Employer Services Representative

Job Summary

Serving as the primary point of contact for employer groups, the full-time remote Employer Services Representative will manage client service operations related to benefits administration, eligibility, billing, and claims coordination while fostering strong relationships with clients and brokers.

Key responsibilities

• Serve as the primary contact for assigned employer groups regarding benefits administration and service inquiries
• Respond to employer, broker, and member requests via phone, email, and ticketing systems within established service standards
• Educate employer groups on TPA processes, policies, eligibility rules, and available services

Required qualifications

• High school diploma or equivalent required; associate or bachelor's degree preferred
• 2+ years of customer service or account management experience in healthcare, insurance, benefits administration, or TPA operations
• Experience in a self-funded health plan or TPA environment preferred
• Knowledge of ERISA, COBRA, HIPAA, and ACA requirements preferred
• Proficiency in Microsoft Office Suite and ability to learn multiple administrative systems