Help customers understand insurance policies/coverages and determine their individual service needs.
Act as an advocate for customers on employee claim issues and carrier relations.
Answer customer and carrier questions through all means of communication such as through calls, personal meetings, seminars, etc.
Educate customers on compliance responsibilities for state and federal laws affecting health plans (ERISA, SPD, COBRA, State Continuation, Medicare, FMLA, HIPAA. Etc.)
Attend training sessions, courses, etc. to maintain up-to-date skills and licensing requirements.
Other duties or special projects may be assigned.
Always conduct the highest level of confidentiality.
Requirements
Bachelor’s Degree (BA/BS) with three (3) years of experience in the field of Employee Benefits Administration or high school graduate with a minimum of five (5) years of related experience, other combination of work and/or education will be considered.
Solid knowledge and understanding of group health and welfare benefit plan coverage, current legislation, rules, laws, and other regulations.
Familiarity with complex benefit issues serves as the key contact for customers to resolve them.
Proficiency in Microsoft Windows, Office 365, Word, and Excel
BenefitPoint experience or skills to learn software program at an accelerated ability.
Exceptional telephone demeanor
Maintain a high level of confidentiality.
Exceptional customer service and interpersonal skills
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Employee Benefits Administrationgroup health and welfare benefit plan coveragecompliance responsibilitiesERISACOBRAMedicareFMLAHIPAAMicrosoft Office 365Excel