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Ombudsman Services Specialist

LanceSoft Inc

Madison, WI

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JOB DETAILS
JOB TYPE
Full-time
SKILLS
Analysis Skills, Communication Skills, Compensation and Benefits, Data Processing, Establish Priorities, Federal Laws and Regulations, Health Insurance, Healthcare, Information Technology & Information Systems, Insurance, Interviewing Skills, Life Insurance, Medicare, Negotiation Skills, Philosophy, Presentation/Verbal Skills, Problem Solving Skills, Public/Media/Press/Analyst Relations, Quality Engineering, Quality Management, Resolve Customer Issues, Spreadsheets, State Laws and Regulations, Writing Skills
LOCATION
Madison, WI
POSTED
30+ days ago
Position Summary: The Department administers numerous benefit programs for current, inactive, and retired public employees. The benefit programs include the Wisconsin Retirement System, group health insurance, group life insurance, deferred compensation, employee reimbursement account, income continuation insurance, long-term disability insurance, duty disability, and long-term care insurance. Qualifications: **The candidate for this position must currently reside within Wisconsin the position is primarily remote; they do have an option to work onsite if desired. We are planning two rounds of interviews for qualified candidates.*** An exceptional candidate will be able to effectively prioritize their workload and make independent decisions after initial training. They must have knowledge of philosophy, principles, and practices of health insurance, life insurance, income continuation insurance, and Wisconsin Retirement System programs. In addition, knowledge of state and federal laws, rules and regulations governing Medicare and Medicare supplement programs. Other qualifications include: 1. Ability to use computer applications to create effective letters, spreadsheets, and reports. 2. Effective human relation skills. 3. Oral and written communication skills. 4. Knowledge of public relations and public speaking fundamentals. 5. Knowledge of negotiation methods and techniques. 6. Knowledge of complaint and problem resolution techniques. 7. Knowledge of advocacy techniques. 8. Knowledge of interviewing and investigation processes and techniques. 9. Knowledge of research and analysis methods and techniques. 10. Knowledge of statistical gathering techniques and analysis. 11. Knowledge of information systems and data processing. 12. Knowledge of quality improvement and reengineering philosophy and techniques. 13. Knowledge of survey development implementation and analysis methods. 14. Knowledge of effective training and education techniques. 15. Ability to design and market effective educational and informational materials. 16. Knowledge of health care delivery systems. 17. Knowledge of benefit plan grievance and appeal processes. What we are looking for: The Ombudspersons Services team is seeking a candidate with a strong background in health insurance, life insurance, income continuation insurance, and Wisconsin Retirement System programs. In addition, knowledge of state and federal laws, rules and regulations governing Medicare and Medicare supplement programs. The majority of an Ombudsperson's work involves resolving disputes with benefit plans on behalf of participants. Through this process, the Ombudsperson often must negotiate changes in policy, practice, or benefit provision interpretations with insurance plans, third-party administrators, and Department staff. If unable to resolve a complaint, the Ombudsperson advises the participant on the remaining options.

About the Company

L

LanceSoft Inc

We are a $125 Million, NMSDC-certified Minority & Woman owned Workforce Solutions Company headquartered in the DC metro area with presence across US with global presence - Canada, Mexico, India, UK, Malaysia, Indonasia, Hongkong, Singapore, UAE. We are specialized in providing Workforce Solutions, SOW project delivery, Engineering Solutions, Creative Services. We currently support 100+ Fortune companies globally and across multiple industry segments. We are currently supporting several massive programs across industry segment nationally/globally (Intel, Ally, AMD, QUALCOMM, Morgan Stanley, Kraft/ Mondelez, MNP, Amdocs, Dell, SanDisk, Medtronic, Becton Dickinson, GE, Lockheed Martin, UTC, L-3 Communications, Caterpillar, BMW, Mercedes Benz, National Grid, Dominion, Energy Future Holdings, PSEG, 3M, Fidelity, Aetna, Humana, Johnson & Johnson, Pfizer, Merck etc). 

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender, identity, national origin, disability, or protected veteran status.

COMPANY SIZE
2,000 to 2,499 employees
INDUSTRY
Staffing/Employment Agencies
FOUNDED
2000
WEBSITE
http://www.lancesoft.com/

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