Benefits Services Specialist — Claims & Eligibility

Foundation Risk Partners, Corp.; United States; Remote; USD 30,000 - 34,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k)

Life insurance

18 days PTO

Job summary

Foundation Risk Partners in the United States is seeking an experienced customer service professional to support client employees with benefits inquiries, eligibility checks, and claims resolution. You will interact with clients and carriers by phone and email, aiming to respond within 24 hours.

The role emphasizes educating employees on plan options, maintaining detailed Salesforce records, and acting as a primary resource for billing and coding related tasks.

Qualifications

• 3+ years of experience in customer service or call center environment.
• Knowledge of eligibility claims, medical coding, and billing.
• Exceptional verbal and written communication skills.

Responsibilities

• Handle claims resolution, benefits inquiries, and coverage eligibility concerns for client employees.
• Coordinate with clients and carriers via phone and email to resolve matters within 24 hours.
• Educate client employees on optimal benefit utilization and cost-effective plan options.
• Maintain detailed records in Salesforce and generate client analysis reports.
• Act as a primary resource for insurance billing, coding, and group benefits.

Skills

Customer service

Call center

Verbal communication

Written communication

Tools

Salesforce

Job description

Foundation Risk Partners in the United States is seeking an experienced customer service professional to support client employees with benefits inquiries, eligibility checks, and claims resolution. You will interact with clients and carriers by phone and email, aiming to respond within 24 hours.

The role emphasizes educating employees on plan options, maintaining detailed Salesforce records, and acting as a primary resource for billing and coding related tasks.