Employee Benefits (Health Insurance US Process)

Mdi Networx

4 - 9 years

3 - 5 Lacs

pune

Posted:3 hours ago| Platform:

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Skills Required

cobra 401k employee benefits coverage group life insurance eligibility us clients insurance us group insurance retirement benefits and policy clarifications eb claim status

Work Mode

Work from Office

Job Type

Full Time

Job Description

Role & responsibilities

Handle
end-to-end employee benefits administration
for US clients (Health, Dental, Vision, Life, Disability plans).
Process
enrollment, terminations, changes, renewals
,
401k Plan
and maintain accurate records.
Communicate with
insurance carriers, brokers, and clients
to resolve benefit-related queries.
Assist employees with coverage, claim status, eligibility, and policy clarifications.
Ensure compliance with
HIPAA, ACA, COBRA, ERISA
and other US healthcare regulations.
Manage escalations and provide solutions within defined SLAs.
Maintain updated knowledge of
US healthcare reforms, open enrollment processes
, and benefit renewals.
Prepare reports, benefit summaries, and maintain documentation in client systems.

Preferred candidate profile

Graduate / Postgraduate in any discipline.
15 years
experience in US Healthcare / Employee Benefits / Health Insurance process.
Strong understanding of
US group insurance (medical, dental, vision, life, disability, FSA, HSA, COBRA)
.
Excellent
communication skills (written & verbal English)
with a customer-focused approach.
Proficiency in
MS Office
and HR/Benefits administration platforms (Workday, ADP, BenefitPoint, etc. added advantage).
Ability to work in
US shifts (Night Shifts)
and meet client deadlines.
Attention to detail, analytical ability, and problem-solving skills.

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