Gusto, Inc. - Member Benefits Specialist
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Requirements
• Professional Experience: 6 months to 2 years of professional work experience, ideally within healthcare, health insurance brokerage, or a fast-paced startup environment. • Technical Fluency: Proficient in Google Workspace, Microsoft Office, Adobe, and Salesforce; as an AI-native company, you will be expected to lean into and master emerging AI tools to drive efficiency. • Technical Fluency: • Data-Driven Mindset: Proven success in metrics-based roles where data accuracy and hitting KPIs are central to customer success. • Data-Driven Mindset: • Administrative Precision: Strong background in high-volume data entry and processing administrative tasks under tight deadlines and seasonal peaks. • Administrative Precision: • Communication & Collaboration: Excellent cross-team communication skills with experience managing professional interactions with external company partners. • Communication & Collaboration: • Adaptability: A skilled problem-solver who is comfortable navigating ambiguity and can pivot quickly in a dynamic operational setting. • Adaptability: • Self-Directed Execution: Highly self-motivated and capable of working both autonomously and collaboratively to meet individual and team goals. • Self-Directed Execution:
Responsibilities
• End-to-End Enrollment: Manage the intake, submission, and confirmation of group health insurance selections for both employees and employers, ensuring all carrier documentation is accurate and complete. • End-to-End Enrollment: • Carrier Liaison: Master carrier-specific portals and requirements to efficiently process orders and navigate approval workflows. • Carrier Liaison: • Eligibility & Compliance: Review customer data against carrier eligibility standards to proactively mitigate errors and ensure high-quality plan adherence. • Eligibility & Compliance: • Cross-Functional Collaboration: Here's a cleaned-up version: • Cross-Functional Collaboration: • Cross-Functional Collaboration: Partner with teams across the org — including Licensed Benefits Advisors and Benefits Care — to deliver benefits in full and on time, year-round. • Resolution Management: Act as the primary point of contact for follow-up requests from carriers, resolving information gaps or plan changes with urgency. • Resolution Management: • Process Optimization: Identify and escalate opportunities for workflow enhancements, using your expertise to increase team efficiency and accuracy. • Process Optimization: • Expert Communication: Provide clear, professional guidance on healthcare enrollment to customers and internal partners via written and verbal channels. • Expert Communication:
Benefits
• Gusto has physical office spaces in Denver, San Francisco, and New York City. Employees who are based in those locations will be expected to work from the office on designated days approximately 2-3 days per week (or more depending on role). The same office expectations apply to all Symmetry roles, Gusto's subsidiary, whose physical office is in Scottsdale. • Note: The San Francisco office expectations encompass both the San Francisco and San Jose metro areas. • When approved to work from a location other than a Gusto office, a secure, reliable, and consistent internet connection is required. This includes non-office days for hybrid employees. • Our customers come from all walks of life and so do we. We hire great people from a wide variety of backgrounds, not just because it's the right thing to do, but because it makes our company stronger. If you share our values and our enthusiasm for small businesses, you will find a home at Gusto.
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