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Participant Benefits Services Specialist

Job Details

Conduent is seeking a Participant Benefits Services Specialist to provide professional support to participants with questions about their benefits and plan provisions.

In this fully remote role, you will primarily handle inbound telephone calls, with occasional outbound calls and callbacks. You will answer questions, explain available options and applicable forms, research inquiries, and complete transactions while following established procedures.

If you enjoy helping people, communicating clearly, and solving problems, this role offers an opportunity to develop valuable benefits administration experience while providing accurate, thoughtful, and professional participant support. Call volume is relatively low compared with traditional high-volume call center environments.

What you’ll do:

Answer participant questions and explain applicable benefits, plan provisions, and available options.
Research inquiries, complete transactions, and provide guidance on required forms and processes.
Complete callbacks promptly and escalate issues when appropriate.
Document participant interactions accurately in the case management system.
Follow client-specific procedures and meet established quality, accuracy, productivity, and timeliness standards.
Protect confidential participant information and comply with applicable company, client, privacy, and security requirements.

What you’ll need:

Strong verbal and written communication skills, including excellent listening and interpersonal skills.
Attention to detail and the ability to explain information clearly and professionally.
Basic computer skills and the ability to learn new systems and processes.
Strong organizational and time-management skills.
The ability to work independently, follow detailed procedures, and adapt to client-specific requirements.
A patient, professional, and solution-focused approach when assisting participants.
Reliable attendance and punctuality, with the ability to meet established performance expectations.

Preferred experience:

Experience in benefits administration, defined benefit pension plans, retirement services, customer service, or call center operations is preferred. Familiarity with pension terminology, plan provisions, or participant support is a plus.

APPLY HERE: Participant Benefits Services Specialist

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Job Details

Part-time role: 29 hours per week.

Shift/Schedule: Friday from 8am-5pm EST & Saturday and Sunday from 7am-5:30pm EST.

Holidays: Must be available to work at least 2 holidays per year, with additional holiday coverage when needed based on business needs.

As an E-Referral Specialist you will report to the E-Referral Supervisor. You will be an important part of the referral process as this role is the initial contact point for the client or referral source to promote the continuity of care. You will be responsible for data collection and documentation, compliance, and follow up on the initial referral process and decision.

Essential Functions:

Monitor multiple e-referral systems to identify new referrals and manage alerts and notifications.
Monitor email for request to pull referrals from all applicable referral systems. Perform follow-up and manage all related communication.
Scan documentation to determine patient eligibility for services (service area, orders, insurance, etc.)
Monitor status of all referrals received, follow up with each throughout process, reports on status weekly.
Communicate with branch, sales, and leadership by email or phone for status updates and referral decisions.
Daily management of ERST log with all referrals and ROCs decisions.
Maintain acceptable productivity level, as determined by work assignment and departmental standards.
Comply with and follow all regulatory compliance areas, policies & procedures, and company best practices.

Use your skills to make an impact

Required Experience:

High School Diploma or its equivalent
Can type 40 words per minute or more
Comprehend and apply principles of basic math while analyzing data and generating reports
Proficiency with Microsoft Office applications including Word, Excel, Outlook, and Teams
Good logical thinking and decision-making skills
Can follow strict timelines
Communication with all levels of management
Can work with multiple screens/systems ensuring accuracy to detail
Time management skills and can work in a fast-paced environment
Must read, write and speak fluent English
Must have good and regular attendance
Approximate percent of time required to travel: 0%

Preferred Experience:

Experience processing incoming referrals using eReferral portals and EPIC systems
1 or more years customer service or other healthcare related experience; preference working in a home health environment
Knowledge of the issues related to the delivery of home health services
Working knowledge of Medicare enrollment and guidelines governing home health agencies
Associates degree

APPLY HERE: E-Referral Specialist Home Health

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Customer Service & Sales Representative

Job Details

Location: Remote within Shentel’s footprint in Virginia, West Virginia, Pennsylvania, Maryland, Kentucky, and Ohio

Schedule: Full-time

What You’ll Do:

As a Customer Service Representative, you’ll be the first point of contact for customers—helping solve problems, answer questions, and identify opportunities to deliver additional value. This role combines customer service and sales, giving you the ability to directly impact both customer experience and your earning potential.

