Processing Specialist I – Special Processing

Businessolver

. Review and process appeals, condolences, QMCSO orders, Medicare L-564 forms, and POA requests accurately .

Posted 10/13/2026full-timeRemote • United StatesJuniorMid-Level💰 $19 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in benefits processing, compliance with HIPAA, IRS, and CMS regulations, and effective member support. Proficient in HRIS and Microsoft Office, with a strong focus on attention to detail and confidentiality.

Highest-signal resume keywords

Benefits ProcessingCompliance With HIPAAHRIS ProficiencyStrong Communication SkillsCritical Thinking

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Benefits ProcessingCompliance RequirementsHRIS ProficiencyMicrosoft OfficeData ProtectionDocumentation ManagementClaims SubmissionEligibility VerificationProcess ImprovementTask Resolution

Soft Skills

Empathetic Member SupportAttention To DetailCollaborationProfessional CommunicationMentoring

Industry Keywords

HIPAAIRSCMSEmployee SupportHR OperationsClient CallsPerformance GoalsTask OwnershipEscalation HandlingConfidential Information

About the role

Key responsibilities & impact

Review and process appeals, condolences, QMCSO orders, Medicare L-564 forms, and POA requests accurately
Verify eligibility and manage elections, record updates, and coverage activation per SOPs
Submit life and disability claims timely with complete and correct information
Apply client-specific requirements across multiple workstreams
Provide proactive, accurate, and empathetic member support
Communicate professionally with members, internal teams, and external partners
Maintain compliance with HIPAA, IRS, and CMS regulations and manage mandated notices and documentation
Identify and resolve documentation or process issues using critical thinking and compliance standards
Protect sensitive data and maintain transaction integrity
Meet attendance and performance goals and take ownership through task resolution
Handle escalations, assist during client calls, and prepare activity and performance reports
Participate in daily stand-ups and foster team collaboration
Support process improvements and mentor junior staff

Requirements

What you’ll need

Bachelor’s degree preferred in Human Resources, Business Administration, or related field
2–3 years experience in HR operations or employee support
Strong knowledge of benefits processing and compliance requirements
Proficiency with HRIS and Microsoft Office
Excellent attention to detail and ability to manage confidential information
Strong communication skills and ability to work collaboratively
Ability to adhere to HIPAA, IRS, and CMS regulations
Must meet background check, identity verification, and reference confirmation requirements

Benefits

Comp & perks

Comprehensive benefits package if full-time or part-time benefit eligible
Background checks, identity verification, and reference confirmation as part of the hiring process