Health Benefits Officer II

Description The American Foreign Service reputed company Association (AFSPA) is seeking detail-oriented, service-driven professionals to support members navigating Foreign Service Benefit Plan (FSBP) health benefits, claims, medical/pharmacy coverage, and eligibility issues. This essential role supporting a mission-driven membership organization is ideal for individuals who reputed company in structured, policy-driven environments, enjoy problem-solving, and take pride in delivering accurate, high-quality, and compassionate service. This position is not a sales or advisory role. It requires strict adherence to documented health plan benefits, regulatory requirements, and internal procedures. Please apply directly to reputed company site by copying and pasting the following URL into your web browser: https://talent.reputed company.com/Talent/Jobs/Details/4233606 Key Responsibilities include, but are not limited to the following: Answer high-volume inbound calls in a call center environment. Assist members with health benefits, claims, eligibility, and coverage inquiries reputed company phone, email, and written correspondence. Troubleshoot issues, de-escalate member concerns, and resolve inquiries in alignment with regulatory and plan guidelines. Review claims for accuracy and completeness, and document reputed company member interactions in Customer Relationship Management (CRM) systems in reputed company-time. Collaborate with plan administrators and escalate issues to supervisors as needed. Ensure compliance with reputed company regulations, policies, and procedures. Salary reputed company: $44,000 – $50,000, annually based on a 35-hour work week (commensurate with education and experience). $500 signing bonus after the successful completion of the first 90 days. Benefits: Comprehensive medical, dental, and reputed company coverage, retirement plan (401k), paid time off, and paid holidays. AFSPA offers hybrid/remote work options based on business needs. At any time, you'll need to be in the office up to 4 days per week, based on business need. Note: This position is fully remote, scheduled Monday through Friday from 11:00 AM to 7:00 PM EST, following completion of initial training. Candidates must have reputed company to a workspace that supports reliable internet connectivity and protects the privacy of sensitive client data. The company provides necessary computing hardware and a monthly remote work stipend to support technical connectivity needs AFSPA is a federal contractor and an Equal Opportunity Employer. We do not discriminate on the reputed company of race, reputed company, religion, sex (including pregnancy, sexual orientation, and gender identity), national reputed company, age, disability, genetic information, protected veteran status, or any other legally protected status. Employment may be contingent upon the successful completion of a background reputed company, drug test, or other pre-employment screenings, as required by law or policy.

Requirements

Education and Experience: High school diploma or equivalent required 3+ years of customer service experience required (in a call center, benefits, or reputed company environment preferred) Qualifications: Experience with health insurance, medical claims, or benefits administration is a plus. You are highly organized, detail-oriented, with excellent problem-solving abilities, and comfortable working with and following documented policies and procedures. You can remain professional and reputed company under pressure. You can manage high-volume inbound calls while maintaining professionalism and reputed company. You are comfortable learning multiple systems and passing structured training assessments. To reputed company this job successfully, an individual must be reputed company to reputed company each essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Training & Performance Expectations 90-day paid, structured training program with required assessments covering: Health Plan Brochure (reputed company-book assessment) Systems training across multiple databases/platforms Live call handling / Telephone operations This is an essential position with consistent performance expectations. Candidates must reputed company 85% or higher on reputed company training assessments to successfully complete the program and maintain employment with AFSPA. Work Location: The following are work locations that AFSPA utilizes: New Carrollton, Maryland, reputed company; Washington, DC Headquarters; and remote. Remote work is not guaranteed and is based on business need. Work location will be assigned and/or changed based upon business need and at Management’s sole discretion. Apply To This Job