Claims Account Specialist

Diversified Benefit ServicesHartland, WI
Onsite

About The Position

We are hiring a Claims Account Specialist to manage the day-to-day administration of pre-tax benefit plans for an assigned group of clients. This high-volume, fast paced position requires strong multi-tasking and organizational skill and includes validation of claims and process reimbursements, status changes, enrollments, responding to client and participant inquiries and implementation of plan set-ups/changes.

Requirements

  • Proven ability to provide a high-level of customer service
  • Strong organizational skills with exceptional attention to detail
  • Analytical thinking and sound problem-solving ability
  • Basic math/accounting competency
  • Ability to multi-task effectively in a fast-paced environment
  • Professional communication and interpersonal skills
  • Flexibility and ability to shift priorities quickly
  • Proficiency in Microsoft Office 365, including Excel
  • Ability to effectively work with personnel of varied skill levels and work through challenging situations efficiently.
  • Minimum of two years experience in a professional work environment working directly with customers/clients.
  • Previous experience in claim validation, payroll, banking or insurance environment is required.

Nice To Haves

  • Client Relations
  • Accounts Payable
  • Accounts Receivable
  • Payroll Processing
  • Banking Operations
  • HR
  • Employee Benefits
  • Insurance Claims
  • Accounts Payable (AP)
  • Client Services
  • Payroll processing
  • Banking or financial operations
  • Human Resources administration
  • Employee benefits administration
  • Insurance claims processing
  • TPA or carrier environments
  • Accustomed to handling financial transactions, reviewing documentation for accuracy, meeting processing deadlines, and maintaining confidentiality

Responsibilities

  • Providing a high level of professional service to DBS clients and benefit plan participants.
  • Validation of claims and process reimbursements and ensuring financial accuracy
  • Managing enrollments, eligibility updates, and payroll-related status changes
  • Administering FSA, HRA, ICHRA, HSA, and other customized benefit plans
  • Responding to client and participant inquiries professionally and efficiently
  • Implementing plan setups and processing plan changes
  • Maintaining compliance and documentation standards
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