Client Advocacy Service Team, Employee Benefits
Core
Process enrollments and terminations, resolve claim and billing issues, and provide detailed answers to clients and employees regarding group health insurance policies.
Role type
Client service specialist (group health insurance)
Builds
Group health insurance policies and claims resolution
Domain
Insurance / Employee Benefits
Deliverable
client delivery
Required skills
group health insurance knowledge, carrier billing troubleshooting, claim resolution, BMS (BenefitPoint) system proficiency, carrier website navigation, record management, data entry accuracy
Preferred skills
Life & Health insurance licensing, bilingual English/Spanish, Microsoft Office proficiency (Excel, Word, PowerPoint)
Responsibilities
Process new enrollments and terminations, assist with carrier billing issues, provide detailed answers to clients and employees about group policies, handle sensitive information with discretion, problem solve claim issues and determine resolutions, input timely and accurate information in BMS (BenefitPoint), communicate with carriers regarding claim or eligibility issues, update client records regularly, answer phones and emails, cross-train in various areas, assist with special projects
Seniority
Entry-level to Junior, hands-on IC