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Employee Benefits Investigator Jobs

Employee Benefits Sales Representative
By Sun Life At United States
Strong networking and relationship management skills
Group benefit sales Industry experience
Sell employee benefits products through an established network of insurance brokers, third party administrators and consultants
A winning attitude and interest in a career that offers professional growth, and high income potential
Degree from a four-year college or university, or requisite work experience
Excellent listening, presentation, negotiation and communication skills
Employee Benefits Analyst Jobs
By Rock Enrollment At Birmingham, AL, United States
Strong project management skills, including managing complex projects from conception to completion
5+ years of experience in Employee Benefits, preferably as an Analyst
Experience working with HR technology systems, including Benefit Administration Platform and HRIS
Excellent communication, collaboration, and interpersonal skills
Ability to interpret and implement complex legislation and regulations related to employee benefits
Demonstrated analytical and creative problem-solving abilities; ability to drive analytical projects to completion
Hr Administrator - Employee Benefits
By AHRC New York City At New York, NY, United States
You are an HR professional with at least 2 years of experience in benefits.
You have a bachelor’s degree or an equivalent combination of education and experience
Support the annual benefits open enrollment process, including staff communications, employee self-service portal review and approvals, and benefits website updates.
Provide oversight and administration of Businessolver benefits administration tool.
Develop relationships with TPAs and work with them to resolve issues. Coordinate resolution of benefit issues with broker’s Benefit Advocate Center.
Monitor plan eligibility and other restrictions to ensure compliance with plan provisions and government requirements.
Employee Benefits Specialist Jobs
By Florida Sheriffs Risk Management Fund At Tallahassee, FL, United States
Florida Sheriffs Risk Management Fund is an equal opportunity employer.
Maintains a full understanding of the insurance markets, funding alternatives, networks, and benefit plan options.
The candidate offered this position will be required to submit to a background investigation.
Clearly establishes and communicates timelines with the members and internal team and keeps all parties apprised of changes and renewal updates.
Florida 2-15 Life & Health License
Ability to travel is required
Employee Relations Investigator (Hybrid Flex)
By UCLA Health At , Los Angeles, 90095 $95,900 - $222,100 a year

Description In partnership with Employee and Labor Relations, you will facilitate complaint resolution, when appropriate. In this role, you will effectively coordinate investigations and/or ...

