What are the responsibilities and job description for the Medical Plan Benefit Liaison position at Keystone Quality Transport?
Medical Benefit Plan Liaison
The primary point of contact for employees to address their questions, concerns about the medical plan; assist in confirmation of coverage with providers/facilities and act as a liaison to the TPA regarding claims.
Responsibilities:
- Educate plan members on the medical plan features and design.
- Assist plan members on identifying providers and facilities.
- Serve as a liaison between employees and the TPA regarding claims, EOB, Balance Billing issues.
- Serve as a liaison between the organization and insurance providers, monitoring and reporting on insurance claim issues.
- Audit Claims reporting, identifying items to be addressed.
- Assist with analyzing benefit program data.
Requirements:
- High School Diploma (GED), post High School Education strongly preferred.
- Comprehensive understanding of medical self-insured benefit plans and compliance requirements.
- Familiarity with benefit portal and other related software including but not limited to email, Word, and Excel.
- Superb customer service and interpersonal skills with strong communication abilities both written and verbal.
- Detail-oriented mindset, able to manage benefit data accurately and efficiently.
- Ability to handle confidential information with discretion and integrity.
- Knowledge of relevant laws and regulations related to employee benefits.
Equal Opportunity Employer
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