Employer Service Representative - LHB

About the role

This position is responsible for working with external customers to resolve claim and customer service issues initiated by clients or Client Management. Responsibilities include research and resolution of issues; recommendations for improvement of processes and procedures to eliminate recurrence of issues or to prevent future issues; communication with clients, Operations and Client Management; and tracking/monitoring of issues. This position may not service all clients.

Responsibilities

• Research and resolve claim and customer service issues
• Recommend process and procedure improvements to eliminate or prevent recurrence of issues
• Communicate with clients, Operations, and Client Management
• Track and monitor issues

Requirements

• High School diploma or GED equivalent
• Minimum five or more years of claim processing/health insurance industry experience
• Ability to work in a fast-paced, customer service driven environment
• Excellent verbal and written communication skills
• Ability to research various topics, succinctly summarize findings, and develop recommendations
• Ability to work effectively with employees/members, providers, clients, and differing levels of co-workers including Client Managers and all levels of staff
• Solid understanding of ERISA and DOL regulations
• Ability to read, analyze, and interpret documents and Summary Plan Descriptions (SPDs)
• Flexible and open to continued process improvement
• Self-directed individual who works well with minimal supervision
• Good leadership, organizational, and interpersonal skills
• Demonstrated critical thinking skills
• Ability to effectively deal with problems in varying situations and reach resolution
• Ability to learn new/proprietary systems, adapt to various system platforms, and effectively use MS Excel/Word

Preferred Qualifications

• Bachelor’s degree
• Good presentation skills
• Experience presenting and explaining benefits to a group or one-on-one

Benefits

• Health and wellness benefits
• 401(k) savings plan
• Pension plan
• Minimum of 15 days of paid time off
• Paid parental leave
• Disability insurance
• Supplemental life insurance
• Employee assistance program
• Paid holidays
• Tuition reimbursement
• Other incentives

Pay

Min to max range: $42,200.00 - $79,300.00. Exact compensation may vary based on skills, experience, and location. This role aligns with an annual incentive bonus plan subject to the terms and conditions of the plan.