Manager, Claims (Employee Benefits)
By Transamerica At , Remote $77,000 - $102,000 a year
Strong preference for prior Transamerica experience and/or knowledge of Transamerica Operations.
Bachelors degree or equivalent work experience required.
Minimum of 5 years of claims experience.
Leadership skills which fosters an environment of respect, support, and growth within team and peers.
Problem solving and analytical skills.
Excellent oral and written communication skills.
Employee Benefits - Marketing Analyst
By Brown & Brown Insurance At , Alpharetta
Quality of Work- Work is accurate, thorough, and neat. Is attentive to details and demonstrates effective organizational skills.
1-2 years of Marketing Experience
Strong analytical skills; proficient in working with complex data sets
Directly assist executives and producers
Service the designated book of business as it relates to marketing, administration and sales
Coordinate the implementation of research project plans and prepare status update reports and presentations
Employee Relations Compliance Investigator, Mid
By Booz Allen Hamilton At , Mclean $58,400 - $133,000 a year
3+ years of experience with leading and conducting internal investigations for a corporation or with the government
Experience with conducting investigations with staff at all levels across an organization
Possession of excellent oral and written communication skills
Possession of excellent organizational and fact gathering skills
Certified Fraud Examiner (CFE) Certification
HR Certification, including PHR and SPHR
Sr. Employee Relations Investigator
By Coca-Cola Southwest Beverages At , Dallas, 75240
Specific experience with conflict management and/or handling investigations.
Provide regular and proactive communication to local HR and management around cases in assigned area.
Support leadership development by providing coaching on people management (e.g., performance plan management and feedback, day-to-day coaching strategies, training opportunities, etc.).
Maintain and support positive employee relations within assigned MU where associate experience is monitored and recommendations made.
Utilize influencing skills with leaders to reach win/win outcomes that minimize risk to the company.
Utilize Coaching Ability and Leadership to coach and mentor ERBPs and serve as ER Manager as required.
Employee Benefits Administrator Jobs
By AlphaStaff At , Remote
Associate degree or 5 to 8 years combined work experience and education.
Proficient in Microsoft Office with advanced knowledge of Excel/VLOOKUP.
Ability to multitask and be highly organized with strong communication skills.
Generous employee benefits package including major medical, dental, vision, LTD and more.
Subject matter expert for assigned book of business.
Explains complex policy and coverage details in layperson terms to clients and plan participants.
Account Executive- Employee Benefits (Remote)
By NFP Corp At , Chicago, 60606 $60,000 - $107,000 a year
Well-planned, organized and good time management skills
Knowledge of the DI, LTC and GVUL products, features and benefit calculations
Requires Microsoft Excel knowledge and skills to perform the necessary census analysis and calculation work
Effective communicator with peers, management and vendors
Client facing interaction, ideally benefits experience
Can assist in analyzing and preparing census data for enrollments including eligibility analysis, benefit analysis, alerts, RM assignments, and licensing/splits analysis.
Employee Relations Investigator Jobs
By CVS Health At , $75,400 - $162,700 a year
Responding to employee issues and questions, providing feedback to managers to ensure appropriate action is taken where necessary.
Investigating workplace complaints of violations of policy for which failure to investigate might subject CVS to serious legal or financial risk.
Conducting investigations surrounding labor union ensuring framework and processes around business engagement are established and followed appropriately.
Contributing to the design of collective labor agreements and facilities agreement processes based on trends and analytically information.
Working with Employee Relations peers, to ensure consistency of advice and guidance provided.
Employee Relations Tracking and Solutions.
Supervisor, Operations (Employee Benefits)
By Transamerica At , Remote $52,500 - $69,500 a year
In collaboration with management, set team objectives and ensure goals are met.
Strong preference for prior Transamerica experience and/or knowledge of Transamerica Operations
Manage daily operations; set priorities and coordinate work activities with other supervisors.
Bachelor’s degree in a business related field or equivalent training/experience.
Three years of experience working in an operations environment.
Problem-solving, analytical and decision-making skills.
Employee Benefits Specialist Jobs
By The Demarco Group At Boston, MA, United States
In conjunction with the AE's , manage the client relationship with client service activities.
Serve as the main client contact for issues or activities that the customer encounters with benefits programs and services.
Strategic approach for new and renewing plans for small and large groups.
Pre-renewal and renewal timelines, project plans, meetings and
Renewal, RFP and marketing process, including marketing with carriers,
Partner with the AE's and Health & Risk Consultant to assist in the implementation of Wellness Programs
Attorney (Senior Associate Counsel- Employee Benefits)
By UMWA Health and Retirement Funds At Washington DC-Baltimore Area, United States
Provides legal advice regarding ERISA compliance, benefits eligibility, tax, and contracts;
Represents the organization in litigation involving benefits eligibility and delinquent employer contributions and bankruptcy proceedings;
provides legal advice regarding ERISA compliance, benefits eligibility, tax, and contracts;
represents the organization in litigation involving benefits eligibility and delinquent employer contributions and bankruptcy proceedings;
Advises the Funds on matters that relate to HIPAA, Medicare compliance, and various laws applicable to health plans;
Researches legal issues, drafts legal memoranda, drafts, reviews and interprets legal documents; and
Employee Benefits Specialist Jobs
By Amberwell Health At Atchison, KS, United States

Manage employee FMLA, leaves of absence, and ADA accommodations. Reconcile billing. Respond to employee requests for information.

