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The job ad will close at 12:00 am PST on 5/27/2026. Applications must be submitted by 11:59 pm PST on 5/26/2026. Salary Range: $91,650 to $111,384.
Job Responsibility:
Provides written and oral information by telephone and in person to members, retirees, health plans, medical providers and other interested parties regarding active and retired employee health benefits
Advises and counsels by telephone and in person members, retirees, and their dependents on available benefits, pursuant to rules and regulations of the Health Service System and federal and state laws
Analyzes and support in resolves member eligibility problems
Initiate, compile, calculate, and process adjustments to member records, and premium receivables
Research, reconcile, and resolve various member problems related to membership, eligibility, and premiums
Interact frequently and provide training when necessary to staff engaged in membership enrollments, terminations, accounts receivable, and premium collections
Consults with plan providers and department representatives regarding the member's benefits status
Conduct workshops for potential retirees and new hires regarding benefits, plans, costs, etc. and assist with the completion of required paperwork. Give presentations to departmental orientations
Processes and collects manual payments from employees on leave of absence, and retirees
Perform word processing and data entry
Perform work in a standard office environment
Performs related duties and responsibilities as assigned.
Requirements:
Possession of a baccalaureate degree from an accredited college or university
One (1) year of verifiable experience administering benefit programs including: initiating membership records, calculating benefit premiums and processing enrollment applications
processing, researching and/or adjusting benefit claims or problems and updating data
Additional experience as described above may be substituted for the required education on a year-for-year basis. Thirty (30) semester units/forty-five (45) quarter units equal one year of experience.