Job Description:
• Responsible for providing customer service to clients’ employees.
• Position acts as the liaison for insurance coverage questions between the employer and the insurance carrier.
• Inbound and outbound calls from/to current and prospective client employees. Create, close and track ticket inquiries.
• Investigate employee coverage questions about benefit programs. Provide helpful, friendly and excellent customer service to staff, clients, carriers, and brokers.
• Respond timely and accurately and follow-up with insurance carriers on employee’s behalf. Maintain client and employee confidences and protect confidential and proprietary information.
• Give clear explanations of available medical, dental, vision, voluntary, wellness, and consumer accounts
• Provide step-by-step support for online or phone-based benefits enrollment, including changes due to life events.
• Assist in resolving issues with carriers, understanding explanation of benefits due to life events.
• Provide guidance on COBRA, ACA notices, dependent verification, and plan documentation.
• Other duties as assigned.
Requirements:
• Associates degree or equivalent of combination of education and experience required.
• Health and life certification required.
• Insurance background and/or worksite benefits experience required.
• Call center experience required.
• Resident state Health and Life insurance license required.
• Excellent written and verbal communication skills, including active listening and questioning ability.
• Computer skills, including experience with and knowledge of Microsoft Word, Excel, and Outlook; Internet Explorer; Adobe Acrobat; databases; and web-based contact management systems.
• Excellent telephone system application skills.
• Ability to think critically and act logically to evaluate situations, solve problems, and make recommendations.
• Reliable, professional, attention to detail, able to work with diverse group of clients and staff, ability to work in fast-paced team environment, and flexibility to manage changing parameters and timelines.
• Bilingual Preferred.
• Must have experience in Core Services designed to support employees throughout their benefits journey, including, but not limited to: Benefits Education and Guidance Enrollment Assistance Claims and Coverage Support Compliance & Documentation Multi-channel Support, including phone, email, live chat, et
Benefits:
• Employee Family Protection