Employer Service Representative

Job Summary

Working remotely on a full-time basis, the Employer Service Representative will manage external customer interactions to resolve claim and service issues, conduct research for issue resolution, and communicate recommendations for process improvements.

Key responsibilities

• Resolve claim and customer service issues initiated by clients or Client Management
• Research and track issues, providing recommendations for process improvements
• Communicate effectively with clients, Operations, and Client Management teams

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 and interpret documents and Summary Plan Descriptions (SPDs)
• Proficiency in MS Excel and Word, with the ability to learn new systems