Claims Processor - Flex Benefits

NFP Corp; Massachusetts; Hybrid; USD 43,000 - 50,000; Full time

Benefits offered by this job

Competitive salary

PTO & paid holidays

401(k) with match

Health & wellness programs

Job summary

NFP Corp in Massachusetts is seeking a Claims Processor to accurately and promptly process claims for FSA, HRA and other plans. The role requires handling a large client book with high call and email volumes, while maintaining confidentiality per HIPAA rules.

The ideal candidate has at least 2 years of claims processing experience, familiarity with pre-tax benefits IRS rules, and an associates degree (preferred). A competitive salary, PTO, 401(k) with match, and benefits are offered.

Qualifications

• Minimum of 2 years’ experience in reviewing and processing claims.
• Minimum of 2 years’ experience with Flexible Spending Accounts with a previous TPA.
• Familiarity with compliance requirements governing pre-tax benefits (IRS Sections 125, 105, 132).
• Associates Degree preferred.

Responsibilities

• Enter, adjudicate and audit claims following internal process and procedure.
• Provide excellent experience for our participants and clients.
• Handle confidential information according to HIPAA legislation.
• Perform claims adjustments per internal procedure.
• Collaborate with the claims team to optimize efficiency.

Skills

Attention to detail

Time management

Organizational skills

Self-starter

Team player

Communication skills

Education

Associates Degree

Job description

Who We Are:

NFP, an Aon company, is a multiple Best Places to Work award winner in Business Insurance. We are an organization of consultative advisors and problem solvers. We help companies and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through custom solutions and a people-first approach. To learn more, please visit: https://www.NFP.com.

American Benefits Group (ABG)

American Benefits Group (ABG) is one of the nation’s leading employee benefit solution providers for Consumer Directed Health accounts, COBRA and Direct Billing services. We are transforming the benefits administration industry with empowering technology and a world-class customer service experience. Come join us and be a part of a team of outstanding individuals working towards building benefit solutions and creating great futures.

We’re proud to be on the leading edge of our industry today, and as we move into the future of Consumer Directed Health Care. Our core mission is to deliver our empowering technology solutions and exceptional service while building strong long-term relationships with our clients, brokers, consultants, and participants. Welcome to American Benefits Group.

Position Summary:

The Claims Processor is responsible for accurate and timely processing of claims which includes claims for Flexible Spending Accounts (FSA), Health Reimbursement Arrangements (HRA), Retiree plans, Lifestyle Accounts, Parking and more. The position requires working with our claims team to ensure that participant claims are handled accurately and promptly.

Core Competencies:

• Understand and follow all claims procedures
• Stay up to date on all applicable regulations related to claims processing.
• Collaborate with the claims team to optimize efficiency.
• Handle confidential information according to all HIPAA legislation.
• Enter, adjudicate and audit claims following internal process and procedure.
• Provide excellent experience for our participants and clients.
• Perform claims adjustments per internal procedure.
• Perform any other duties, pertaining to the business needs as assigned by Department Manager.

Requirements:

• Be a self-starter who can take initiative.
• Superior written, verbal, and organizational skills.
• Be highly detail-oriented and possess strong multitasking and time management.
• Highly organized, embracing challenges and workflow changes.
• Work well under stressful situations and handle a large client book with high call and email volumes at times.
• Ability to set and exceed expectations.
• Be a team player but able to work independently.

Credentials & Experience

• Minimum of 2 years’ experience in reviewing and processing claims.
• Minimum of 2 years’ experience with Flexible Spending Accounts with a previous TPA.
• Familiarity with compliance requirements governing pre-tax benefits. IRS Sections 125, 105, and 132.
• Associates Degree preferred

What We Offer:

• We’re proud to offer a competitive salary, PTO & paid holidays, 401(k) with match, exclusive discount programs, health & wellness programs, and more.
• Our PeopleFirst culture focuses on building and nurturing lifelong relationships with our employees because, at the end of the day, we exist to be there for others.

The base salary range for this position is $43,000 -$50,000. The base salary offered will be determined by factors including, but not limited to, experience, credentials, education, certifications, skill level required for the position, the scope of the position, and geographic location. Actual base salary offered will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.

NFP and You... Better Together!

NFP is an inclusive Equal Employment Opportunity employer.

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