Benefits Specialist (Student Health)

EEO Statement

Wright State University is an equal opportunity employer.

Job Category: Administrative (exempt/non-exempt)

Department: Human Resources

EEO number: 26P282

Position FTE: 100%

Minimum Annual Salary

$48,000

Salary Band: UC S04

Job Summary/Basic Function

The Benefits Specialist – Student Health reports to the Director of Benefits and assists in the implementation and administration of the university’s student benefits programs. This position serves as the primary liaison between students and health insurance carriers.
This Benefits Specialist – Student Health oversees the administration of student-centric insurance programs, processes complex claims, and ensures data integrity through rigorous reconciliation. The role provides policy interpretation and technical support through the University’s Benefits Center of Excellence.

Minimum Qualifications

• Bachelor’s degree and two years of experience in student services, campus health, benefits administration, insurance administration, customer service, human resources, or a related field; or Associate’s degree and four years of related experience; or high school diploma or equivalent and six years of related experience.
• Demonstrated ability to maintain confidentiality under applicable FERPA, HIPAA, university policy, and data privacy expectations.
• Strong verbal and written communication skills.
• Ability to explain complex insurance information clearly to students, dependents, and campus partners.
• Strong analytical, organizational, and problem-solving skills with significant attention to detail.
• Demonstrated ability to interpret insurance plan requirements or university policies, resolve administrative issues, and escalate complex matters appropriately.
• Ability to work effectively with students, dependents, families, vendors, medical providers, campus partners, and colleagues at all levels of the organization.
• Demonstrated ability to work independently and collaboratively, manage multiple priorities, and meet deadlines.
• Proficiency with Microsoft Office products, including Excel skills such as pivot tables, lookups, data reconciliation, and analysis.
• Ability to learn and use student, benefits, billing, vendor portal, document management, and reporting systems.

Integrity and judgement necessary to maintain strict confidentiality at all times.
Good judgement, diplomacy and objectivity to effectively and appropriately make decisions.

Preferred Qualifications

• Experience in higher education.
• Experience with student health insurance, student services, campus health, benefits administration, insurance carriers, or third-party administrators.
• Familiarity with student information systems, insurance carrier portals, billing systems, HRIS systems, or benefits administration platforms.
• Experience creating student-facing communications, presentations, forms, FAQs, or web content.
• Knowledge of health insurance terminology, eligibility processes, waiver administration, claims assistance, or appeals coordination.

Essential Functions and percent of time

40% Essential function: Student Benefit Administration & Claims Coordination

• Coordinate the end-to-end insurance (medical, dental, vision, disability, and life insurance) enrollment process for the student body; maintain accurate records and perform high-level reconciliation of insurance premiums.
• Support the evaluation and processing of claims; serve as the primary liaison between students, providers, and carriers to resolve disputes and verify coverage eligibility.
• Audit accounts to ensure billing requirements are met; investigate recurring inquiries and provide recommendations for the resolution of contested or denied claims.
• Interpret policy to address interoffice and student concerns; determine specific actions for recurring administrative bottlenecks.

20% Essential function: Strategic Vendor Relations & RFP Support

• Provide technical data and support for the development of Requests for Proposals (RFPs). Assist in the annual review of Student Health Insurance Program (medical, dental, vision, disability and life insurance).
• Assist with the facilitation of quarterly meetings with benefit vendors; analyze contract performance and provide input on potential solutions for service gaps.

20% Essential function: Benefits & Wellness

• Support the coordination of the employee Tuition Remission benefit with focus on employee awareness.
• Support the coordination the Employee Assistance Program and facilitate vendor relationship with focus on employee awareness.
• Support in the coordination of large-scale employee benefits offerings (e.g. the annual benefits fair, annual flu shots, biometric screenings, open enrollment, pathway to retirement, etc.).
• Serve as a member of the Health and Wellness Task Force and Employee Health and Wellness Committee.

Essential Functions and percent of time (cont’d)

15% Essential function: Specialized Communication & Outreach

• Facilitate and lead benefit presentations for student orientations, attend student fairs and related events.

5% Essential function: Reporting and Appeal

• Compile and summarize data to prepare mandatory compliance reports and internal files.

Non-Essential Functions and percent of time

none

Working Conditions

Primarily an office role, but candidates should be comfortable in a variety of settings; required to interface effectively with all levels of the university workforce.

To preserve the safety and security of the campus community and to maintain the integrity of university operations, it is the policy of Wright State University to make an employment offer contingent on various background checks, such as a criminal record, credit history (when job related) and/or education verifications. Additionally, an administrative review shall be conducted whenever the university learns that an employee is charged with or convicted of a crime (except for minor vehicle violations). Frequently asked questions related to background checks may be found on the Human resources website at http://www.wright.edu/human-resources.

Effective July 1, 2017, per Policy 7230, Wright State University is tobacco-free. Tobacco use, including the sale, advertising sampling and distribution of tobacco products and tobacco related items is prohibited in all university facilities, on all university owned or leased grounds, university owned or operated residence halls and apartments, and at all university sponsored events regardless of location. Tobacco use is also prohibited in all university vehicles or on any equipment owned, leased or operated by Wright State University. This policy applies to anyone on campus including students, faculty, staff, visitors, consultants, vendors, patients, volunteers, and contractor employees.

First Consideration Date: 06/15/2026

Tagged as: Employment