Foundation Risk Partners

Administrative Assistant

• Manage the intake, organization, and tracking of client reporting documents and essential underwriting materials.
• Ensure timely recording, saving, and follow-up on all required reports, including delinquent premium.
• Populate underwriting review forms and support documentation preparation for internal evaluation processes.
• Enter Premium payments to accounting system.
• Identify and escalate high-dollar and catastrophic claims for further review.
• Maintain and organize a centralized library of vendor-provided reports and documentation.
• Ensure accuracy, consistency, and compliance with company documentation standards and retention policies.
• Support cross-functional teams by facilitating efficient workflows and enabling timely decision-making.
• Perform additional administrative and operational support duties as assigned.

Stop Loss Administrative Support Assistant

Customer Support

• The Employee Benefits Customer Service Representative handles claims resolution, benefits inquiries, coverage eligibility concerns, and other related issues for our clients' administrators and employees.
• They work closely with clients and carriers via phone and email to resolve matters within a 24-hour timeframe.
• Address client employee insurance concerns, answer benefit-related questions, and assist with claims resolution, patient advocacy, and pre-certifications.
• Educate client employees on optimal benefit utilization and provide guidance on cost-effective plan options.
• Maintain detailed records of client interactions, entering data into Salesforce and generating client analysis reports as necessary.
• Use Salesforce to gather client information and enhance service quality.
• Monitor resolution timelines to ensure benefit issues and claims are closed within the designated timeframe.
• Review Summary Plan Descriptions (SPDs) and benefit summaries for accuracy.
• Offer expertise on insurance billing, coding, employee group benefits, insurance processes, and plan descriptions to clients.
• Act as a primary resource within the team, delivering exceptional customer service and support in resolving insurance and benefit-related issues.
• Address member eligibility inquiries, enrollment entry and confirmation of coverage.