Special Processing Analyst - HR Benefits & Compliance

Businessolver; Oregon; Hybrid; USD 21,000 - 30,000; Full time

Benefits offered by this job

Comprehensive benefits

Job summary

Businessolver is seeking a Processing Specialist I - Special Processing in Oregon to deliver advanced HR support, focusing on benefit processing, compliance, and member services. You will handle complex cases, ensure HIPAA and CMS compliance, and mentor junior staff while driving process improvements and accurate reporting.

The role emphasizes empathetic member interactions, adherence to regulatory requirements, and collaboration with internal teams and external partners to maintain seamless

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

Strong communication

Attention to detail

Collaborative work

Education

Bachelor's degree preferred in HR/Business Admin

Tools

HRIS

Microsoft Office

Job description

Businessolver is seeking a Processing Specialist I - Special Processing in Oregon to deliver advanced HR support, focusing on benefit processing, compliance, and member services. You will handle complex cases, ensure HIPAA and CMS compliance, and mentor junior staff while driving process improvements and accurate reporting.

The role emphasizes empathetic member interactions, adherence to regulatory requirements, and collaboration with internal teams and external partners to maintain seamless