Employee Benefits Client Advocate

Foundation Risk Partners, Corp.; New Jersey; On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Health insurance

401(k) with company match

Paid time off starting at 18 days per

Job summary

Foundation Risk Partners in New Jersey seeks an Employee Benefits Customer Service Representative to handle claims resolution, benefits inquiries, and coverage eligibility for our clients’ administrators and employees, interfacing with carriers by phone and email to resolve matters within 24 hours.

The role emphasizes educating client employees on benefit utilization, maintaining detailed Salesforce records, and providing guidance on plan descriptions, billing, and enrollment while delivering

Qualifications

• Three plus years’ experience in customer service/call center.
• Experience with an insurance industry carrier, broker, or vendor.
• Knowledge of eligibility, claims, medical coding and billing.
• Knowledge of benefit summaries and Benefit Plan Descriptions.

Responsibilities

• Address client employee insurance concerns, answer benefit-related questions, and assist with claims resolution.
• Educate client employees on optimal benefit utilization and plan options.
• Maintain detailed records of client interactions and enter data into Salesforce.
• Use Salesforce to gather client information and enhance service quality.
• Monitor resolution timelines to ensure benefit issues and claims are closed promptly.
• Review SPDs and benefit summaries for accuracy.
• Provide expertise on insurance billing, coding, and plan descriptions to clients.
• Deliver exceptional customer service and support in resolving insurance and benefit issues.
• Address member eligibility inquiries, enrollment entry and confirmation of coverage.

Skills

Communication skills

Problem solving

Microsoft Office

Spanish language

Tools

Salesforce

Job description

Foundation Risk Partners in New Jersey seeks an Employee Benefits Customer Service Representative to handle claims resolution, benefits inquiries, and coverage eligibility for our clients’ administrators and employees, interfacing with carriers by phone and email to resolve matters within 24 hours.

The role emphasizes educating client employees on benefit utilization, maintaining detailed Salesforce records, and providing guidance on plan descriptions, billing, and enrollment while delivering