Leidos TRICARE Overseas Program Team Member

Job Description:

We are seeking a highly motivated and detail-oriented individual to join our team as a TRICARE Beneficiary Services Representative in Kunsan, South Korea. As a member of our team, you will be responsible for providing key beneficiary education and enrollment services for the TRICARE Overseas Program (TOP) under the Defense Health Agency (DHA).

Your Key Responsibilities:

• Verify Benefits & Enrollment: Process enrollments, disenrollments, portability transfers, and more via systems like Defense Online Enrollment System (DOES) and MHS Genesis.

• Primary Care Manager (PCM) Changes: Follow Military Treatment Facility (MTF) guidelines to make individual and batch PCM updates.

• Education & Customer Service: Offer guidance on TRICARE resources, benefits, enrollment, and claims, assisting beneficiaries both in person and over the phone.

• Claims Assistance: Provide basic claims status updates and support.

• Conduct Briefings: Lead informational sessions for various events such as in/out processing, maternity, and pre-separation/retirement.

• Data Management: Collect and record daily activities and Other Health Insurance (OHI) info into applicable systems.

• Assess & Escalate Issues: Evaluate the level of assistance needed and refer or escalate complex issues as needed for proper resolution.

• Compliance & Confidentiality: Comply with all HIPAA regulations, maintain confidentiality and proper handling of Protected Health Information (PHI), and complete Leidos and other training courses on time.

• Collaborate & Support: Assist with remote support, train new team members, and other duties as assigned.