We currently have a position open for a Customer Service Representative in our Torrance, CA office as well as our Schaumburg, IL office. The ideal candidate would have exceptional customer service skills and also assist the Account Management teams with the servicing of our clients and perform a variety of functions as requested.
Essential Duties & Functions
Acts as a liaison with insurance carriers, providers, and employees to resolve claims (including assistance in the appeals process), billing, eligibility, and any other coverage issues.
Assist with commission tracking and invoicing.
Preparation of employee benefit booklets and open enrollment materials as needed under the direction of the Account Manager
Communicates with Account Management Team, employees, and insurance carriers to resolve benefit issues.
Processes client eligibility requests including enrollments, terminations, and changes using various online portals or benefits administration systems.
Under the direction of the Account Manager, assist with census preparation for marketing or implementation purposes.
Answers employee benefits and insurance coverage questions.
Inputs and maintains record of all activities in Benefit Point.
Assist in conducting client open enrollment meetings as requested.
Participate in seminars and educational classes for the development of skills and knowledge.
Provides high quality of work with a professional demeanor and technical accuracy.
Performs miscellaneous duties and projects as assigned.
Other duties may be assigned.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
High school diploma or general education degree (GED) and minimum two years related experience and/or training preferred.
Proficient with MS Office Suite.
Strong mathematical and analytical skills.
Excellent verbal and written communication skills.
Exceptional customer service skills.
Ability to exercise independent judgment.
Ability to work independently and make accurate decisions and demonstrate good judgment.
Must obtain and maintain active Life/Accident and Health Insurance Agent License within one year.
Maintain positive working relationships and clear communication with co-workers, vendors and insurance carriers.