Producer - Employee Benefits
By Alera Group, Inc. At United States
Bachelor’s degree or equivalent combination of education and experience.
Knowledge of general business principles, strategic planning, resource allocation, profit/loss requirements, organizational structures, and operational needs.
Identify and cultivate new prospects through network relationships, strategic partners, and industry events and through direct prospecting efforts.
Identify centers of influence that can assist with developing leads or with making inroads to potential clients.
Develop relationships and perform analysis with prospective clients to understand their organization, key decision makers, and business needs.
Meet sales goals and retain relationships with key stakeholders after prospects become clients with an eye toward cross-sell and round-out opportunities.
Employee Benefits Department Manager
By The Jonus Group At Chicago, IL, United States
Responsible for strategic management of assigned book of business.
Ensures accuracy of all Agency management system information for marketing, benchmarking and other purposes.
Updates on-going activity in Agency management system.
3+ years of experience handling Employee Benefit Accounts
Assist in developing Employee Benefit programs and initiatives that support the client’s goals and objectives.
Excellent Customer Service and Organizational skills.
Employee Benefits Analyst Jobs
By The Jonus Group At Blue Bell, PA, United States
Experience servicing employee benefits accounts (Medical, Dental, STD, LTD, Vision, HSA, FSA).
Experience working with small-mid size groups.
Prior Experience working with an Independent Brokerage or Agency.
Experience working in a team environment.
College Degree Preferred, not required.
Claims Examiner (Employee Benefits)
By Transamerica At United States
Strong preference for prior Transamerica experience and/or knowledge of Transamerica Operations
Work closely with department manager, legal counsel, medical director, claims assistants, and other departments to gather information for contested claims.
Associate’s degree in a business field or equivalent experience
Excellent communication and customer service skills
Organizational, problem-solving and analytical skills
Review claims and outside sources used in the review.

Are you looking for a job that offers the chance to make a real difference? Become an Employee Benefits Investigator and help protect the rights of workers! Investigate and resolve employee benefit claims, ensuring that employers are providing the benefits they are legally obligated to provide. Make a difference in the lives of workers and their families!

Overview Employee Benefits Investigators are responsible for conducting investigations into employee benefit claims. They review and analyze employee benefit claims and documents to ensure accuracy and compliance with applicable laws and regulations. They also investigate potential fraud and abuse of employee benefits. Detailed Job Description Employee Benefits Investigators are responsible for conducting investigations into employee benefit claims. They review and analyze employee benefit claims and documents to ensure accuracy and compliance with applicable laws and regulations. They also investigate potential fraud and abuse of employee benefits. They may also be responsible for conducting interviews with claimants, employers, and other parties involved in the claim. They must be able to identify discrepancies in the claims and documents and take appropriate action. Job Skills Required
• Excellent analytical and problem-solving skills
• Excellent communication and interpersonal skills
• Ability to work independently and as part of a team
• Ability to work under pressure and meet deadlines
• Knowledge of applicable laws and regulations
• Knowledge of employee benefit programs
• Knowledge of investigative techniques
• Knowledge of computer systems and software
Job Qualifications
• Bachelor’s degree in a related field
• Previous experience in a related field
• Certification in a related field (e.g. Certified Employee Benefits Investigator)
Job Knowledge
• Knowledge of applicable laws and regulations
• Knowledge of employee benefit programs
• Knowledge of investigative techniques
• Knowledge of computer systems and software
Job Experience
• Previous experience in a related field
• Previous experience conducting investigations
• Previous experience in a customer service role
Job Responsibilities
• Review and analyze employee benefit claims and documents
• Investigate potential fraud and abuse of employee benefits
• Identify discrepancies in the claims and documents
• Conduct interviews with claimants, employers, and other parties involved in the claim
• Prepare reports and recommendations based on investigations
• Maintain accurate records of investigations
• Ensure compliance with applicable laws and regulations