Special Processing Specialist II
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Job Description
Special Processing Specialist II managing complex benefits processing, compliance, and member services for Businessolver’s HR technology platform. Handling appeals, claims, eligibility updates, and escalations.
Responsibilities:
- Review and process appeals, condolences, QMCSO orders, Medicare L-564 forms, and POA requests
- Verify eligibility and manage elections, record updates, and coverage activation according to SOPs
- Submit life and disability claims accurately and on time
- Apply client-specific requirements across multiple workstreams
- Provide proactive, accurate, and empathetic member support
- Communicate professionally with members, internal teams, and external partners
- Maintain compliance with HIPAA, IRS, and CMS regulations
- Manage mandated notices and documentation
- Identify and resolve documentation or process issues
- Protect sensitive data and maintain transaction integrity
- Meet attendance and performance goals and 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
- Support process improvements and mentor junior staff
Requirements:
- 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
- Ability to adhere to HIPAA, IRS, and CMS regulations
- Must successfully complete background checks, identity verification, and reference checks
Benefits:
- Comprehensive benefits package for benefit-eligible full-time or part-time employees
- Security and privacy training
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