HR Benefits Specialist, Employee Support

4 weeks ago

Charleston, West Virginia, United States CommuniCare Family of Companies Full time
HR Benefits Specialist Job Description

We are seeking an HR Benefits Specialist to support employees in all matters related to insurance benefits. This role involves travel to various facilities and requires a valid driver's license.

Key Responsibilities:
  • Serve as onsite liaison for health plan education, questions, issues, and concerns.
  • Manage employee service requests and escalations with insurance.
  • Assist with claims issues using various teaching methods, including 1:1 meetings, lectures, group activities, case studies, and online learning modules.
  • Assemble and distribute benefit summaries, benefit guides, and enrollment guides.
  • Respond to and handle incoming electronic escalation submissions of insurance issues.
  • Assist employees with finding participating providers and expediting services/treatment.
  • Identify options and services to support employee independent healthcare decision-making.
  • Use a holistic approach to consult, mentor, and collaborate with onsite HR staff, Care Advocates, team members, supervisor, case managers, or other multidisciplinary team members to address employee needs efficiently and effectively.
  • 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.
  • Maintain excellent record-keeping and documentation of issues, interventions, and resolutions.
  • Attend daily huddles and weekly staff meetings.
  • Create weekly reports for leadership and support with eligibility/enrollment.

This role requires a strong understanding of healthcare insurance industry, excellent communication and problem-solving skills, and the ability to work effectively in a team environment.

We offer a full, robust benefit package, 2 weeks of vacation, paid sick days, and holidays. Qualified candidates must have a car and a valid driver's license. We pay for mileage and expenses.

This is a mobile position based in Charleston, WV, and involves travel to all 41 of our West Virginia facilities, as well as pharmacy and home health offices.

Requirements:
  • Minimum of Associate's Degree, with a Bachelor's Degree in Human Resources or a related field preferred.
  • Minimum of 2 years of experience working for a healthcare insurance plan, with managed care experience preferred.
  • Proven experience and knowledge providing benefit advice to self-funded employee benefit plan members and conducting benefit educational meetings.

We are looking for a highly developed verbal and written communication skills, superior time management and organization skills, and the ability to work effectively in a team environment.

This role requires a strong research ability, initiative to improve patient quality of life, and a genuine desire to help others.

We pay for mileage and expenses, and require a reliable internet connection with continuous 50-100Mbps internet speed and a dedicated, private, quiet distraction-free area space for work only, meeting HIPAA standards.

  • HR Benefits Advisor

    3 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 insuranceAssist with claims issues utilizing a variety...

  • HR Benefits Specialist

    1 month ago

    Charleston, West Virginia, United States Medical University of South Carolina Full time

    Job SummaryThe Medical University of South Carolina is seeking a highly skilled HR Benefits Coordinator to administer, direct, and review employee benefit programs. This role involves mediating between benefits providers and employees, explaining and interpreting policies and procedures, and communicating changes related to insurance and retirement rules and...

  • HR Operations Specialist

    3 weeks ago

    Charleston, West Virginia, United States Sonepar USA Full time

    About Sonepar USASonepar USA is a global leader in electrical and industrial distribution, providing exceptional customer service and innovative solutions to its customers.We are seeking a highly skilled HR Operations Specialist to join our team in Charleston, South Carolina.Main Responsibilities:Process bi-weekly or weekly payroll for one or more operating...

  • Benefits and Payroll Specialist

    4 weeks ago

    Charleston, West Virginia, United States City National Bank of WV Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Benefits and Payroll Specialist to join our team at City National Bank of WV. The successful candidate will provide administrative support to the Benefits and Payroll Departments, with a focus on leave administration and timekeeping.Key ResponsibilitiesProcess all leave of absence (LOA) and...

  • Employee Benefits Account Manager

    4 weeks ago

    Charleston, West Virginia, United States USI Holdings Corporation Full time

    Job Summary:This role involves managing complex Employee Benefit insurance accounts and services as the primary contact. The ideal candidate will have the ability to visit clients in person and reside within 120 miles of the Charleston, WV office.Key Responsibilities:Manage a complex book of business with various funding methods and increased levels of...

  • Employee Benefits Senior Account Manager

    4 weeks ago

    Charleston, West Virginia, United States USI Holdings Corporation Full time

    Job SummaryWe are seeking a highly skilled and experienced Employee Benefits Senior Account Manager to join our team at USI Holdings Corporation. As a key member of our team, you will be responsible for managing employee benefits insurance accounts and services, providing proactive and personalized support to assigned clients, and acting as the primary...

  • IT Support Specialist

    4 weeks ago

    Charleston, West Virginia, United States Hollywood Casino at Charles Town Races Full time

    Job SummaryWe are seeking a highly skilled IT Support Specialist to join our team at Hollywood Casino at Charles Town Races. As an IT Support Specialist, you will be responsible for providing technical support and assistance to our employees and guests. This is a fantastic opportunity to work in a fast-paced environment and be a part of a dynamic team.Key...

  • Nurse Practitioner Employee Health Specialist

    4 weeks ago

    Charleston, West Virginia, United States CAMC Health System Full time

    Job SummaryTo provide high-quality healthcare services to employees who become ill or injured at work, utilizing advanced assessment and evaluation techniques.Develop and implement an onsite treatment center for employees to provide care for acute illness or injury, ensuring a safe and healthy work environment.ResponsibilitiesDevelop and implement an onsite...

