What does a Health Insurance Specialist do?

Learn all about Health Insurance Specialist duties, skills and much more. Get expert advice on how to become a Health Insurance Specialist.

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Brenna Goyette
Certified Professional Resume Writer, Career Expert

Published 3 min read

A health insurance specialist is a person who helps people choose the right health insurance plan for their needs. They may work for an insurance company, or they may be independent consultants.

Health Insurance Specialist job duties include:

  • Research and analyze health insurance plans
  • Evaluate coverage and benefits
  • Determine eligibility for health insurance
  • Process health insurance applications
  • Verify health insurance coverage
  • Renew health insurance policies
  • Cancel health insurance policies
  • Handle customer inquiries and complaints
  • Update records and files
  • Prepare reports

Health Insurance Specialist Job Requirements

A Health Insurance Specialist typically needs at least a bachelor's degree in a field such as insurance, business, finance, or accounting. Many employers also require certification from The American Institute for CPCU or The Institutes. Health Insurance Specialists typically have several years of experience working in the insurance industry.

Health Insurance Specialist Skills

  • Analytical skills
  • Attention to detail
  • Communication skills
  • Computer skills
  • Customer service skills
  • Interpersonal skills
  • Organizational skills
  • Patience
  • Problem-solving skills
  • Research skills
  • Writing skills

Related: Top Health Insurance Specialist Skills: Definition and Examples

How to become a Health Insurance Specialist

A Health Insurance Specialist is a professional who helps people enroll in and manage their health insurance. They may work for an insurance company, a government agency, or a non-profit organization. Health Insurance Specialists typically have a background in customer service, marketing, or sales.

To become a Health Insurance Specialist, you will need to have excellent communication and customer service skills. You will also need to be able to use computers and various software programs. Many employers require Health Insurance Specialists to have a bachelor’s degree, although some positions may only require an associate’s degree or high school diploma.

If you are interested in becoming a Health Insurance Specialist, you should first research the educational requirements and job outlook in your area. Once you have obtained the necessary education and training, you should then look for job openings with insurance companies, government agencies, or non-profit organizations.

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