Member Benefits Specialist

Group Management Services, Inc.; United States; On-site; USD 40,000 - 45,000; Full time

Benefits offered by this job

Medical Benefits

Dental Benefits

Vision Benefits

401(k)

Disability Insurance

Tuition Assistance

PTO

Job summary

Group Management Services, Inc. is seeking a full-time Member Benefits Specialist to handle member inquiries by phone, quote health benefit plans, and resolve issues. The role emphasizes strong customer service and familiarity with medical terminology.

Responsibilities include processing communications, assisting with training new staff, and supporting operations to ensure timely resolutions. The position requires living and working in EST with standard business hours.

Qualifications

• High school diploma or GED required.
• 1–3 years related experience preferred; experience in a TPA environment preferred.
• Ability to read and understand medical forms and benefit documentation.
• Excellent interpersonal skills.

Responsibilities

• Answer calls and/or emails from members, clients, and providers.
• Review Health Benefit plans to quote and answer questions.
• Communicate details and resolve issues with members.
• Enter pre-claim information and attach scanned documents.
• Work with manager on difficult situations to ensure quick resolution.
• Assist with training new member benefits specialists as needed.
• Open, sort, scan mail; sort faxes.
• Perform all other duties as assigned.

Skills

Customer service

Communication

Medical terminology

Interpersonal skills

Education

High School Diploma or GED

Job description

*Required Schedule 8:00AM-5:00PM EST* - Must work and live in EST

Group Management Services (GMS) is seeking to hire a full time Member Benefits Specialist with excellent customer service skills.

What does a Member Benefits Specialist do?

In summary, the Member Benefits Specialist is responsible for interacting with members over the phone to provide information in response to inquiries about their services and handle and resolve complaints.

A few of the essential duties and responsibilities:

• Answer calls and/or correspondence (emails) from members, client, & providers
• Review Health Benefit plans to accurately quote to members / providers and use that information to answer questions
• Communicate details and resolve issues with members
• Enter pre-claim information and attach scanned documents
• Work with manager on difficult situations to ensure quick resolution
• Assist with training new member benefits specialists as needed
• Open, sort, scan mail; sort faxes
• Perform all other duties as assigned

Qualifications we look for:

• Education – High School Diploma or GED
• Experience – 1-3 years related experience preferred; experience in a TPA environment preferred
• Ability to read and understand various benefit forms, documentation, files and information in the department
• Understanding of medical terminology.
• Excellent interpersonal skills

What is in it for YOU?

• Base salary range of $40,000-$45,000
• Full Benefits – Medical, Dental, Vision, 401(k), Short Term Disability, Long Term Disability, Tuition Assistance, PTO
• three weeks of PTO in years 1-5; five weeks of PTO in years 6+
• Monthly Personal Reimbursement Programs available

Why GMS?

People don't necessarily buy what you do, they buy WHY you do it. GMS is passionate about small businesses having started off as one back in 1996 in Richfield, OH with only a few employees. Fast forward to today and we have over 500 employees in 25 offices across 18 states nationwide. We take pride in building and maintaining quality relationships with our customers as we help them grow their own business exponentially just as we did by allowing them the time and energy to focus solely on reinvesting in themselves.

As we continue to expand ourselves here at GMS, we are looking for individuals who are willing and able to provide excellent customer service and support to their clients. We are looking for those who are passionate about the value small business brings and providing them assistance in their growth as they seek growth for themselves. We are committed to providing opportunities for upward mobility from within to those who are driven to succeed and who care about the relationships they build. Join the GMS team today, build relationships, seek growth and experience a truly family oriented workplace culture!

Group Management Services is an Equal Opportunity Employer