Foundation Risk Partners logo
Foundation Risk Partners

We Protect What Matters Most To You

Employee Benefits Customer Service Representative

Customer SupportCustomer SupportFull TimeRemoteSeniorTeam 1,001-5,000Since 2017H1B No SponsorCompany SiteLinkedIn

Location

Florida + 1 moreAll locations: Florida | New Jersey

Posted

12 days ago

Salary

$22 - $25 / hour

Seniority

Senior

Associate Degree3 yrs expExperience acceptedEnglishSpanish

Job Description

Employee Benefits Customer Service Representative

Foundation Risk Partners

• The Employee Benefits Customer Service Representative handles claims resolution, benefits inquiries, coverage eligibility concerns, and other related issues for our clients' administrators and employees. • They work closely with clients and carriers via phone and email to resolve matters within a 24-hour timeframe. • Address client employee insurance concerns, answer benefit-related questions, and assist with claims resolution, patient advocacy, and pre-certifications. • Educate client employees on optimal benefit utilization and provide guidance on cost-effective plan options. • Maintain detailed records of client interactions, entering data into Salesforce and generating client analysis reports as necessary. • Use Salesforce to gather client information and enhance service quality. • Monitor resolution timelines to ensure benefit issues and claims are closed within the designated timeframe. • Review Summary Plan Descriptions (SPDs) and benefit summaries for accuracy. • Offer expertise on insurance billing, coding, employee group benefits, insurance processes, and plan descriptions to clients. • Act as a primary resource within the team, delivering exceptional customer service and support in resolving insurance and benefit-related issues. • Address member eligibility inquiries, enrollment entry and confirmation of coverage.

Job Requirements

  • 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.
  • Knowledge of benefit summaries and Benefit Plan Descriptions.
  • Exceptional verbal and written communication abilities.
  • Outstanding organizational and multi-tasking capabilities.
  • Strong problem-solving skills.
  • Skilled at taking initiative, prioritizing tasks, and meeting tight deadlines.
  • Proficiency in Spanish (both written and spoken) is a plus.
  • Collaborative team member.
  • Adaptable and detail-oriented.
  • Proficient in Microsoft Office Suite.

Benefits

  • FRP offers a comprehensive range of health-related benefit options including medical, vision, and dental.
  • We offer a 401(k) with company match.
  • Company paid life insurance.
  • STD, LTD.
  • Generous PTO policy starting at 18 days per year plus 10 paid holidays & 2 floating holidays!

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