Employee Benefits Customer Service Representative

🔥 0 minutes ago

🐊 Florida, New Jersey – Remote

🐊 Florida – Remote 🏖️ New Jersey – Remote

💵 $22 - $25 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💝 Customer Support

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Corporate Synergies

WebsiteLinkedInAll Job Openings

201 - 500 employees

💰 Private Equity Round on 2010-09

Corporate Synergies is a national insurance and employee benefits brokerage & consultancy. We deliver strategies that control costs, relieve administrative burdens and mitigate risk.

📋 Description

• 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.

🎯 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!