Special Processing Specialist II
What is Special Processing Specialist II?
Special Processing Specialist II is a professional role at Businessolver based in United States. This role offers competitive compensation and the opportunity to work in the technology sector with modern tools and methodologies.
Employment Type: Type: Full Time / Salary: 18.5 - 18.5 USD
Duration: 1794224663
Work Arrangement: Remote work available with flexible scheduling
Industry: Information Technology & Professional Services
Complete Job Description
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 Special Processing Specialist II 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(pay to be determined by the applicant’s education, experience, knowledge, skills, abilities, balanced against internal equity and competitive market based geographic ranges).
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:
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.
Originally posted on Himalayas
What skills are required for this special processing specialist ii?
The essential skills and qualifications for this position include:
Additional preferred qualifications may include problem-solving abilities, strong communication skills, and experience working in collaborative team environments.
What type of employment is this special processing specialist ii?
This is a Type: Full Time / Salary: 18.5 - 18.5 USD position offering:
- Competitive compensation in EUR currency
- Remote work flexibility
- Professional development opportunities
- Modern technology stack and tools
- 1794224663 engagement period
How can I apply for this special processing specialist ii?
To apply for this position, you have the following options:
Apply Online
Submit your application directly through the original job posting for the fastest response.
Contact Person
Businessolver (businessolver)
Application Tips
- Tailor your application to highlight relevant experience
- Include specific examples of your technical skills
- Mention your availability and preferred start date
- Research the company and role before applying