Employee Benefits Claims Consultant

About the role

Acrisure is a global fintech leader that empowers millions of businesses and individuals with tailored solutions across various insurance, reinsurance, payroll, benefits, cybersecurity, and mortgage services. Founded in 2008, Acrisure has grown significantly, reaching revenues of nearly $5 billion and employing over 19,000 professionals globally.

Responsibilities

• Provide proactive, technical consultative advice to public entity clients on employee benefits claim handling, trends, and outcomes.
• Serve as the primary point of contact for clients regarding employee benefits claim questions, concerns, and service-related issues.
• Deliver a high level of customer service by responding promptly to client inquiries and providing clear, professional guidance throughout the claim process.
• Advocate on behalf of clients and members to facilitate timely claim resolution and ensure a positive service experience.
• Educate clients on claims processes, benefit programs, coverage provisions, and available resources.
• Assist clients and Call Center Team members in navigating routine and complex claims issues involving medical, dental, vision, disability, life, and related benefit programs.
• Coordinate claim escalations with carriers and TPAs to facilitate timely resolutions.
• Investigate claim concerns by gathering information, tracking progress, and communicating updates to clients.
• Support appeals, grievances, and service-related claim challenges while maintaining a client-focused approach.
• Document claim activity, action plans, and outcomes to ensure accurate records and follow-up.
• Act as a liaison between clients, carriers, TPAs, and internal service teams to promote effective communication and seamless service delivery.
• Foster strong working relationships with carrier representatives and vendor partners to help resolve client concerns efficiently.
• Collaborate with account management and service teams to support overall client satisfaction and retention efforts.
• Participate in client meetings and serve as a subject matter resource related to service matters.
• Coordinate periodic claim service reviews with clients, carriers, and internal stakeholders.
• Aid in preparing claim summaries, service reports, and trend information to support client discussions.
• Review claim service performance and identify opportunities to improve client experience and service delivery.
• Maintain service commitments and ensure follow-through on action items and client concerns.
• Provide training and educational support to clients regarding claims procedures, carrier requirements, and best practices.
• Develop user-friendly resources and presentations to help clients better understand claim processes and available benefits.
• Support internal education initiatives by sharing claims service trends, carrier updates, and client feedback.
• Assist customer service representatives with complex claims.
• Identify opportunities to improve claims support processes, communication practices, and overall customer experience.
• Provide feedback to carriers, TPAs, and internal teams regarding recurring service concerns and client needs.
• Assist in developing best practices and service standards that enhance efficiency and client satisfaction.

Requirements

• Bachelor’s degree in business or related field of study or equivalent experience required.
• 3 – 5+ years of experience in employee benefits administration, claims customer service, carrier operations, TPA services, account management, or employee benefits consulting.
• Experience working with public entities (municipalities, school districts, counties, authorities, etc.) strongly preferred.
• Experience working directly with insurance carriers, TPAs, healthcare vendors, or brokerage organizations preferred.
• Active Life & Health Insurance License, or ability to obtain within 120 days of hire.
• Strong organizational skills—ability to prioritize and be proactive.
• Ability to adapt well to change in direction and priority in a fast-paced environment.
• Computer skills, specifically Microsoft Word, Outlook, and Excel.
• Excellent verbal and written communication skills as well as strong interpersonal skills.

Qualifications

• Proactive problem-solving skills.
• Strong analytical and decision-making abilities.
• Excellent interpersonal and communication skills.
• Ability to manage multiple priorities and deadlines.
• Strong attention to detail and accuracy.
• Ability to work independently and as part of a team.

Skills

• Employee benefits administration.
• Claims customer service.
• Carrier operations.
• TPA services.
• Account management.
• Employee benefits consulting.

Benefits

Acrisure offers a comprehensive suite of benefits and perks, including:

• Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
• Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
• Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
• Family Care: Paid maternity leave and paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

Pay

The base compensation range for this position is $58,000 - $62,000. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity. Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Schedule

This role requires an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Why Join Us

At Acrisure, we're building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future. We've made a commitment to giving back to the communities we serve, pledging more than $22 million through partnerships with leading children's hospitals.

Equal Opportunity Employer

We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status.