International Benefits Specialist (US healthcare account)

ProView Global (PvG)

Negotiable
远程办公1-3 年經驗專科全職
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遠程工作詳情

工作開放國家菲律賓

語言要求英語

這項遠距工作向特定國家的候選人開放。 請確認您是否要繼續,儘管可能有位置限制

職位描述

簡介

What are some of the perks once you become part of this awesome team?

  • Fixed weekends off
  • HMO within first month of employment
  • Insurance coverage upon regularization
  • Paid time off even during probationary period
  • Fun onsite and virtual activities/events
  • Open door policy with avenues to gather employee feedback
  • Highly performance-driven work environment, encouraging promotions from within
  • Various learning and personal/professional growth and development opportunities


And because Proview Global cares, we are offering a hybrid work arrangement! The company will also be providing the PC and equipment needed. Although during your first month (or until the HLM approves of the transition), you will be reporting on-site to complete company and/or client-required trainings. With this, the following requirements will be required prior the on-boarding:

  • Minimum of 25mbps internet speed (actual bandwidth via speed test) *higher than 25mbps would be required if there will be other people in the household who would be either working from home or heavily using the internet during your shift
  • Dedicated space or room with good ventilation for the PC set-up.
  • Table that can fit two 24" monitors and a chair, ideally positioned close to the outlet and internet modem
  • Work from home location is within NCR.


What's the general objective of this role?

Responsible for overall management and processing of tasks specific to each assigned client.


What are some of the responsibilities?


Client Experience and Communication:

  • Deliver positive client experiences through high-quality service and communication.
  • Provide regular updates to the onshore team on client data issues, review file warnings and errors in daily stand-ups, and identify team members responsible for resolution.
  • Act as the main point of contact for carrier partners, managing file updates and requests.
  • Share relevant updates with Client Services and technical partners as needed.


Timely Response and Resolution:

  • Respond promptly to inquiries from clients, carriers, and internal partners within the expected time frames. Keep clients informed with regular updates through resolution.


Case Management and Audit:

  • Prioritize, review, and work on open client cases.
  • Run and review full and quick audit reports to verify that all member records are accurate and transactions are processed correctly to ensure accurate coverage.
  • Conduct random audits on enrollments and data transmitted to carriers (e.g., OE, Post OE, Ad hoc) and handle various manual processing tasks, including EOI approvals/denials, manual audits, in-progress transaction cleanups, reporting, and coverage terminations.


Task and Deliverable Management:

  • Oversee client deliverables, track progress, complete assigned tasks, and provide updates via company tools (AdaptiveWork), email, and MS Teams.
  • Actively participate in client calls, meetings, and training sessions (e.g., new hire training, refresher courses) as needed.


File and System Maintenance:

  • Review inbound and outbound files daily.
  • Maintain carrier and client SFTP setups and implement updates as necessary.


Technical Issue Resolution:

  • Identify and address root causes of systemic issues.
  • Research and resolve identified technical issues from error reports.
  • Provide detailed explanations of errors to clients, translating technical issues into non-technical terms, and proactively inform onshore colleagues of errors impacting their tasks.


Process Execution and Risk Mitigation:

  • Execute client-specific processes and procedures.
  • Complete risk mitigation reports, including audits, team activity, and case manager reports.


What are the ideal requirements?

  • 5+ years’ solid experience performing tasks related to US employee benefits
  • Able to work in US work time zone (Eastern or Pacific Time zone)
  • Above average English communication skills (written and verbal)
  • Exceptional organizational skills including attention to detail and multi-tasking
  • Proven comfort level with learning and working with various computer applications, specifically MS Excel
  • Ability to work with multiple source files and apply knowledge from various client requirements to day-to-day transactions
  • High accuracy and orientation to quality
  • Candidates who can start ASAP will be prioritized!

職位要求

Please refer to job description.

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HR ManagerProView Global (PvG)

發布於 02 April 2025

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