Employee Benefits Customer Service Representative

🔥 1 minute ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $22 - $25 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💝 Customer Support

👻 Ghost score 0%

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Corporate Synergies

WebsiteLinkedInAll Job Openings

201 - 500 employees

💼 Consulting

🏥 Healthcare

🛡️ Insurance

💰 Private Equity Round on 2010-09

Consulting • Healthcare • Insurance

Corporate Synergies is a national insurance and employee benefits brokerage and consultancy. We deliver strategies that control costs, relieve administrative burdens, and mitigate risk. Our benefits and insurance experts develop a deeper understanding through established listening posts in all areas of our competencies, fueling our ability to better execute. We have won numerous awards and are recognized for our level of service and innovative programs.

📋 Description

• Handle claims resolution, benefits inquiries, coverage eligibility concerns, and related issues for clients’ administrators and employees • Work with clients and carriers via phone and email to resolve matters within a 24-hour timeframe • Address employee insurance concerns and benefit-related questions • Assist with claims resolution, patient advocacy, and pre-certifications • Educate client employees on optimal benefit utilization and cost-effective plan options • Maintain detailed client interaction records in Salesforce and generate client analysis reports as needed • Use Salesforce to gather client information and enhance service quality • Monitor resolution timelines to close benefit issues and claims within designated timeframes • Review Summary Plan Descriptions and benefit summaries for accuracy • Provide expertise on insurance billing, coding, employee group benefits, insurance processes, and plan descriptions • Serve as a primary team resource for customer service and insurance/benefit issue resolution • Address member eligibility inquiries, enrollment entry, and confirmation of coverage

🎯 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

• 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