BasharSoft
Sr. Group Benefits Specialist
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Job Description
- Key Responsibilities
- Manage the day-to-day administration of Medical and Life Insurance programs for approximately 10,000 employees.
- Manage the full employee benefits lifecycle, including enrollment, additions, deletions, transfers, upgrades, downgrades, and terminations.
- Coordinate with insurance providers, brokers, TPAs, and other benefits vendors to ensure smooth service delivery.
- Monitor and follow up on medical and life insurance claims, employee inquiries, approvals, and escalations.
- Review and validate insurance invoices, premiums, employee eligibility, and monthly billing statements.
- Ensure accurate reconciliation between HR records, insurance enrollment data, and vendor records.
- Prepare regular reports and analysis related to benefits utilization, enrollment, claims, premiums, and costs.
- Support the annual medical and life insurance renewal process, including data preparation, utilization analysis, quotations, and negotiations with insurance providers/brokers.
- Monitor insurance contracts, SLAs, policy terms, and service quality.
- Analyze medical insurance utilization and claims trends and provide insights to management to support cost optimization.
- Coordinate with HR, Payroll, Finance, and other internal stakeholders regarding benefits-related matters.
- Ensure timely processing of employee additions, deletions, and changes and minimize discrepancies in insurance coverage.
- Handle employee inquiries and complaints related to medical and life insurance and ensure timely resolution.
- Develop and maintain accurate benefits databases and records while ensuring data confidentiality.
- Support the implementation and enhancement of benefits policies and processes.
- Ensure compliance with company policies and applicable regulations related to employee benefits.
- Prepare presentations and management reports highlighting benefits costs, utilization, claims trends, and key KPIs.
- Participate in benefits projects, system enhancements, and process improvement initiatives.
Requirements & Qualifications
- Bachelor’s degree in Business Administration, Human Resources, Insurance, or a related field.
- 3+ years of relevant experience in Benefits, Compensation & Benefits, HR Operations, or Insurance.
- Proven hands-on experience managing Medical and Life Insurance programs.
- Experience managing benefits for a large employee population (8,000–10,000+ employees) is highly preferred.
- Strong experience dealing with insurance companies, brokers, TPAs, and healthcare providers.
- Strong knowledge of medical insurance administration, life insurance schemes, claims, eligibility, and policy management.
- Excellent analytical and reporting skills, with strong Microsoft Excel knowledge.
- Experience with HRIS/ERP systems and employee benefits databases.
- Strong communication, negotiation, problem-solving, and stakeholder management skills.
- Ability to manage high-volume transactions and work effectively with multiple stakeholders.
- High level of confidentiality and attention to detail.
EGjobank Analysis
Quick Role Summary
Opportunity as "Sr. Group Benefits Specialist" at As-Salam International Hospital located in القاهرة on a Full-Time basis, suited for Fresh Graduate candidates, within Marketing & Sales. Key details from listing: • Key Responsibilities • Manage the day-to-day administration of Medical and Life Insurance programs for approximately 10,000 employees. • Manage the full…
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Readiness Checklist
- Updated CV in standard PDF format with a professional filename
- Skills aligned with the stated role requirements
- Availability for work in القاهرة or remote if specified
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