Employee Benefits - Claims Client Service Associate

Sterling Seacrest Pritchard Inc; Atlanta (GA); On-site; USD 42,000 - 56,000; Full time

Job summary

Sterling Seacrest Pritchard Inc. in Atlanta, GA is seeking an Employee Benefits Claims Client Service Associate to advocate for client employees and HR on claims issues.

The role researches, escalates, and resolves problems with carriers across medical, dental, vision, life, disability, and voluntary plans, ensuring timely resolution and a strong client experience. The position emphasizes confidentiality of PHI, precise documentation, and collaboration with account teams to address denials,

Qualifications

• High attention to detail and accuracy in processing claims.

Responsibilities

• Serve as primary contact for client employees and HR on claims questions and denials.
• Open, track, and document claims inquiries with carriers until resolution.
• Research claim denials and explain coverage; assist with appeals.
• Coordinate with carrier reps, account managers, and clients to resolve issues.
• Assist with life, STD, LTD claims by helping employees complete forms and deadlines.
• Maintain a claims log and report trends, open issues, and turnaround times.
• Identify recurring issues and flag them to renewal and service teams.
• Maintain confidentiality of PHI per HIPAA and policy.

Skills

Attention to detail

Time management

Written and verbal communication

Proactive problem solving

Customer service

Job description

Employee Benefits - Claims Client Service Associate

About the Organization At Sterling Seacrest Pritchard, we are here to serve as your risk advisors first and insurance broker second. We have a highly skilled team ready to collaborate with your business to position you to reach your goals with uniquely tailored insurance and consulting solutions.

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

Category Insurance

Position Summary The Employee Benefits Claims Specialist serves as the advocate and point of contact for client employees and HR contacts on claims issues. The role researches, escalates, and resolves problems with carriers (medical, dental, vision, life, disability, voluntary), ensuring timely and accurate resolution and a strong client experience.

Key Responsibilities

• Serve as the primary contact for client employees and HR administrators with claims questions, denials, and billing discrepancies.
• Open, track, and document claims inquiries and escalations with carriers until resolution.
• Research claim denials, explain benefit coverage and plan provisions, and assist with appeals.
• Coordinate with carrier representatives, account managers, and clients to resolve complex issues.
• Assist with life, STD, and LTD claims by helping employees and employers complete forms and meet deadlines.
• Maintain a claims log and report on open issues, trends, and turnaround times.
• Identify recurring carrier or plan issues and flag them to account teams for renewal and service discussions.
• Maintain confidentiality of protected health information (PHI) in compliance with HIPAA and agency policy.

Position Requirements

• Attention to detail
• Time management and workflow prioritization
• Effective oral and written communication
• Eagerness to learn
• Proactive problem solving
• Excellent customer service abilities

Full-Time/Part-Time Full-Time

Shift -not applicable-

City Atlanta

State GA

Position Claims Client Service Associate

Exempt/Non-Exempt Exempt

Open Date 10/16/2026

This position is currently accepting applications.