Claims Administration Specialist

Alera Group
2d$20 - $24Remote

About The Position

Claims Administration Specialist – Employee Benefits Location: Remote At Alera Group, our Employee Benefits team helps organizations attract, retain, and engage their workforce through thoughtful, compliant, and competitive benefits strategies. We’re seeking a Claims Administration Specialist who will contribute to delivering proactive service, strategic guidance, and an exceptional client experience. About Alera Group Alera Group was founded in 2017 and has grown to become the 14th largest broker of U.S. business. We are passionate about our clients’ success in the areas of Employee Benefits, Property and Casualty Insurance, and Financial Services. With a network of offices nationwide, our commitment to collaboration allows us to offer national resources combined with local service. Why Alera Group Make an Impact: Your work supports businesses and individuals in protecting what matters most. Grow With Us: We invest in development, mentorship, and long-term career growth. The Collaborative Way: We believe in accountability, teamwork, and shared success across all offices and lines of business. National Strength. Local Heart: Scale, resources, and expertise — with relationships that feel personal.

Requirements

  • Associate degree
  • Minimum 1–2-year experience in customer service role preferred
  • Possess strong working knowledge of HSA, HRA, and FSA plans, with the ability to stay current on evolving regulations and compliance requirements.
  • Demonstrate excellent customer service, communication, and interpersonal skills, including the ability to manage escalations professionally.
  • Excel at multitasking and prioritizing in a dynamic environment, seamlessly switching between tasks and internet-based systems throughout the day.
  • Proficient in Excel and data analysis, with the ability to interpret and manipulate large data sets for actionable insights.
  • Apply basic project management skills and experience with platforms such as WEX CDH to support operational efficiency and deliver high-quality results.

Responsibilities

  • Administer claims across a variety of health and pre-tax benefit plans including HSA, HRA, FSA, DCA, LSA, and Qualified Transportation Accounts, ensuring accurate processing in compliance with plan guidelines.
  • Respond promptly and professionally to inquiries from internal teams, external customers, vendors, and partners, providing clear guidance and resolution related to claims administration.
  • Educate customers on account rules, features, and IRS regulations, promoting understanding and proper use of pre-tax benefits.
  • Independently investigate and resolve claims-related issues by researching discrepancies, troubleshooting processing errors, and collaborating with internal departments for complex resolutions.
  • Monitor and follow up on pending claims, verify documentation for accuracy, and ensure timely reimbursement and resolution in alignment with service level expectations.
  • Process claims payments and refunds using internal systems and banking platforms, while supporting department initiatives and project-specific tasks to meet organizational goals.
  • Maintain strict adherence to HIPAA privacy rules and stay current on evolving regulatory requirements, company offerings, and benefit plan features to ensure compliance and quality service delivery.

Benefits

  • Alera Group offers comprehensive benefits including medical, dental, vision, life and disability coverage, 401(k), generous PTO, and more.
  • Role-specific learning paths
  • Leadership development programs
  • Technical and compliance training
  • Industry certifications and continuing education support
  • Peer learning and knowledge-sharing communities
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