Compensation & Earning Potential:

Base Pay: $15+ per hour
Commission Opportunity with Multipliers
Estimated Total Earnings: $42,000–$60,000+ annually
Top Performers earn around $80,000 – $100,000 annually

Schedule Expectations:

We know that work-life balance is important to you and your family!

Monday–Friday: 10:30 AM – 7:00 PM
Around every 4th Saturday required, 8:30 AM – 5:00 PM, with a day off during the same week
Overtime required monthly with the opportunity for additional overtime
Schedules are provided in advance

Remote Work Expectations:

Dedicated, private workspace required
High-speed wired internet (no Wi-Fi-only or satellite connections)
Company-provided equipment
Paid training with full attendance required

What We’re Looking For:

1+ year customer service or call center experience
Strong communication and problem-solving skills
Ability to navigate multiple systems and handle high call volume
Comfortable identifying sales opportunities while supporting customers
Self-motivated and able to work independently

APPLY HERE: Customer Service & Sales Representative

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Job Details

As a Call Center Employee Benefits Representative, you will be the primary point of contact for State of Texas employees and retirees seeking information and assistance regarding their workplace benefits packages. Your role is essential in providing timely and accurate guidance regarding their health insurance, retirement plans, paid time off, and other employee benefits. You will manage inquiries, resolve issues, and ensure that employees have a clear understanding of their benefits options and coverage.

The ideal candidate for this role possesses strong customer service orientation, knowledge of benefits administration, and effective communication skills.

Key Responsibilities

Essential Functions:

Serve as a knowledgeable resource for employees and retirees, offering guidance on various aspects of their benefits packages, including eligibility requirements, coverage options, enrollment procedures, and plan details.
Respond to incoming calls from employees regarding benefits-related questions, concerns, or requests for assistance. Provide personalized support and strive to resolve inquiries in a courteous and efficient manner.
Assist employees with navigating the benefits enrollment process, including explaining available plan options, guiding them through online enrollment portals, and addressing any technical issues or challenges they encounter.
Investigate and resolve employee inquiries or issues related to benefits discrepancies, claim denials, billing errors, or other concerns. Collaborate with internal departments or external vendors as needed to resolve complex issues promptly.
Maintain accurate records of all interactions with employees, including inquiries received, resolutions provided, and any follow-up actions taken. Ensure compliance with privacy regulations and confidentiality policies.
Conduct employee training sessions or workshops to educate staff members on new benefits offerings, policy changes, or updates to existing benefit plans. Develop informational materials or resources to enhance employee understanding of benefits programs.
Strive to deliver exceptional customer service experiences to employees by demonstrating empathy, patience, and professionalism in all interactions. Manage sensitive or confidential information with discretion and integrity.
Identify opportunities to streamline processes, enhance service quality, and improve the overall employee experience within the benefits support function. Provide feedback to management on ways to optimize service delivery and efficiency.

Job Qualifications

Education/Certifications:

High School Diploma

Experience:

3 years’ experience in a customer service or call center role. (Preferably in benefits administration or human resources)
Windows based computer experience.

Preferred Experience:

Experience working with medical insurance and HIPPA guidelines.

Skills and Qualifications:

Knowledge of employee benefits terminology, regulations, and industry trends.
Strong verbal communication skills, with the ability to convey complex information clearly and effectively.
Ability to type at least forty words per minute.
Excellent people skills and a customer-focused attitude, with a commitment to delivering high-quality service.
Proficiency in using computer systems, databases, and software applications for data entry, documentation, and research purposes.
Ability to multitask, prioritize workload, and manage time effectively in a demanding environment.
Demonstrated problem-solving abilities and diligence when resolving employee inquiries or issues.

