Employee Benefits Claims Specialist

 

Employment Type:  Full-Time, Direct Hire

Principal Duties:

  • Have knowledge of all benefit insurance products and procedures and assist benefits department with administrative duties.
  • Focus on client's high priority issues (i.e. claims, service problems, invoice and basic questions, carrier/client issues).
  • Performs as Liaison between Employee and Carriers to manage client and employee issues as it relates to their policies.
  • Assist in handling general services issues.
  • Assists with single enrollments, terminations and deductions for employees based on the result of the research.
  • Assist with group submissions for small clients.
  • Backup for other departmental tasks as needed.
  • Assists with policy and procedure development and projects.
  • Document calls and activity in BrokerageBuilder, computer Client Folder and update other pertinent databases.
  • Attend and participate in departmental meeting as requested.
  • Perform other duties as assigned.

Qualifications:

  • HS Diploma with some college coursework
  • Must be able to develop spreadsheets, databases, charts and other complex worksheets in Excel.
  • Must have extensive knowledge with formatting, tables and using other tools in Word.
  • 3+ years of medical insurance experience
  • 440 or 215 Insurance License (LH&A)
  • Proven customer service track record
  • Ability to handle high volume work
  • Ability to work and relate to clients, management and team members
  • Professional business demeanor
  • Have a high level of Oral and Written Communication skills

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Posted on   Industry: Insurance   City: Lakeland