Employee Benefits Customer Support Specialist
Company: Foundation Risk Partners
Location: Camden
Posted on: May 7, 2022
Job Description:
Foundation Risk Partners, one of the fastest growing insurance
brokerage and consulting firm in the US, is adding a Benefits VIP
Representativeto theirCorporate Synergiesteam in Camden, NJ.The
Benefits VIP Representative attends to claims resolution issues,
benefits questions, eligibility of coverage concerns, etc. for the
administrators and employees of our clients. They collaborate over
the phone with clients and carriers to arrive at resolutions within
a 24 hour time frame.Essential Functions
- Resolve client employee insurance issues, handle questions
regarding benefits and assists in claims processing issues. Also
assists with patient advocacy and pre-certifications.
- Educate client employees on proper benefit utilization and
guidance on most cost effective plan usage.
- Develops and updates all applicable required documents for plan
provisions, administrative events, interface documentation and
delivery channel documentation for clients in ongoing delivery
- Records and tracks all interaction with clients by keeping
detailed notes, entering the data into Sales Force and running
client analysis reports as needed
- Utilizes Benefit Point to look up information on clients to
better service their needs
- Tracks time to close and keeps within the allotted time frame
in regards to benefit issues and/or claims resolution
- Reviews Summary Plan Descriptions(SPD's) and benefit summaries
for accuracy
- Provides subject matter expertise on insurance billing and
coding, employee group benefits, insurance procedures and plan
descriptions to client
- Serves as a primary resource within a team to the client while
providing excellent customer service and management in resolving
insurance/benefit issues.Requirements:Competencies and
QualificationsAn ideal candidate will have:
- Bachelor's degree in Business, Insurance, or a related field is
preferred
- Three plus years' experience working in customer service/call
center environment
- Experience with an insurance industry carrier, broker, or
insurance related vendor
- Knowledge of eligibility claims, medical coding and billing,
etc.
- Intermediate knowledge of benefit summaries and Benefit Plan
Descriptions
- Strong verbal and written communication skills
- Excellent multi-tasking and organizational skills
- Ability to take initiative, prioritize work load, and meet
tight deadlines
- Excellent phone mannerisms
- Above average follow through and persistence required to be
successful
- Ability to converse, read, and write in Spanish is a plus
- Flexible and conscientious
- Strong knowledge of Microsoft Office Products
- Health and/or a Life License is required to be obtained within
6 months of hire.
Keywords: Foundation Risk Partners, Camden , Employee Benefits Customer Support Specialist, Other , Camden, New Jersey
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