Processing Specialist I - Special Processing (Remote)
This is the employer's own posting, not a copy on a job board.
What we know
Is it still open?
Confirmed still open
Last checked 1d ago — checked against the employer's own applicant tracking system, which is the company answering directly.
We re-read the employer's own applicant tracking system and the posting was still there. That is the company answering directly.
How old is it?
Posted 1d ago
The date the source published, not the day we noticed it (2026-10-13). Last seen at its source 1h ago.
We have tracked this listing since 13 Oct 2026 (1 days). The employer's own board has carried it every time we have read it, most recently 1 hour ago.
Is it remote?
Remote - United States
That is the location the employer filed this posting under. Quoted as written — we do not re-word the source's own location.
Who may apply?
United States
The description states no restriction of its own. This is the source's own tag.
Pay
$18/hr
Read out of the job description by us, not from a structured field. Shown in the posting's own currency and period; we never convert.
Skills named in the ad
Recognised terms only, from a fixed vocabulary — this is what CV matching compares against.
Carried by 1 source
-
Greenhouse employer's own board first seen 1d ago · last seen 1h ago
The listing
Since 1998, Businessolver has delivered market-changing benefits technology and services supported by an intrinsic responsiveness to client needs. The company creates client programs that maximize benefits program investment, minimize risk exposure, and engage employees with easy-to-use solutions and communication tools to assist them in making wise and cost-efficient benefits selections. Founded by HR professionals, Businessolver's unwavering service-oriented culture and secure SaaS platform provide measurable success in its mission to provide complete client delight.
**Please be aware of recruitment scams. Businessolver does not make job offers outside of our official hiring process or request payment or sensitive personal information. You will never receive an offer of employment without meeting a hiring authority and having a "live" and face-to-face conversation.**
The Processing Specialist I - Special Processing provides advanced HR support focusing on benefit processing, compliance, and member services. Responsible for managing complex cases including condolence management, QMCSO compliance, benefit appeals, POA documentation, and Medicare L564 requests. Ensures accuracy, compliance with HIPAA, IRS, and CMS regulations, and maintains workflow continuity. Supports process improvements and mentors junior staff. Requires professional communication with members, teams, and partners, handling escalations and reporting activities.
The Gig:
-
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 support to enhance member experience.
-
Communicate professionally with members, internal teams, and external partners.
-
Maintain compliance with HIPAA, IRS, 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; 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.
What you need to make the cut:
-
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 while adhering to HIPAA, IRS, and CMS regulations.
The pay for this position is $18.50 per hour.
Other Compensation: If this position is full-time or part-time benefit eligible, you will receive a comprehensive benefits package which can be viewed here: https://businessolver.foleon.com/bsc/job-board-businessolver-virtual-benefits-guide/
Dear Applicant.
At Businessolver, we take our responsibility to protect our clients, employees, and company seriously and that begins with the hiring process.
Our approach is thoughtful and thorough. We’ve built a multi-layered screening process designed to identify top talent and ensure the integrity of every hire. This includes quickly filtering out individuals who may attempt to misrepresent themselves or act in bad faith.
We also partner with trusted, best-in-class providers to conduct background checks, verify identities, and confirm references. These steps aren’t just about compliance, they’re about ensuring fairness, safety, and trust for everyone involved.
Put simply: we will always confirm that you are who you say you are. It's just one of the many ways we uphold the standards that matter most, to you, to us, and to the people we serve.
With heart,
The Businessolver Recruiting Team
Businessolver is committed to maintaining an environment that protects client data. We train our employees to maintain leading class security practices and expect all employees to adhere to policy, procedures and controls.
(Applicable to all roles at an AVP, DIR, VP, Head Of or SVP and above level):
Serve as a security contact for the business unit. Responsible for driving adoption and compliance with information security and privacy practices. Serve as a liaison with the information security team on security and privacy matters.
Equal Opportunity at Businessolver:
Businessolver is an Affirmative Action and Equal Opportunity Employer and is proud to offer equal employment opportunity to everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, veteran status, and more. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements.
#LI-Remote