Employee Benefits Customer Service Representative

🕒 September 25

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $22 - $25 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💝 Customer Support

👻 Ghost score 0%

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Foundation Risk Partners

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

💼 Consulting

⚖️ Legal

📦 Logistics

💰 $2M Debt Financing on 2020-08

Consulting • Legal • Logistics

Foundation Risk Partners is a rapidly expanding insurance brokerage and consulting firm based in the United States. Comprising a network of respected insurance agencies, it covers the full spectrum of the insurance landscape with a client-focused approach. The company offers expertise in employee benefits, commercial insurance, personal insurance, and risk management, providing cost-saving strategies, comprehensive coverage options, and tailored solutions to predict and mitigate risks. Foundation Risk Partners emphasizes collaboration, excellence, and innovative solutions to deliver a unique insurance experience to its clients.

📋 Description

• Handle claims resolution, benefits inquiries, coverage eligibility concerns, and related issues for client administrators and employees • Work with clients and carriers by phone and email to resolve matters within 24 hours • Address employee insurance concerns and benefit-related questions • Assist with claims resolution, patient advocacy, and pre-certifications • Educate employees on benefit utilization and cost-effective plan options • Maintain detailed client interaction records in Salesforce • Generate client analysis reports as needed • Use Salesforce to gather client information and improve service quality • Monitor resolution timelines and ensure benefit issues and claims are closed within designated timeframes • Review Summary Plan Descriptions and benefit summaries for accuracy • Advise clients on insurance billing, coding, employee group benefits, insurance processes, and plan descriptions • Serve as a primary team resource for insurance and benefit-related issues • Address member eligibility inquiries, enrollment entry, and coverage confirmation

🎯 Requirements

• Three plus years’ experience working in a customer service/call center environment • Experience with an insurance industry carrier, broker, or insurance-related vendor • Knowledge of eligibility claims, medical coding, and billing • Knowledge of benefit summaries and Benefit Plan Descriptions • Exceptional verbal and written communication abilities • Outstanding organizational and multitasking capabilities • Strong problem-solving skills • Skilled at taking initiative, prioritizing tasks, and meeting tight deadlines • Proficiency in Spanish, written and spoken, is a plus • Collaborative team member • Adaptable and detail-oriented • Proficient in Microsoft Office Suite

🏖️ Benefits

• Medical, vision, and dental benefit options • 401(k) with company match • Company-paid life insurance • Short-term disability (STD) • Long-term disability (LTD) • PTO policy starting at 18 days per year • 10 paid holidays • 2 floating holidays