Health Benefits Specialist - Ladgov Corporation

Requirements:

• Bachelor’s degree in human resources, Business Administration, or any related field
• Prior experience as a Benefits Advisor or a Benefits Specialist
• Experience working with insurance and other benefits vendors
• Excellent knowledge of federal and state labor and benefits law.
• Strong organizational and analytical skills
• Excellent communication and interpersonal skills
• Proficiency in MS Word, Excel, and PowerPoint

Duties:

• Employee shall provide information and assistance to service members, retirees and family members regarding various programs and services, including but not limited to: Tricare, Tricare Exceptional Family Member Program, Tricare Reserve Select, Tricare Dental Insurance, Tricare Plus Program, and Medicare & Tricare For Life. Formal training through the Defense Health Agency (DHA) for the TRICARE Fundamentals Certification shall be required within 90 days of contract commencement. Contractor shall complete refresher or program update training as required.
• Employee shall assist with civilian medical claim problems and DEERS issues/problems and provide Tricare briefings.
• Employee shall provide the following services: information and assistance to service members and family members: performing Tricare Prime Remote enrollments; assistance with Primary Care Manager (PCM) selection, and assignment and changes.
• Employee shall coordinate with Medical Health Services (MHS) points of contact to provide accurate and timely assistance and information and respond to DoD components, and other agencies.
• Employee shall support coordination of care relating to health care benefits, including documentation and reporting process at other MTF’s.
• Define the needs and preferences for different benefits programs.
• Provide information on eligibility requirements and assist in matching employees with the right benefits packages.
• Oversee the enrollment process
• Handle minor claims issues and escalate bigger problems to the benefits provider
• Organize regular or as-needed employee and management training sessions regarding changes and updates in our benefits programs and policies
• Serve as the main point of contact for information on relevant government programs and legal requirements that affect different insurance packages
• Interpret relevant FMLA and ADA implications for the management and employees
• Update and ensure the accuracy of all benefit enrollment data in the HRIS
• Compile reports on benefits utilization for the management

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