{"schemaVersion":"jobsearcher.job.v1","id":"5a9fbabc76ab2a3ded51e8d9","url":"https://jobsearcher.com/jobs/5a9fbabc76ab2a3ded51e8d9","canonicalUrl":"https://jobsearcher.com/jobs/5a9fbabc76ab2a3ded51e8d9","title":"Special Processing Specialist II (Remote)","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.\n\n**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.**\n\nThe 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.\n\nThe Gig:\n\nReview and process appeals, condolences, QMCSO orders, Medicare L-564 forms, and POA requests accurately.\n\nVerify eligibility and manage elections, record updates, and coverage activation per SOPs.\n\nSubmit life and disability claims timely with complete and correct information.\n\nApply client-specific requirements across multiple workstreams.\n\nProvide proactive, accurate, and empathetic support to enhance member experience.\n\nCommunicate professionally with members, internal teams, and external partners.\n\nMaintain compliance with HIPAA, IRS, CMS regulations and manage mandated notices and documentation.\n\nIdentify and resolve documentation or process issues using critical thinking and compliance standards.\n\nProtect sensitive data and maintain transaction integrity.\n\nMeet attendance and performance goals; take ownership through task resolution.\n\nHandle escalations, assist during client calls, and prepare activity and performance reports.\n\nParticipate in daily stand-ups and foster team collaboration.\n\nWhat you need to make the cut:\n\nBachelor's degree preferred in Human Resources, Business Administration, or related field.\n\n2–3 years experience in HR operations or employee support.\n\nStrong knowledge of benefits processing and compliance requirements.\n\nProficiency with HRIS and Microsoft Office.\n\nExcellent attention to detail and ability to manage confidential information.\n\nStrong communication skills and ability to work collaboratively while adhering to HIPAA, IRS, and CMS regulations.\n\nThe 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).\n\nOther Compensation: If this position is full-time or part-time benefit eligible, you will receive a comprehensive benefits package which can be viewed here: https://businessolver.foleon.com/bsc/job-board-businessolver-virtual-benefits-guide/\n\nDear Applicant.\n\nAt Businessolver, we take our responsibility to protect our clients, employees, and company seriously and that begins with the hiring process.\n\nOur 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.\n\nWe 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.\n\nPut 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.\n\nWith heart,\nThe Businessolver Recruiting Team\n\nBusinessolver 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.\n\n(Applicable to all roles at an AVP, DIR, VP, Head Of or SVP and above level):\n\nServe 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.\n\nEqual Opportunity at Businessolver:\n\nBusinessolver 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.\n\n#LI-Remote","company":"Businessolver","rawCompany":"businessolver","isRemote":true,"isActive":false,"createdAt":"2026-09-12T10:19:42.142Z","occupations":[{"code":"13-1071.00","title":"Human Resources Specialists","slug":"human-resources-specialists"},{"code":"43-4161.00","title":"Human Resources Assistants, Except Payroll and Timekeeping","slug":"human-resources-assistants-except-payroll-and-timekeeping"},{"code":"13-1141.00","title":"Compensation, Benefits, and Job Analysis Specialists","slug":"compensation-benefits-and-job-analysis-specialists"}],"industries":[{"code":"561499","title":"All Other Business Support Services","slug":"all-other-business-support-services"},{"code":"541618","title":"Other Management Consulting Services","slug":"other-management-consulting-services"},{"code":"541611","title":"Administrative Management and General Management Consulting Services","slug":"administrative-management-and-general-management-consulting-services"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Special Processing Specialist II (Remote)","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.\n\n**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.**\n\nThe 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.\n\nThe Gig:\n\nReview and process appeals, condolences, QMCSO orders, Medicare L-564 forms, and POA requests accurately.\n\nVerify eligibility and manage elections, record updates, and coverage activation per SOPs.\n\nSubmit life and disability claims timely with complete and correct information.\n\nApply client-specific requirements across multiple workstreams.\n\nProvide proactive, accurate, and empathetic support to enhance member experience.\n\nCommunicate professionally with members, internal teams, and external partners.\n\nMaintain compliance with HIPAA, IRS, CMS regulations and manage mandated notices and documentation.\n\nIdentify and resolve documentation or process issues using critical thinking and compliance standards.\n\nProtect sensitive data and maintain transaction integrity.\n\nMeet attendance and performance goals; take ownership through task resolution.\n\nHandle escalations, assist during client calls, and prepare activity and performance reports.\n\nParticipate in daily stand-ups and foster team collaboration.\n\nWhat you need to make the cut:\n\nBachelor's degree preferred in Human Resources, Business Administration, or related field.\n\n2–3 years experience in HR operations or employee support.\n\nStrong knowledge of benefits processing and compliance requirements.\n\nProficiency with HRIS and Microsoft Office.\n\nExcellent attention to detail and ability to manage confidential information.\n\nStrong communication skills and ability to work collaboratively while adhering to HIPAA, IRS, and CMS regulations.\n\nThe 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).\n\nOther Compensation: If this position is full-time or part-time benefit eligible, you will receive a comprehensive benefits package which can be viewed here: https://businessolver.foleon.com/bsc/job-board-businessolver-virtual-benefits-guide/\n\nDear Applicant.\n\nAt Businessolver, we take our responsibility to protect our clients, employees, and company seriously and that begins with the hiring process.\n\nOur 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.\n\nWe 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.\n\nPut 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.\n\nWith heart,\nThe Businessolver Recruiting Team\n\nBusinessolver 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.\n\n(Applicable to all roles at an AVP, DIR, VP, Head Of or SVP and above level):\n\nServe 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.\n\nEqual Opportunity at Businessolver:\n\nBusinessolver 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.\n\n#LI-Remote","datePosted":"2026-09-12T10:19:42.142Z","dateModified":"2026-09-12T10:19:42.142Z","hiringOrganization":{"@type":"Organization","name":"Businessolver","sameAs":"https://jobsearcher.com"},"jobLocationType":"TELECOMMUTE","applicantLocationRequirements":{"@type":"Country","name":"US"},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"5a9fbabc76ab2a3ded51e8d9"},"url":"https://jobsearcher.com/jobs/5a9fbabc76ab2a3ded51e8d9"}}