Insurance Specialist I

1.

Responsible for overseeing and managing comprehensive health insurance plans for employees.

2.

Assist employees with selecting insurance plans that best suit their needs and ensure timely enrollment.

3.

Manage the open enrollment period, ensuring employees are informed about the available plans, changes, deadlines, and assisting with the process.

4.

Provide clear communication to employees regarding their insurance benefits, coverage details, eligibility, and any changes in policy.

5.

Help employees navigate the claims process, address issues, and communicate with insurance providers on their behalf.

6.

Respond to employee inquiries about benefits, claim status, coverage options, and other related matters.

7.

Ensure insurance programs comply with regulations, labor law and policies.

8.

Stay updated on changes in legislation affecting employee benefits and ensure the hospital's plans align with current requirements.

9.

Ensure that necessary reporting and documentation related to employee insurance benefits are accurately maintained.

10.

Work closely with insurance carriers and brokers to maintain and manage the hospital's insurance policies and resolve issues or claims.

11.

Regularly review and evaluate insurance plan performance, cost-effectiveness, and employee satisfaction to recommend adjustments if needed.

12.

Track and manage the costs of employee insurance plans to ensure they are within budget and cost-effective.

13.    

Sets priorities and plans implementation of daily activities, ensures implementation is completed in an organized manner following KKESH standards.

14.    

Performs all duties in a professional, effective and confidential manner.

15.     

Performs all other related duties as required or assigned.