Helping Members Understand Their Benefits
Answer incoming calls and respond to benefit questions with clarity and compassion.
Explain medical, dental, vision, pharmacy, life, disability, FSAs/HSAs, and other plans in easy-to-understand terms.
Guiding Open Enrollment & Life Event Decisions
Support members as they choose benefits during open enrollment, as new hires, or when their life circumstances change.
Compare and contrast plan options so members feel confident in their selections.
Providing Expert Navigation Across Coverage Types
Discuss Marketplace/exchange plans, COBRA, Medicare, and individual plans.
Help members understand costs, coverage, provider choices, and plan rules.
Solving Benefit Issues with Care & Accuracy
Research benefit concerns thoroughly and follow through until resolved.
Document all cases accurately while maintaining strict confidentiality.
Ensure compliance with HIPAA, COBRA, ACA, and all federal regulations.
Delivering Outstanding Member Experiences
Build trust quickly over the phone.
Provide objective, empathetic guidance—no sales, no quotas, just real support.

Minimum 1–2 years of customer service and benefits experience
Minimum of 1 year of call center experience, preferably in a healthcare, insurance, or benefits environment
Minimum of 1 year of hands-on Medicare knowledge, including Medicare Advantage, Part A/B/D, and supplement plans
Strong Communication & Listening Skills
Ability to explain complex benefits clearly and patiently
Professional, supportive phone presence
Comfortable using MS Word, Excel, and internal systems
Strong documentation, accuracy, and time-management skills
You enjoy helping people
You thrive in a collaborative, remote environment

Benefits Specialist

Key skills