Job Title:

Benefits Case Manager

Department:

Human Resources

Country:

United States of America

State/Province:

Arkansas

City:

Lowell

Full/Part Time:

Full time

Job Summary:

In coordination with Sr. Case Manager, Benefit Management staff and vendor partners, identify and make recommendations for care coordination with benefit program resources; monitor, and prepare data for reporting of various program engagement and cost; With Sr. Case Management oversight, work closely with vendor contacts to build and maintain working relationships; provide and coordinate program education initiatives to support department staff.

Job Description:

• Identify candidates for care under applicable benefit programs
• Support facilitation of care process with insured member, plan administrators, and provide support for clinical transitions, as necessary, as it relates to benefit coverage, authorizations, etc.
• Maintain and gather data in preparation for management development and reporting of cost data associated with applicable benefit program administration
• Gather details in effort to identify and communicate potential financial exposure associated with chronic care needs or potential high claim cases.
• Assist with claim appeal process; gather information and prepare for review and evaluation in keeping with applicable benefit plan guidelines, and present claim appeals to the Appeal Review Board, providing clinical insight specific to each case
• Assist in claimant response, keeping with applicable benefit plan guidelines
• Provide guidance, as needed, in effort to maintain compliance with applicable plan documents
• Provide targeted, personalized service based on a holistic view of the member, benefits, health information, and through engagement.
• Handle customer service inquiries and problems via telephone, internet, web-chat or written correspondence.
• Utilize all relevant information to effectively influence member engagement and provide consult based upon the member’s unique needs and preferences
• Provide education for understanding of benefit plans, tools and resources to help guide members in accessing benefits and appropriate resources.
• Provide appropriate support in vendor audits when required.
• Document and tracks all contacts, events, and outcomes using appropriate systems and processes

Qualifications:

Minimum Qualifications:

• Bachelor’s degree (B.A.) or equivalent from four-year college or university; two years related experience and/or specific training; or equivalent combination of education and experience and one year management experience; experience in a clinical setting.
• Innovative Thinking and “Change Agent”
• Look for, identify, and act on opportunities to improve how we design, develop, and deliver products and services.
• Strong analytical skills and innovative problem-solving abilities.
• Strong negotiation and collaboration skills.
• In-depth knowledge of benefit program and system design (Health and Welfare, Wealth, other employee benefits), related financials, legal/regulatory requirements

Preferred Qualifications:

• Master's degree in Human Resources, Business/Business Management, Communications, or a related field of study, with 5-7 years of Benefits Administration-related experience, education, and training.
• Clinical experience
• Ability to accurately analyze situations and reach productive decisions based on informed judgment
• Ability to be both flexible and adaptable
• Ability to communicate effectively through all mediums
• Ability to establish and maintain relationships with clients, vendors, and peers Ability to maintain confidentiality
• Ability to manage multiple priorities
• Ability to multitask
• Analytical skills
• Experience in benefits administration
• Experience in benefits management Experience with HRIS/Talent Management systems
• Experience working in a call center/service center environment
• Experience working in a fast-paced environment
• Knowledge of 401k plan administration
• Knowledge of federal, state and local employment laws and regulations
• Problem Solving skills
• Proficient active listening skills

This position is not eligible for employment-based sponsorship.

Compensation:

Factors which may affect starting pay within this range may include skills, education, experience, geography, and other qualifications of the successful candidate. This position may be eligible for annual bonus and incentives based on profitability or volumes in accordance with the terms of the Company’s bonus and incentive plans, as applicable and in effect from time to time.

Benefits:

The Company offers the following benefits for full-time positions, subject to applicable eligibility requirements, as may be in effect from time to time: medical benefit, dental benefit, vision benefit, 401(k) retirement plan, life insurance, short-term and long-term disability coverage, paid time off commensurate with tenure (includes vacation and sick time), six weeks of paid maternity leave along with two weeks of paid parental leave, and six paid holidays annually.

Education:

Bachelors: Business Administration/Management, Bachelors: Human Resources Management, GED (Required), High School (Required), Masters: Business Administration/Management, Masters: Communications Studies/Speech Communication and Rhetoric, Masters: Human Resources Management

Work Experience:

Human Resources

Job Opening ID:

00594433 Benefits Case Manager (Open)

“This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.”

J.B. Hunt Transport, Inc. is committed to basing employment decisions on the principles of equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, persons with disabilities, protected veterans or other bases by applicable law.