Employee Benefit Claims Specialist

1 month ago


Moorestown, United States Innovative Benefit Planning Full time
Job Title: Employee Benefit Claims Specialist

We are seeking a highly skilled and detail-oriented Employee Benefit Claims Specialist to join our team at Innovative Benefit Planning. As a key member of our team, you will play a vital role in ensuring a positive experience for our clients' members.

Job Summary:

The Employee Benefit Claims Specialist will be responsible for providing exceptional client service by resolving member inquiries, claims, and issues related to benefits plans. This includes providing benefits plan advice, answering questions, and assisting with ID card requests, provider directories, member appeals, pre-authorization assistance, and referral assistance.

Key Responsibilities:
  • Respond to member inquiries and resolve claims and issues in a timely and professional manner.
  • Provide benefits plan advice and answer questions related to member coverage.
  • Assist with ID card requests, provider directories, and member appeals.
  • Pursue each inquiry/claim until the most positive resolution is achieved and regularly communicate progress to the member.
  • Escalate and communicate critical or complex inquiries to the Account Manager and other related service team members.
  • Support members with provider research and provider issues.
  • Provide member portal and benefit administration assistance.
  • Coordinate with providers and carriers to ensure accurate billing and resolve discrepancies.
  • Resolve member balance billing issues and negotiate provider bills as needed.
  • Assist with members navigating alternative medical programs and carve-out solutions.
  • