Employer Service Representative

Job not on LinkedIn

🔥 0 minutes ago

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Point C

WebsiteLinkedInAll Job Openings

201 - 500 employees

⚕️ Healthcare Insurance

📋 Compliance

🤝 B2B

Healthcare Insurance • Compliance • B2B

Point C is a trusted health benefits partner that delivers meaningful solutions for brokers and their self-funded clients. The company specializes in administering benefit plans, managing medical costs effectively, and ensuring a high-value experience for members. With a focus on vendor integration and data-driven insights, Point C aims to simplify the benefit process while providing access to quality care and innovative mobile tools for its clients and their employees.

📋 Description

• Serve as a primary contact for assigned employer groups regarding benefits administration and service inquiries • Respond to employer, broker, and member requests via phone, email, and ticketing systems within established service standards • Educate employer groups on TPA processes, policies, eligibility rules, and available services • Build and maintain positive working relationships with clients and brokers • Coordinate with claims, provider relations, and stop-loss departments to resolve escalated issues • Research claim status inquiries and facilitate timely resolutions • Track and document service issues to ensure follow-through and client satisfaction • Maintain confidentiality and ensure compliance with HIPAA and company policies • Document client interactions and account activity accurately within internal systems • Support audit requests and reporting needs as required • Participate in employer implementations and renewals • Identify opportunities for process improvement and enhanced client experience • Support special projects and cross-functional initiatives as assigned

🎯 Requirements

• High school diploma or equivalent required; associate or bachelor's degree preferred • 2+ years of customer service or account management experience in healthcare, insurance, benefits administration, or TPA operations • Experience in a self-funded health plan or TPA environment preferred • Knowledge of ERISA, COBRA, HIPAA, and ACA requirements preferred • Experience working with brokers, employer groups, and carrier partners • Working knowledge of group health benefits, eligibility, claims processing, and billing practices • Proficiency in Microsoft Office Suite and ability to learn multiple administrative systems • Strong attention to detail and organizational skills • Clear and confident communication skills for both internal and external customers.

🏖️ Benefits

• Comprehensive medical, dental, vision, and life insurance coverage • 401(k) retirement plan with employer match • Health Savings Account (HSA) & Flexible Spending Accounts (FSAs) • Paid time off (PTO) and disability leave • Employee Assistance Program (EAP)