Staffing Solutions Organization LLC

Human Resources

• Respond to calls and inquiries from members, retirees, and employers regarding benefit and retirement programs
• Research and resolve complex benefit-related questions and issues
• Explain health, life, disability, income continuation, and retirement benefits
• Determine eligibility for programs and benefits
• Calculate estimated and final benefit amounts
• Assist with health insurance premium changes and payment adjustments
• Interpret and apply Wisconsin statutes, administrative codes, and agency policies
• Maintain confidentiality while gathering and sharing appropriate information
• Document interactions accurately within case management and customer service systems
• Deliver outstanding customer service while managing deadlines and priorities
• Complete approximately six weeks of training, including one week of in-person onboarding/training in Madison

Benefits Specialist

Reviewer

• Manage assigned caseload and complete eligibility determination tasks within State-specified timelines
• Maintain accurate and timely applicant documentation using State case management and eligibility systems
• Review cases for completeness and identify additional documentation or information needed
• Schedule and conduct virtual interviews with applicants
• Provide education about financial eligibility criteria and required documentation
• Use checklists, tools, and decision trees to verify financial eligibility criteria
• Develop and submit eligibility recommendations according to State policy and federal Medicaid rules
• Process calls and electronic inquiries regarding application status, documentation, timelines, and next steps
• Support supervisors in correcting errors identified during quality assurance audits

Benefits Specialist

Medicaid Eligibility Case Reviewer