Member Benefits Specialist

About the Role

The Member Fulfillment team at Gusto is responsible for shepherding employer and employee benefits across the finish line, ensuring that every detail is accurate and complete. As a Member Benefits Specialist, you will be an integral part of this team, using your expertise to identify and mitigate errors, and leveraging AI tools to enhance your work.

Gusto is committed to using technology to improve the lives of small business owners and their employees. As a company, they handle payroll, health insurance, 401(k)s, and HR, allowing business owners to focus on their craft and customers.

What You Will Do

• Manage the intake, submission, and confirmation of group health insurance selections for both employees and employers
• Act as a liaison between Gusto's customers and health insurance carriers, ensuring that all carrier documentation is accurate and complete
• Review customer data against carrier eligibility standards to proactively mitigate errors and ensure high-quality plan adherence
• Partner with teams across the organization to deliver benefits in full and on time, year-round
• Resolve follow-up requests from carriers, resolving information gaps or plan changes with urgency
• Identify and escalate opportunities for workflow enhancements, using your expertise to increase team efficiency and accuracy
• Provide clear, professional guidance on healthcare enrollment to customers and internal partners via written and verbal channels
• Use Salesforce and other internal systems to manage customer data and track benefits enrollment
• Collaborate with the Member Fulfillment team to achieve team goals and objectives

What We Are Looking For

• 2+ years of experience in benefits administration, health insurance, or a related field
• Proficiency in Salesforce and Excel
• Strong analytical and problem-solving skills, with attention to detail and ability to work in a fast-paced environment
• Excellent communication and interpersonal skills, with the ability to work effectively with cross-functional teams
• Ability to adapt to changing priorities and deadlines, with a focus on delivering high-quality results
• Strong understanding of health insurance principles and practices, including eligibility and compliance
• Experience working with AI tools and technology to enhance work processes

Nice to Have

• Experience working in a remote or hybrid environment
• Familiarity with Gusto's products and services
• Certification in benefits administration or a related field
• Experience working with small businesses or startups

Benefits and Perks

• Competitive base pay and equity (RSUs)
• Comprehensive benefits package, including health, dental, and vision insurance
• 401(k) plan with company match
• Flexible paid time off and holidays
• Remote work stipend and equipment budget
• Opportunity to work with a fast-growing company that is making a significant impact on the small business economy
• Professional development opportunities, including training and education programs
• Access to cutting-edge technology and tools, including AI and machine learning platforms

• When applying for this role, be sure to highlight your experience working with health insurance carriers and managing benefits enrollment processes.
• Showcase your analytical skills by providing examples of how you have used data to identify and mitigate errors in benefits administration.
• Familiarize yourself with Gusto's products and services, including their approach to using AI to enhance benefits administration.
• Prepare to discuss your experience working with cross-functional teams and your ability to communicate complex information to customers and internal partners.
• Be prepared to ask questions about the company culture and values, as well as the opportunities for professional development and growth within the organization.
• Research the current landscape of health insurance and the role of benefits specialists in ensuring seamless enrollment processes, and be prepared to discuss your understanding of these topics.