Client Advocate, Benefits
NFP Corp•Mannsville, OK
•Onsite
About The Position
This is a full-time position, working with the Benefits Administration and Claims Advocacy teams and reporting directly to the AVP, Benefit Administration. The position requires day to day claims advocacy for multiple clients. Claim Advocates are expected to provide excellent customer service each day, handle standard claims issues for clients and their employees and provide senior team members with assistance complex appeals as needed.
Requirements
- Knowledge of Medical, Dental, Vision Plans, and Flexible Spending Accounts required
- Strong Microsoft Excel and PowerPoint skills
- Strong oral and written communication skills
- Ability to thrive in a fast-paced and demanding environment
- Vigorous attention to detail, highly organized, with the ability to balance multiple tasks simultaneously
- Four-year college or university degree or equivalent experience
- 1-3 years of benefit administration or claims processing required
Nice To Haves
- Experience with Insurance Carrier self-service portals and call centers is a plus
- Life, Accident, and Health License a plus or willing to obtain.
Responsibilities
- Act as a liaison between insurance providers and clients regarding employee status and eligibility for coverage
- Resolve standard claim issues and provide assistance with complex or non-standard claim appeals
- Verify completion and validity of claim forms
- Review company records to determine coverage
- Calculate amounts of claims and submit for payment
- Ensure all client data is entered into CRM System (SalesForce) in a timely manner
Benefits
- PTO & paid holidays
- 401(k) with match
- exclusive discount programs
- health & wellness programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
