Benefits Specialist
Cherokee Nation
Overview Assists employees, providers, and third-party administrators with eligibility and insurance claims filing processes; prepares and reconciles appropriate billing; strictly maintains multiple spreadsheet logs and records keeping systems; disseminates benefit eligibility and claims information to providers and employees; and assists in coordinating claims issues with the third-party administrator or insurance company. Qualifications EDUCATIONAL REQUIREMENT Associate's degree from two-year college or technical school in Business Administration or related field; or three years related experience and/or training; or equivalent combination of education and experience. May include two years or more of undergraduate college course work. EXPERIENCE REQUIREMENT An additional two years experience in a related business field is required. Prefer one year of experience in the insurance field. CERTIFICATES, LICENSES, REGISTRATIONS Must possess a valid driver's license with a driving history verified through a motor vehicle report that meets requirements for Cherokee Nation underwriting rating. OTHER SKILLS AND ABILITIES Computer literate. Must be knowledgeable with word processing, spreadsheets, and graphic software; routine office equipment; must have excellent written and verbal communication skills. OTHER QUALIFICATIONS Employee must not and will not be under sanction by the United States Department of Health and Human Services Office of the Inspector General (OIG) or by the General Services Administration (GSA) or listed on the OIG’s Cumulative Sanction Report, or the GSA’s List of Excluded Providers, or listed on the OIG’s List of Excluded Individuals/Entities (LEIE). PHYSICAL DEMANDS While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel. The employee frequently is required to stand, sit, and talk or hear. The employee is occasionally required to walk; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds, and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. WORK ENVIRONMENT The noise level in the work environment is usually moderate.
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