HR Medical Insurance Specialist

Key ResponsibilitiesInsurance Plan Management:Oversee the enrollment, renewal, and termination of employee medical insurance plans.Conducts regular reviews of insurance plans to assess cost-effectiveness and coverage adequacy.Research and recommend new insurance plans or modifications to existing plans.Employee Support:Orient employees for insurance plans, benefits, and claims procedures.Resolves employee inquiries and complaints related to medical insurance in a timely and professional manner.Claims Management:Processes and reviews medical insurance claims for accuracy and compliance.Liaises with insurance providers to resolve claim issues and ensure timely payments.Tracks and analyze claim data to identify trends and opportunities for cost savings.Data Management:Maintains accurate and up-to-date employee medical insurance records.Prepares and submits required reports to insurance providers and internal stakeholders.Ensures compliance with data privacy and security regulations.

EducationBachelor’s degree in Human Resources, business administration, or a related field.Experience1-3 years of experience in medical insurance administration or a related field.Competencies & Soft SkillsStrong background and knowledge of medical insurance plans, benefits, and regulationsExcellent communication and interpersonal skills.Strong organizational and attention to detail.