Benefit Book Specialist

Full Time
Phoenix, AZ 85021
Posted
Job description
Awarded the Best Place to Work 2021, Blue Cross Blue Shield of Arizona helps to fulfill its mission of improving the quality of life of Arizonans by delivering a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
Produces benefit books and other member documents using established language and facilitates the distribution of member documents in print and electronic avenues.
REQUIRED QUALIFICATIONS
Required Work Experience
  • 5 years of experience in healthcare, business, or a related field
  • 3 years of experience in health insurance or benefits administration
Required Education
  • High-School Diploma or GED in general field of study
Required Licenses
  • N/A
Required Certifications
  • N/A
PREFERRED QUALIFICATIONS
Preferred Work Experience
  • 10 years of experience in healthcare, business or a related field
  • 5 years of experience in health insurance or benefits administration
  • 1 year of experience in business writing
Preferred Education
  • Bachelor’s Degree in business, writing, or related field of study
Preferred Licenses
  • N/A
Preferred Certifications
  • NA
ESSENTIAL job functions AND RESPONSIBILITIES
DOCUMENT PRODUCTION
  • Obtain custom benefit book requirements from group documents such as the Description Pages for medical plans, Dental Summaries, and the Group Enrollment Form.
  • Comprehend detailed benefit, operational, and legal requirements.
  • Collaborate with team members and other departments to understand changes to benefits and plan administration.
  • Prioritize plan requirements accurately to ensure timely completion of all member documents.
  • Produce large group benefit books or Summary Plan Documents (SPDs), riders, and other member documents by selecting the appropriate language based on the plan requirements.
  • Peer review large group benefit books or SPDs, riders, and other member documents as needed.
  • Submit benefit books, SPDs, and riders to Legal for approval when necessary.
  • Collaborate with team members to file benefit books, SPDs, and riders with the Arizona Department of Insurance and Financial Institutions when necessary.
  • Finalize member documents for print, which includes the final formatting.
  • Obtain 508-compliant versions for posting benefit books and riders to the internet.
  • Assist in the maintenance of the base benefit books that the custom books are created from.
DOCUMENT DISTRIBUTION
  • Post documents to SharePoint for internal use.
  • Post documents to the internet for current and prospective members.
  • Manage and maintain the Contracts Issuance Database to ensure members receive the correct documents through the mail and on the member portal.
  • Communicate with the Print and Fulfillment area regarding mailings.
Research & REPORTING
  • Conduct research on benefits, plan administration, and other items.
  • Research and respond to questions or requests received from internal customers.
  • Collaborate with internal departments to research issues and propose sound solutions.
  • Attend meetings relating to benefits, member documents, and other topics as necessary.
  • Track the status of benefit books, SPDs, and riders through the production process from receipt of group documents to distribution of member documents.
  • Assist in the tracking of required and completed changes made to the base benefit books.
  • Escalate any high profile concerns or issues to management.
  • Analyze processes and performance results to drive improvement initiatives.
OVERALL
  • The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
  • Perform all other duties as assigned.
Our Commitment
BCBSAZ does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.

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