Benefits Processing Specialist II - HR Compliance & Support

Visa Hunt; United States; On-site; USD 21,000 - 30,000; Full time

Benefits offered by this job

Benefits package

Job summary

Businessolver is seeking a Special Processing Specialist II to provide advanced HR support with a focus on benefit processing, compliance, and member services.

You will handle complex cases such as condolences, QMCSO orders, Medicare L564 forms, and POA requests, ensuring HIPAA, IRS, and CMS rules are followed, and you will mentor junior staff. The role emphasizes accuracy and proactive collaboration with members and internal teams.

Qualifications

• Bachelor’s degree preferred in Human Resources, Business Administration, or related field.
• 2–3 years experience in HR operations or employee support.
• Strong knowledge of benefits processing and compliance requirements.
• Proficiency with HRIS and Microsoft Office.
• Excellent attention to detail and ability to manage confidential information.
• Strong communication skills and ability to work collaboratively while adhering to HIPAA, IRS, and CMS regulations.

Responsibilities

• Review and process appeals, condolences, QMCSO orders, Medicare L-564 forms, and POA requests accurately.
• Verify eligibility and manage elections, record updates, and coverage activation per SOPs.
• Submit life and disability claims timely with complete and correct information.
• Apply client-specific requirements across multiple workstreams.
• Provide proactive, accurate, and empathetic support to enhance member experience.
• Communicate professionally with members, internal teams, and external partners.
• Maintain compliance with HIPAA, IRS, CMS regulations and manage mandated notices and documentation.
• Identify and resolve documentation or process issues using critical thinking and compliance standards.
• Protect sensitive data and maintain transaction integrity.
• Meet attendance and performance goals; take ownership through task resolution.
• Handle escalations, assist during client calls, and prepare activity and performance reports.
• Participate in daily stand-ups and foster team collaboration.

Skills

Benefits processing

Compliance

HRIS

Microsoft Office

Attention to detail

Communication skills

Education

Bachelor’s degree in Human Resources, Business Administration, or related field

Tools

HRIS

Microsoft Office

Job description

Businessolver is seeking a Special Processing Specialist II to provide advanced HR support with a focus on benefit processing, compliance, and member services.

You will handle complex cases such as condolences, QMCSO orders, Medicare L564 forms, and POA requests, ensuring HIPAA, IRS, and CMS rules are followed, and you will mentor junior staff. The role emphasizes accuracy and proactive collaboration with members and internal teams.