Gallagher-posted 19 days ago
Full-time • Mid Level
Towson, MD
5,001-10,000 employees

At Gallagher Benefit Services, you’re a trusted partner to organizations navigating some of their most important people decisions. We help clients build better workplaces, where people feel supported, empowered, and inspired to thrive. Whether it’s shaping benefit strategies, designing wellbeing programs, or advising on workforce challenges, the work you do here creates meaningful change for businesses and the people who power them. We’re a community of bold explorers, trusted experts, and compassionate partners; working side by side to solve problems, and shape the future of work. Here, curiosity is encouraged, collaboration is second nature, and your ideas have room to grow. If you’re looking for a place where your contribution matters and where you can help build a better world of work; think of Gallagher. Overview The Employee Benefits Claims Advisor advises and resolve the most complex benefit claim issues by managing incoming and outbound calls and emails, collaborating with insurance carriers, providers, and third party administrators to resolve claim and eligibility concerns for client members. This role is a SME (Subject Matter Expert) in claims. The Ideal Candidate You are a seasoned claims professional who has a customer service mindset & can solve complex claims issues Analytical at heart, you are a true fact finder and are detail oriented You are a true team player who isn’t afraid to roll up their sleeves with the rest of the team If this sounds like you, we invite you to keep reading and apply!

  • Resolves the most complex benefit claim issues by managing incoming and outbound calls and emails, collaborating with insurance carriers, providers, and third party administrators to resolve claim and eligibility concerns for client members.
  • Responds to and educates client members about their health and welfare benefits.
  • Develops professional and trusting relationships with client members, responding accurately to benefit questions, providing claim resolution expertise and any other assistance and/or support requested or required by the client.
  • Meets HIPAA Privacy Rules by maintaining the highest level of confidentiality and complying with all applicable laws, Advocating and negotiating on behalf of the client members as necessary to assist with eligibility, claim and benefit issues or any question or concern.
  • Maintaining clear and accurate records and updating open issues by logging into a secure database.
  • High School diploma or equivalent
  • Minimum 3-5 years related claims experience.
  • Current Life, Accident & Health Resident State Insurance License or ability to successfully obtain license within 3 months of hire date.
  • Ability to work overtime as business need requires.
  • Exceptional customer service skills with a strong knowledge of carrier claims processing and billing procedures.
  • Working knowledge of Microsoft Windows applications and Microsoft Office.
  • Bachelors degree preferred.
  • Prior customer service and/or employee benefits experience highly desirable.
  • Experience with CRM software (e.g. Salesforce) is beneficial.
  • Excellent organizational skills, with emphasis on priorities and goal setting.
  • Ability to communicate information, whether technical or non-technical to client members/customers in a clear and concise manner.
  • Medical/dental/vision plans, which start from day one!
  • Life and accident insurance
  • 401(K) and Roth options
  • Tax-advantaged accounts (HSA, FSA)
  • Educational expense reimbursement
  • Paid parental leave
  • Digital mental health services (Talkspace)
  • Flexible work hours (availability varies by office and job function)
  • Training programs
  • Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
  • Charitable matching gift program
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