Employer Service Representative

Job Summary

To support client relationships, the full-time remote Employer Service Representative will resolve claim and customer service issues, conduct research, and communicate effectively with clients and internal teams.

Key responsibilities

• Research and resolve claim and customer service issues initiated by clients or Client Management
• Recommend process improvements to prevent future issues and enhance service quality
• Track and monitor issues while maintaining communication with clients and internal stakeholders

Required qualifications

• High School diploma or GED equivalent
• Minimum five years of claim processing or health insurance industry experience
• Solid understanding of ERISA and DOL regulations
• Ability to read, analyze, and interpret documents and Summary Plan Descriptions (SPDs)
• Self-directed individual who works well with minimal supervision