Health Benefit Specialist Affiliate

Company Description

APS is a growing organization that provides services and support related to health benefits administration and customer care. The company focuses on helping individuals and organizations navigate health insurance options, benefit programs, and related compliance requirements. Team members collaborate in a professional, solutions-oriented environment that values accuracy, integrity, and clear communication. APS supports remote work arrangements and offers opportunities to develop expertise in health benefits while contributing to a positive experience for clients and members. Role Description The Health Benefit Specialist role at APS is a remote, contract position focused on supporting members and clients with their health benefit plans. Day-to-day responsibilities include answering questions about coverage, eligibility, and claims, and guiding members through enrollment, plan changes, and appeal processes. The specialist reviews benefit information and documents for accuracy, updates member records, and communicates clearly with internal teams and external partners to resolve issues. This role also involves using online systems to research plan details, documenting interactions thoroughly, and following established policies, regulatory requirements, and confidentiality standards. The ideal candidate is detail-oriented, comfortable working independently, and able to manage a steady volume of inquiries while maintaining a high level of service.

Qualifications

Experience with health insurance, medical benefits, or employee benefits administration, including understanding of coverage, eligibility, and basic claims processes. Strong customer service and communication skills, with the ability to explain complex benefit information in a clear, empathetic, and professional manner. Proficiency with computer systems and online portals, including accurate data entry, documentation, and use of basic office software (e.g., email, spreadsheets, CRM tools). Attention to detail, strong organizational skills, and the ability to manage multiple tasks, inquiries, and deadlines in a remote environment. Ability to work independently on a contract basis, follow policies and procedures, and maintain confidentiality of sensitive health and personal information. Prior experience in healthcare, insurance, benefits counseling, or call center environments is beneficial. High school diploma or equivalent required; additional education or certification in health benefits, insurance, or a related field is a plus.