Customer Service Benefits Advocate

Foundation Risk Partners, Corp.; Camden (NJ); On-site; USD 48,000 - 52,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Flexible schedule

Health insurance

Paid time off

Vision insurance

Job summary

Foundation Risk Partners, Corp. in Camden, NJ is seeking an Employee Benefits Customer Service Representative to join the Corporate Synergies team. You will handle benefits questions, eligibility concerns, and claims resolution for clients, working closely with carriers to resolve issues within 24 hours.

The role requires strong communication, multitasking and organization, plus experience in the insurance field. This is an in-person, full-time position with comprehensive benefits.

Qualifications

• Bachelor's degree preferred in business, insurance, or related field.
• 3+ years in customer service/call center environment.
• Experience with an insurance industry carrier, broker, or related vendor.
• Knowledge of eligibility, claims, medical coding and billing.
• Understand benefit summaries and SPD descriptions.
• Strong verbal and written communication skills.
• Spanish language ability is a plus.
• Proficient with Microsoft Office applications.

Responsibilities

• Resolve client employee insurance issues and assist with claims resolution.
• Educate employees on proper benefit utilization and cost effective plan usage.
• Develop and update documents for plan provisions and interface delivery.
• Record interactions in Salesforce and run client analysis reports as needed.
• Utilize Benefit Point to look up client information to better service needs.
• Track time to close and stay within allotted time frames for issues.
• Review SPD and benefit summaries for accuracy.
• Provide subject matter expertise on billing, employee benefits and plan descriptions.
• Serve as a primary client resource while delivering excellent customer service.

Skills

Customer service

Verbal & written communication

Multi-tasking

Organization

Spanish (plus)

Education

Bachelor's degree in Business, Insurance, or related field

Tools

Salesforce

Benefit Point

Microsoft Office

Job description

:

Foundation Risk Partners, one of the fastest growing insurance brokerage and consulting firm in the US, is adding a Employee Benefits Customer Service Representative to their Corporate Synergies team in Camden, NJ.

The Benefits VIP Representative attends to claims resolution issues, benefits questions, eligibility of coverage concerns, etc. for the administrators and employees of our clients. They collaborate over the phone with clients and carriers to arrive at resolutions within a 24 hour time frame.

Essential Functions

• Resolve client employee insurance issues, handle questions regarding benefits and assists in claims processing issues. Also assists with patient advocacy and pre-certifications.
• Educate client employees on proper benefit utilization and guidance on most cost effective plan usage.
• Develops and updates all applicable required documents for plan provisions, administrative events, interface documentation and delivery channel documentation for clients in ongoing delivery
• Records and tracks all interaction with clients by keeping detailed notes, entering the data into Sales Force and running client analysis reports as needed
• Utilizes Benefit Point to look up information on clients to better service their needs
• Tracks time to close and keeps within the allotted time frame in regards to benefit issues and/or claims resolution
• Reviews Summary Plan Descriptions(SPD's) and benefit summaries for accuracy
• Provides subject matter expertise on insurance billing and coding, employee group benefits, insurance procedures and plan descriptions to client
• Serves as a primary resource within a team to the client while providing excellent customer service and management in resolving insurance/benefit issues.

Competencies And Qualifications

• Bachelor's degree in Business, Insurance, or a related field is preferred
• Three plus years' experience working in customer service/call center environment
• Experience with an insurance industry carrier, broker, or insurance related vendor
• Knowledge of eligibility claims, medical coding and billing, etc.
• Intermediate knowledge of benefit summaries and Benefit Plan Descriptions
• Strong verbal and written communication skills
• Excellent multi-tasking and organizational skills
• Ability to take initiative, prioritize work load, and meet tight deadlines
• Excellent phone mannerisms
• Above average follow through and persistence required to be successful
• Ability to converse, read, and write in Spanish is a plus
• Flexible and conscientious
• Strong knowledge of Microsoft Office Products

Disclaimer:

While this is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add, or remove duties from particular jobs and to assign other duties as necessary.

Equal Employment Opportunity (EEO):

FRP provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other classifications protected by law.

Benefits

FRP offers a comprehensive range of health-related benefit options including medical, vision, and dental. We offer a 401(k) with company match, company paid life insurance, STD, LTD and a generous PTO policy starting at 18 days per year plus 10 paid holidays & 2 floating holidays!

Job Type: Full-time

Pay: From $23.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift

Work Location: In person