Health Benefits Officer II

American Foreign Service Protective Association

Health Benefits Officer supporting members navigating Foreign Service Benefit Plan health benefits and claims. Requires detailed problem-solving skills and professionalism in a call center environment.

Posted 6/24/2026full-timeGreater Washington Metropolitan Area • District of Columbia, Maryland, Virginia, Washington • 🇺🇸 United StatesMid-LevelSenior💰 $44,000 - $50,000 per yearWebsite

About the role

Key responsibilities & impact

Answer high-volume inbound calls in a call center environment.
Assist members with health benefits, claims, eligibility, and coverage inquiries via phone, email, and written correspondence.
Troubleshoot issues, de-escalate member concerns, and resolve inquiries in alignment with regulatory and plan guidelines.
Review claims for accuracy and completeness, and document all member interactions in Customer Relationship Management (CRM) systems in real-time.
Collaborate with plan administrators and escalate issues to supervisors as needed.
Ensure compliance with healthcare regulations, policies, and procedures.

Requirements

What you’ll need

High school diploma or equivalent required
3+ years of customer service experience required (in a call center, benefits, or healthcare environment preferred)
Experience with health insurance, medical claims, or benefits administration is a plus.
Highly organized, detail-oriented, with excellent problem-solving abilities.
Comfortable working with and following documented policies and procedures.
Able to manage high-volume inbound calls while maintaining professionalism and empathy.
Comfortable learning multiple systems and passing structured training assessments.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

customer servicehealth insurancemedical claimsbenefits administrationproblem-solvingdocumentationclaims reviewinbound call handlingCRM systemsregulatory compliance

Soft Skills

highly organizeddetail-orientedprofessionalismempathycommunicationcollaborationde-escalationtroubleshootingadaptabilitytime management

Certifications

high school diploma or equivalent