Employer Service Representative

Point C

Employer Services Representative managing benefits administration and client relations for a third-party administrator. Collaborating with employer groups and brokers in a mid-size healthcare environment.

Posted 7/7/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $50,000 - $55,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in benefits administration, client relationship management, and compliance with healthcare regulations. Proficient in resolving service inquiries and enhancing client experiences through effective communication and organizational skills.

Highest-signal resume keywords

Benefits AdministrationCustomer Service ExperienceKnowledge of HIPAAClaims ProcessingMicrosoft Office Suite Proficiency

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Benefits AdministrationClaims ProcessingEligibility RulesBilling PracticesTPA OperationsERISA KnowledgeCOBRA KnowledgeACA KnowledgeProcess ImprovementDocumentation Skills

Soft Skills

Attention to DetailOrganizational SkillsClear CommunicationRelationship BuildingProblem-Solving

Tools & Technologies

Ticketing SystemsAdministrative SystemsMicrosoft Office Suite

Industry Keywords

HealthcareInsuranceSelf-Funded Health PlanEmployer GroupsBroker Relations

About the role

Key responsibilities & impact

Serve as a primary contact for assigned employer groups regarding benefits administration and service inquiries
Respond to employer, broker, and member requests via phone, email, and ticketing systems within established service standards
Educate employer groups on TPA processes, policies, eligibility rules, and available services
Build and maintain positive working relationships with clients and brokers
Coordinate with claims, provider relations, and stop-loss departments to resolve escalated issues
Research claim status inquiries and facilitate timely resolutions
Track and document service issues to ensure follow-through and client satisfaction
Maintain confidentiality and ensure compliance with HIPAA and company policies
Document client interactions and account activity accurately within internal systems
Support audit requests and reporting needs as required
Participate in employer implementations and renewals
Identify opportunities for process improvement and enhanced client experience
Support special projects and cross-functional initiatives as assigned

Requirements

What you’ll need

High school diploma or equivalent required; associate or bachelor's degree preferred
2+ years of customer service or account management experience in healthcare, insurance, benefits administration, or TPA operations
Experience in a self-funded health plan or TPA environment preferred
Knowledge of ERISA, COBRA, HIPAA, and ACA requirements preferred
Experience working with brokers, employer groups, and carrier partners
Working knowledge of group health benefits, eligibility, claims processing, and billing practices
Proficiency in Microsoft Office Suite and ability to learn multiple administrative systems
Strong attention to detail and organizational skills
Clear and confident communication skills for both internal and external customers.

Benefits

Comp & perks

Comprehensive medical, dental, vision, and life insurance coverage
401(k) retirement plan with employer match
Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
Paid time off (PTO) and disability leave
Employee Assistance Program (EAP)