weeks vacation
  • paid sick days and holidays
  • Opportunity to work with a dynamic team at CommuniCare Family of Companies


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