Employee Benefits Support Specialist

Openkrill; United States; Remote; USD 30,000 - 34,000; Full time

Benefits offered by this job

Health insurance

401(k) with company match

Life insurance

STD/LTD

Paid time off

Job summary

Foundation Risk Partners is seeking an Employee Benefits Customer Service Representative to support our Corporate Synergies team. You will handle claims, answer benefits questions, and assist with enrollment and eligibility inquiries for clients’ administrators and employees.

The role emphasizes timely issue resolution (within 24 hours), data entry in Salesforce, and providing guidance on cost-effective plan options. Spanish proficiency is a plus and experience in insurance is preferred.

Qualifications

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

Responsibilities

• Handle claims resolution, benefits inquiries, and coverage eligibility concerns.
• Educate employees on benefits utilization and plan options.
• Maintain detailed records and enter data into Salesforce; generate client reports.
• Use Salesforce to gather client information and improve service quality.
• Monitor resolution timelines to close benefit issues and claims within 24 hours.
• Review SPDs and benefit summaries for accuracy.
• Provide expert guidance on insurance billing and plan descriptions to clients.
• Act as a main resource within the team to deliver exceptional customer service.
• Address member eligibility inquiries and enrollment confirmations.

Skills

Verbal and written communication

Organizational skills

Multi-tasking

Problem solving

Initiative & prioritization

Team player

Detail-oriented

Tools

Salesforce

Microsoft Office

Job description

Foundation Risk Partners is seeking an Employee Benefits Customer Service Representative to support our Corporate Synergies team. You will handle claims, answer benefits questions, and assist with enrollment and eligibility inquiries for clients’ administrators and employees.

The role emphasizes timely issue resolution (within 24 hours), data entry in Salesforce, and providing guidance on cost-effective plan options. Spanish proficiency is a plus and experience in insurance is preferred.