Processing Specialist I - Special Processing (Remote)

This is a Fully Remote Job About Our Client:This organization operates in the benefits technology and services industry, focusing on creating solutions that help clients maximize their benefits program investments, reduce risk exposure, and engage employees with accessible tools and communication. Established by HR professionals, the company delivers services through a secure SaaS platform, emphasizing client responsiveness and measurable success in its mission. About the Opportunity:The PROCESSING SPECIALIST I - SPECIAL PROCESSING role provides advanced HR support with a focus on benefits processing, compliance, and member services. The position handles complex cases, ensures regulatory compliance, supports process improvements, and mentors junior staff. This role is critical to maintaining accuracy and workflow continuity while enhancing the member experience. Responsibilities:Review and process appeals, condolences, QMCSO orders, Medicare L-564 forms, and POA requests accuratelyVerify eligibility and manage elections, record updates, and coverage activation according to standard operating proceduresSubmit life and disability claims promptly with complete and accurate informationApply client-specific requirements across multiple workstreamsProvide proactive, accurate, and empathetic support to improve member experienceCommunicate professionally with members, internal teams, and external partnersEnsure compliance with HIPAA, IRS, and CMS regulations and manage mandated notices and documentationIdentify and resolve documentation or process issues using critical thinking and compliance standardsProtect sensitive data and maintain transaction integrityMeet attendance and performance goals and take ownership of task resolutionHandle escalations, assist during client calls, and prepare activity and performance reportsParticipate in daily stand-ups and promote team collaboration Requirements:Bachelor’s degree preferred in Human Resources, Business Administration, or related field2-3 years of experience in HR operations or employee supportStrong knowledge of benefits processing and compliance requirementsProficiency with HRIS and Microsoft OfficeExcellent attention to detail and ability to manage confidential informationStrong communication skills and ability to collaborate while adhering to HIPAA, IRS, and CMS regulations Pay Range and Compensation Package:The pay for this position is $18.50 per hour Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note:TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.