  • IT Support Specialist

    3 weeks ago

    Charleston, West Virginia, United States Systemtec Full time

    Job Title: IT Support SpecialistJob Summary: SYSTEMTEC is seeking an IT Support Specialist to join our team. The ideal candidate will have experience receiving, prioritizing, documenting, and resolving hardware and software issues working through a ticketing system.Responsibilities:Knowledge of basic computer hardware, including PCs, printers,...

  • Traveling Radiologic Technologist

    3 weeks ago

    Charleston, West Virginia, United States Healthcare Support Full time

    Healthcare Support is seeking a skilled Diagnostic Imaging Specialist to fill a travel opportunity in Charleston, South Carolina.Job Description & RequirementsSpecialty: CT TechnologistDiscipline: Allied Health ProfessionalDuration: 13 weeks40 hours per weekShift: 8 hoursEmployment Type: TravelAs a Diagnostic Imaging Specialist with Healthcare Support, you...

  • Desktop Support Specialist

    4 weeks ago

    Charleston, West Virginia, United States Integrated Finance and Accounting Solutions Full time

    Job Title: Desktop Support SpecialistIntegrated Finance and Accounting Solutions (IFAS) is seeking a highly skilled Desktop Support Specialist to join our team. As a key member of our IT department, you will be responsible for providing top-notch technical support to our employees.Key Responsibilities:Manage and troubleshoot complex virtual server...

  • Public Benefit Specialist

    3 weeks ago

    Charleston, West Virginia, United States Ensemble Health Partners Full time

    Job Summary:Ensemble Health Partners is seeking a skilled Public Benefit Specialist to join our team. As a Public Benefit Specialist, you will play a critical role in ensuring that patients receive the financial assistance they need to access quality healthcare. Key Responsibilities:Interview patients to determine eligibility for Medicaid benefits or...

  • Occupational Therapist

    4 weeks ago

    Charleston, West Virginia, United States Ronan HR Solutions Inc Full time

    Occupational Therapist Job DescriptionWe are seeking a dedicated and compassionate Occupational Therapist to join our team at Ronan HR Solutions Inc. As an Occupational Therapist, you will play a vital role in helping patients regain independence and improve their quality of life.Key Responsibilities:Develop and implement individualized treatment plans to...

  • Nurse Practitioner

    3 weeks ago

    Charleston, West Virginia, United States CAMC Health System Full time

    Job SummaryTo provide high-quality healthcare services to employees who become ill or injured at work, utilizing advanced assessment and evaluation techniques.Develop and implement an onsite treatment center for employees to provide care for acute illness or injury.Assess, treat, solve problems, counsel, educate, and refer patients seen for acute illness or...

  • Administrative Support Specialist

    4 weeks ago

    Charleston, West Virginia, United States Parsons Corporation Full time

    Job Summary: We are seeking an experienced Administrative Support Specialist to join our Federal Solutions team. The successful candidate will provide administrative support to our customers, ensuring the success of missions around the globe. Key Responsibilities:Track correspondence and deadlines for the Front office.Coordinate engagement calendars and...

  • IT Support Specialist

    4 weeks ago

    Charleston, West Virginia, United States Apex Systems Full time

    Job Title: IT Support SpecialistLocation: Charleston AreaShift: Second shift: 3PM -12AM Sun- ThursResponsibilities:Perform onsite troubleshooting, repairs and upgrades for client hardware and software resolution.Provide Installation, Moves, Additions, Changes, and Dispose Activities upon request.Perform hands-on and in-depth troubleshooting and associated...

  • Administrative Support Specialist

    17 hours ago

    Charleston, West Virginia, United States WV Restaurant Management Full time

    Job OverviewWV Restaurant Management is seeking a motivated and detail-oriented individual to fill the role of Office Assistant. This position will provide administrative support to the team and contribute to the company's success.Key Responsibilities:Provide administrative support to the team, including filing, data entry, and basic accounting tasks.Assist...

  • Help Desk Support Specialist

    3 weeks ago

    Charleston, West Virginia, United States TEKsystems Full time

    Job OverviewTEKsystems is seeking a Help Desk Support Specialist to join our team for a 3-4 month project. The successful candidate will be responsible for providing technical support and troubleshooting assistance to our clients.Job SummaryAs a Help Desk Support Specialist, you will be the primary point of contact for our clients and will be responsible for...

  • IT Support Specialist

    4 weeks ago

    Charleston, West Virginia, United States IFAS Full time

    Job SummaryWe are seeking a highly skilled IT Support Specialist to join our team at IFAS. The successful candidate will be responsible for providing network manager support for Global Systems Operations (GSO), Internal Systems and Messaging Unit (ISM).Key ResponsibilitiesManage and troubleshoot complex virtual server networksDesign enterprise-level...

  • Medical Technologist Specialist

    4 weeks ago

    Charleston, West Virginia, United States Millbrook Support Services Inc Full time

    Millbrook Support Services Inc is seeking a Medical Technologist Specialist for a contract job in the United States. Job Description & Requirements Specialty: Medical Technologist Discipline: Allied Health Professional Employment Type: Contract 40 hours per week Shift: 8 hours Millbrook Support Services Inc is looking for a skilled Medical Technologist...