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Foundation Risk Partners · 2 days ago

Employee Benefits Advocate

Camden, NJ

Full-time

Onsite

Mid Level

$22/hr - $25/hr

3+ years exp

Foundation Risk Partners is one of the fastest growing insurance brokerage and consulting firms in the US, and they are seeking a Customer Service Advocate to join their Corporate Synergies team. The Benefits VIP Representative will handle claims resolution, benefits inquiries, and coverage eligibility concerns while working closely with clients and carriers to resolve issues efficiently.

InsuranceRisk Management

Responsibilities

Address client employee insurance concerns, answer benefit-related questions, and assist with claims resolution, patient advocacy, and pre-certifications

Educate client employees on optimal benefit utilization and provide guidance on cost-effective plan options

Maintain detailed records of client interactions, entering data into Salesforce and generating client analysis reports as necessary

Use Salesforce to gather client information and enhance service quality

Monitor resolution timelines to ensure benefit issues and claims are closed within the designated timeframe

Review Summary Plan Descriptions (SPDs) and benefit summaries for accuracy

Offer expertise on insurance billing, coding, employee group benefits, insurance processes, and plan descriptions to clients

Act as a primary resource within the team, delivering exceptional customer service and support in resolving insurance and benefit-related issues

Address member eligibility inquiries, enrollment entry and confirmation of coverage

Qualification

Customer serviceInsurance knowledgeSalesforceMedical codingSpanish proficiencyMicrosoft Office SuiteCommunication skillsOrganizational skillsProblem-solving skillsTeam collaboration