Health Care Specialist (September 2026)

School Employees Retirement System• US,

1d•$46,047 - $64,466•Hybrid

About The Position

The Health Care Specialist is responsible for providing excellent customer service in the administration of health care benefits for retirees. Duties include processing all categories of member enrollment, billing changes and reporting, reviewing and managing member documentation from multiple sources, educating members and preparing member correspondence.

Requirements

Associate's degree (A.A.); or Three to five years related experience and/or training related to health insurance or benefits
Demonstrated positive team-focused perspective and attitude
Excellent problem-solving skills
High attention to detail and accuracy
Task, timeline, and results oriented
Efficient time management skills
Ability to use computers effectively and efficiently
Effective communication skills
Excellent customer service skills
Ability to build and maintain effective relationships
Equivalent combination of education and experience.

Responsibilities

Provides high-quality customer service and supports the Member Support Team (MST) as point of contact for complex member contacts and issues
Responds to member and inter-departmental inquiries concerning SERS health care benefits by phone, chat, mail or e-mail
Assists Members/Retirees with understanding their health care benefits and timely enrollment requirements
Processes enrollments, plan changes, and premium billing in accordance with established procedures
Process reports both internal and from vendors, as needed
Reports potential problems identified from phone calls and work processing
Prepares and responds to correspondence regarding member and retiree enrollment including e-mail and faxes
Resolves CMS reported issues from vendors in accordance with established procedures
Accurately prepares outgoing mail packets and correspondence
Documents all business transactions and member contacts
Maintains knowledge of health care plans and enrollment procedures through attending department staff meetings, in-service education, and self-learning
Ensures the confidentiality, integrity, and security of all Personally Identifiable Information (PII) and Protected Health Information (PHI) data by strictly adhering to federal and state laws, regulations, polices, and best practices for data protection and access control.
Other duties as assigned