Benefits Customer Care Specialist - Claims & Enrollment

Foundation Risk Partners; Camden (NJ); On-site; USD 30,307 - 34,440; Full time

Job summary

Foundation Risk Partners is seeking an Employee Benefits Customer Service Representative to join the Corporate Synergies team. The role focuses on resolving claims, answering benefits questions, and guiding clients and employees with enrollment and coverage concerns.

You will work closely with clients and carriers via phone and email, using Salesforce to document interactions and generate analyses, with a target of prompt 24‑hour resolutions. Bilingual Spanish is a plus.

Qualifications

• 3+ years in customer service/call center environment.
• Experience with an insurance carrier, broker, or related vendor.
• Knowledge of eligibility claims and medical billing.
• Familiarity with benefit summaries and SPD/Benefit Plan Descriptions.

Responsibilities

• Handle claims resolution and benefits inquiries for clients and employees.
• Educate on optimal benefit utilization and plan options.
• Enter data into Salesforce and generate client analysis reports.
• Ensure benefit issues and enrollment are resolved timely.
• Review SPDs and benefit summaries for accuracy.
• Serve as a primary resource to deliver exceptional customer service.

Skills

Communication

Organizational skills

Multitasking

Problem solving

Initiative

Team player

Detail oriented

Bilingual Spanish (nice to have)

Microsoft Office

Salesforce

Tools

Salesforce

Microsoft Office Suite

Job description

Foundation Risk Partners is seeking an Employee Benefits Customer Service Representative to join the Corporate Synergies team. The role focuses on resolving claims, answering benefits questions, and guiding clients and employees with enrollment and coverage concerns.

You will work closely with clients and carriers via phone and email, using Salesforce to document interactions and generate analyses, with a target of prompt 24‑hour resolutions. Bilingual Spanish is a plus.