Vision Benefits of America

Insurance

• Review out-of-network claims for completeness of submission.
• Validate member eligibility and policy details through use of Claims system.
• Proficient use of document management technology (Content Server) for securing and storing documents through their lifecycle.
• Works jointly with team members to manage all parts of the reimbursement process (processing claim requests, validation, payment, adjustments, audits and research); tasks can vary daily as assigned.
• Research and respond to escalated member questions regarding out-of-network and adjustments.
• Act as a liaison for member issues including benefit eligibility, claims questions, and customer satisfaction.
• Work with Claims Processing Team Lead and Benefit Relations Teams to resolve member, provider and lab reimbursement and claim inquiries.
• Complete projects as assigned by department lead or other departments.
• Perform activities and functions of related lower-level personnel as assigned or required.
• This is a remote position within the Pittsburgh, PA area. In-office may occur periodically based on business need.
• Work is performed in a home office environment and may require: occasionally lifting 0 – 20 pounds.

Claims Specialist

Proposal Manager

• Manage the end-to-end proposal process, ensuring all deadlines are met
• Read RFP or RFI documents thoroughly and prepare proposal checklists that list client submission requirements and identify proposal team action items.
• Review and refine proposal materials (e.g., resumes, biographies, templates, RFP library, etc.) for alignment with brand and messaging standards
• Prepares new group and existing group proposals by reading and interpreting data from sales and incorporating requested options into a complied, customized proposal document
• Understands and leverages VBA product knowledge to develop client-focused content for each assigned proposal and RFP
• Serve as a brand, product, content and compliance expert
• Develop finalist presentations to ensure key RFP details are effectively communicated
• Print, assemble and ship proposals and/or prepare electronic submission files as needed
• Create and manage sales enablement resources including pipeline PowerPoint presentations and continuing education courses for brokers and benefits administrators
• Work with the marketing content team to develop high-impact graphics for proposals and presentations
• Perform activities and functions of related lower-level personnel as assigned or required
• On-site notary services and other marketing tasks as required

• Oversee the full proposal lifecycle from initial strategy through final submission
• Manage the end-to-end proposal process and ensure all deadlines are met
• Read RFPs/RFIs and prepare proposal checklists listing submission requirements and team action items
• Review and refine proposal materials (resumes, biographies, templates, RFP library) for brand and messaging alignment
• Prepare new and existing group proposals by interpreting sales data and incorporating requested options into customized documents
• Leverage VBA product knowledge to develop client-focused proposal and RFP content
• Serve as a brand, product, content, and compliance expert
• Develop finalist presentations to effectively communicate key RFP details
• Print, assemble, and ship proposals or prepare electronic submission files
• Create and manage sales enablement resources including pipeline PowerPoint presentations and continuing education courses for brokers and benefits administrators
• Work with marketing content team to develop high-impact graphics for proposals and presentations
• Perform related lower-level personnel activities as assigned and provide on-site notary services and other marketing tasks
• Report to the Director of Marketing and collaborate with cross-functional teams including the Senior Technical Writer