Benefits Operations Specialist

Position Title : Benefits Operations Specialist

Work Location : Philadelphia, PA (3 days / week onsite)

Employment Type : Contract to hire

Overview :

We are seeking a highly organized and detail-oriented Benefits Operations Specialist to join our team supporting the self-funded side of the business. This individual will play a key role in ensuring timely, accurate, and high-quality ID card production for over 4,000 members. The ideal candidate will possess strong benefits knowledge, Excel and PowerPoint expertise, and a proactive, investigative mindset with a commitment to accuracy and quality.

This position offers the opportunity to collaborate cross-functionally with internal teams such as Sales, Marketing, Enrollment, and Service Operations, while leading process improvements and ensuring an exceptional member experience.

Key Responsibilities :

• Review ID cards and verify accuracy before release.
• Confirm benefits on detailed benefit templates and ensure accuracy across all formats.
• Update and maintain ID card templates based on evolving business needs and direction.
• Collaborate directly with sales teams to develop and manage ID card templates for self-funded groups.
• Investigate and resolve ID card issues, ensuring timely resolution and proactive communication.
• Handle ID card requests received via systems such as INSINQ and ServiceNow (SNOW) as backup.
• Audit data and perform quality reviews to ensure compliance with standards.
• Identify, investigate, and prioritize special handling requests to ensure timely and accurate completion.
• Take initiative to clarify complex or unusual situations, escalating when necessary.
• Represent the ID Card team in internal and vendor meetings, providing updates and group-specific insights.
• Develop and maintain Departmental Learning Procedures (DLPs) and assist in preparing presentations and reports.
• Provide regular status reports to management and communicate risks or delays promptly.
• Assist team members in responding to and resolving inquiries professionally and efficiently.
• Maintain established productivity and quality standards.
• Lead or support special projects as assigned.

Qualifications :