APPLY HERE: Benefit Representative

Telephone Counselor Associate (Remote – Texas Residents)

Job Details

***Candidates must reside in Texas to be considered for this position.***

Successful candidates will start employment with TRS effective October 15, 2026, and must report in-person to our Austin Mueller office that day for New Employee Orientation.

As part of the interview process, selected applicants will be asked to complete a pre-interview assessment along with a short video interview. The assessment and link to the interview will be emailed to the applicant. Instructions for each will be included in separate emails. If selected, final candidates must be available for an extended virtual interview and call simulation.

Telephone Counselor Associates provide benefit counseling services to members and others in an on-the-job training environment and will proactively work with the Contact Center team, Pension Services staff, and agency employees.

Telephone Counselor Associates participate in a formal classroom training program and spend time with an on-the-job training (OJT) coach before answering phone calls on their own. During the initial classroom training, work hours are 8:00 AM (CST) to 5:00 PM (CST), Monday through Friday. Member Services hours of operation are 7:00 AM (CST) to 6:00 PM (CST). After training, regular shifts may begin between 8:30 AM (CST) and 9:30 AM (CST), based on business needs, and include a 30-minute lunch. Closing requires handling calls remaining in queue after 6:00 PM (CST).

WHAT YOU WILL DO:

Benefit Counseling
• Participates in the TRS Benefit Counseling training program.
• Counsels members and assists school district officials regarding the full range of TRS benefit options.
• Explains benefit options, including eligibility requirements and limitations, and provides general information and referral services on related benefit programs such as Social Security and Medicare.
• Resolves and responds to telephone inquiries and complaints.
• May research and resolve complaints and problems regarding service and disability requirements, projected benefits, health benefits, refunds, death benefits, purchase of special services, post retirements, district reporting requirements, agency forms, and other issues.
• Determines and explains benefit options and associated taxes.
• Determines, recommends, and implements appropriate actions to resolve issues and process member requests, including informing and making recommendations to members and school district officials on necessary measures.
• Interprets and explains applicable TRS rules, regulations, policies, procedures, processes, and forms.
• Receives and processes requests for informational booklets and forms.
• Documents and maintains member records by updating information into the computer database, including collecting and recording accurate notes for member files.

Performs related work as assigned.

WHAT YOU WILL BRING:

Required Education
• High school diploma or GED.
• Education and experience may substitute for one another.

Required Experience
• One (1) year of full-time experience in a call center, contact center, banking, accounting, claims processing, benefit processing, or other customer service related experience involving interpreting, applying, and communicating complex laws, regulations, and policies.
• Navigating and using computer systems and applications, such as Microsoft Office and virtual meeting software.

Preferred Qualifications
• Associate’s or Bachelor’s degree from an accredited college or university.
• Experience interpreting, applying, and communicating complex laws, regulations, policies, and procedures.
• Experience providing in-person customer service in financial services, pension benefits, or health insurance.
• Experience with Claims processing or benefits processing.
• Bilingual in English and Spanish.

Knowledge of
• TRS benefit programs.
• Modern office practices, systems, and equipment.

Skill in
• Interpreting, explaining, and applying complex laws, regulations, policies, and procedures.
• Planning, organizing, and prioritizing work assignments to manage a high-volume workload in a fast-paced and changing environment, completing detailed work accurately.
• Analyzing problems and devising effective solutions.
• Using a computer in a Microsoft Windows environment with word processing, SharePoint, and other business software.
• Effective written and verbal communication, including telephone communication and active listening skills.
• Providing quality customer service.
• Efficiently and accurately documenting information into various computer systems.

Ability To

• Provide member support by telephone and written channels, including secure messages, for prolonged periods, in a high-volume contact center environment.
• Establish and maintain harmonious working relationships with co-workers, agency staff, TRS members, school district officials, and other contacts and work effectively in a professional team environment.
• Work occasional overtime, weekends, or extended hours as needed to manage the team workload.

APPLY HERE: Telephone Counselor Associate (Remote – Texas Residents)