benefits appeals specialist.

• Indefinite contract
• Pay rate: $30-$31/hr
• Benefits: Major Medical, PTO, paid holidays

Responsibilities:

• Investigate and resolve complex disputes between benefit plans and program participants
• Negotiate changes in policy interpretations and practices with insurance plans and third- party administrators
• Provide expert guidance to participants regarding their options when a complaint cannot be resolved through initial channels
• Research and analyze state and federal laws governing Medicare and insurance programs
• Create professional reports and correspondence to document findings and resolutions
• Collaborate with internal teams to improve benefit plan delivery and member education

Qualifications:

• Current residency in the state of Wisconsin required
• Strong background in health, life, and income continuation insurance principles
• Knowledge of Medicare regulations
• Familiarity with the Wisconsin Retirement System or similar public employee benefit programs
• Proven experience in advocacy, negotiation, and dispute resolution
• Ability to work independently and prioritize a complex workload after initial training
• Excellent written and verbal communication skills with the ability to explain complex information clearly
• Proficiency in research, data analysis, and professional writing

Responsibilities:
See above

Working hours: 8:00 AM - 5:00 PM

Skills:
See above

Education:
High School

Experience:
1-4 years

Qualifications:
See above

Please Submit your application to Spherion Staffing and Recruiting for immediate consideration!

#SPH1000

Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Spherion, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact Callcenter@spherion.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Spherion offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).