Benefits & Claims Support Specialist

Foundation Risk Partners, Corp.; Camden (NJ); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

401(k) match

Life insurance

Short-term disability

Long-term disability

PTO and holidays

Job summary

Foundation Risk Partners, Corp. seeks an Employee Benefits Customer Service Representative to resolve claims and benefit inquiries for clients and employees.

You will coordinate with carriers by phone and email to resolve issues within 24 hours, maintaining detailed records in Salesforce and educating clients on plan options. Ideal candidates have 3+ years in customer service within insurance, with strong communication and multitasking abilities, plus proficiency in MS Office.

Qualifications

• 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 Microsoft Office Suite.

Responsibilities

• Address client employee insurance concerns, answer benefit-related questions, and assist with claims resolution.
• Educate client employees on optimal benefit utilization and cost-effective plan options.
• Maintain detailed records of client interactions and enter data into Salesforce.
• Use Salesforce to gather client information and enhance service quality.
• Monitor resolution timelines to ensure issues are closed within the designated timeframe.
• Review SPDs and benefit summaries for accuracy.
• Offer expertise on insurance billing, coding, and plan descriptions to clients.
• Deliver exceptional customer service and support in resolving insurance and benefit-related issues.
• Address eligibility inquiries, enrollment entry and confirmation of coverage.

Skills

Verbal communication

Written communication

Organization

Problem solving

Initiative

Spanish proficiency

Team player

Attention to detail

MS Office

Tools

Salesforce

Job description

Foundation Risk Partners, Corp. seeks an Employee Benefits Customer Service Representative to resolve claims and benefit inquiries for clients and employees.

You will coordinate with carriers by phone and email to resolve issues within 24 hours, maintaining detailed records in Salesforce and educating clients on plan options. Ideal candidates have 3+ years in customer service within insurance, with strong communication and multitasking abilities, plus proficiency in MS Office.