Reimbursement Specialist I

Employee Benefits Corporation (EBC) is a trusted, national third-party administrator with decades of experience delivering consumer-driven benefit solutions. We combine deep industry expertise and exemplary service with a bold vision for the future—where technology is thoughtfully applied to enable an intuitive user experience and elevate how consumers engage with their benefits.

About the role

The Reimbursement Specialist I is responsible for adjudicating and entering claims for all EBC products. This role receives workflow direction from the Reimbursement Manager.

Location: You can work from our Middleton, WI office, from your home office anywhere in Wisconsin, or a mix of both (hybrid) depending on what works best.

Responsibilities

• Adjudicate reimbursement requests for all EBC products to determine payment or denial according to current IRS and organizational processing procedures.
• Process claims accurately under the appropriate account making demographic changes as needed.
• Process basic tasks from other departments related to claims for all EBC products.
• Maintain productivity and accuracy standards on a monthly basis.
• Identify claims trends, errors, and problem claims and notify senior team member and/or Reimbursement Manager.
• Conduct and record monthly team member audits and communicate all relevant issues of audit findings to the Reimbursement Manager.
• Communicate clearly and accurately with customers (internal and external), both verbally and in writing.
• Safeguard confidentiality, privacy, and security of organization and customer personal information.

Requirements

• High School Diploma.
• One year experience working in a professional office setting.
• Demonstrated attention to detail and adherence to productivity and accuracy standards.
• Basic proficiency with Microsoft Excel and Outlook.
• Minimum typing speed of 50 words per minute and 10-key speed of 9,500 per hour.

Qualifications

• Previous claims processing experience (preferred).
• Previous experience working with tax-advantaged benefit plans (preferred).
• Basic proficiency with Microsoft Word (preferred).

Benefits

• Competitive pay and comprehensive benefits, including employee ownership.
• A welcoming, collaborative team culture where every voice matters.
• A culture built on clarity, empathy, and continuous improvement.
• Continuous learning and career development to help you grow as we invest in future-ready solutions and seamless user experiences.
• Flexible work options designed to support a healthy work-life balance.