Appeals Support Specialist

Join Us!
Take the next step in your journey at Inspira Financial. You will help businesses and individuals thrive today, tomorrow, and into retirement. Become part of a company that is people centric and client obsessed in every interaction; a community of forward-thinking individuals focused on driving results to deliver our mission with an unwavering commitment to integrity. Join us as we strengthen and simplify the health and wealth journey -- relentlessly pursuing better outcomes for all. We believe in finding the best talent! While some roles are based at one of our office locations, remote roles can sit in any of the following states: AL, AZ, FL, GA, IA, IL, IN, MI, MN, MO, NC, NE, PA, SC, TN, TX, UT, VA and WV. Remote status and role locations are subject to change. Relocation is not provided.
Employees within a 90-minute radius of our Oak Brook, IL headquarters are required to adhere to the company in-office work guidelines of 4 days per month minimum from 10 am to 2 pm (1 of the 4 days must be a Monday or Friday).
This requirement does not apply to support specialist positions.
Don't meet every single requirement? Here at Inspira Financial, we believe there is no "perfect" candidate and want to encourage applying even if all the requirements listed aren't met. Our goal is to build an authentic workplace by valuing diversity in our candidates. We work to ensure that our team reflects the diversity of the businesses and clients we serve. We are always looking to expand our growing team with dynamic and enthusiastic individuals. If you enjoy a collaborative, fun environment that champions career development, Inspira Financial is the place for you! We look forward to receiving your application! Check out this Inspira Financial video to learn more about our company!
Inspira Financial provides health, wealth, retirement, and benefits solutions that strengthen and simplify the health and wealth journey. With more than 7 million clients, representing over $62 billion in assets, Inspira works with thousands of employers, plan sponsors, recordkeepers, TPAs, and other institutional partners -- helping the people they care about plan, save, and invest for a brighter future. Inspira relentlessly pursues better outcomes for all with our automatic rollover services, health savings accounts, emergency savings funds, custody services, and more. Learn more at inspirafinancial.com .
We have been recognized for our remarkable growth on lists such as Crain's Fast 50 and Inc. 5000, and for our outstanding workplace culture and benefits with Built In's 2025 Best Places to Work and Gallagher's 2022 Best-In-Class Employer awards.
Job Summary & Responsibilities
Choose your next journey with Inspira Financial and join a culture that empowers and where you can innovate. You will be celebrated, you will be challenged, and you can aspire to inspire. You are more than a colleague here; you are part of a COMMUNITY that goes ABOVE and BEYOND professionally and personally to make a difference. We believe in finding the best talent! While some roles are based at one of our office locations, remote roles can sit in any of the following states: AL, AZ, FL, GA, IA, IL, IN, MI, MN, MO, NC, NE, PA, SC, TN, TX, UT, VA and WV. Remote status and role locations are subject to change. Relocation is not provided.
Don't meet every single requirement? Here at Inspira, we believe there is NO "PERFECT" candidate and want to encourage applying even if all the requirements listed aren't met. Our goal is to build an authentic workplace by valuing diversity in our candidates. We work to ensure that our team reflects the diversity of the businesses and clients we serve. We are always looking to expand our growing team with dynamic and enthusiastic individuals. If you enjoy a collaborative, fun environment that champions career development, Inspira is the place for you! We look forward to receiving your application! Check out a video on our Company Culture! Millennium Trust Culture
HOW YOU WILL SOAR:
The Appeals Support Specialist is primarily responsible for researching complex plan participant issues submitted through the appeal process by the Call Center Customer Service Representatives (CSR's) or directly from the participants. Acts as a liaison & addresses issues with the Claims, AOP, Overpayments, RADS, & FDR Departments, as well as the Account Managers, Call Center Managers, and any other departments/personnel necessary to resolving the issue(s) at hand. Problem solving skills, attention to detail and accuracy and analytical skills are required. Being multifunctional and flexible is a requirement.
• Receives, researches, and resolves complex issues normally within 24-48 business hours ~ taking into consideration the time of year.• Subject Matter Expert in the main areas of the call center environment.• Processes claims, premiums, substantiations, card activations, outbound calls, and any issue that needs to be reviewed and resolved.• Works directly with plan participants, CSR's, and Account Managers etc.• Collaborates with the Claims, AOP, Overpayment, RADS, R&R, FDR Departments etc. regarding claims, account adjustments and CBAS issues.• Follows-up with CSR's & their managers on email updates and coaching opportunities.• Exhibits an exceptional level of customer service internally and externally with inbound/outbound calls & with all communications.• Assists plan participants with questions regarding Flexible Spending, RRA, & HRA.• Makes outbound calls to members and or providers as necessary to resolve member issues.• Multi-functionality is a must.• Other duties as assigned.
Preferred Qualifications
Years of Experience: • 3-5 years of applicable experience . Degree: • Bachelor's Degree or related field experience . Certification: N/A . Skills & Abilities: • Excellent verbal and written communication skills• Flexible and adaptable
Compensation & Benefits
$20.00/hr-$25.00/hr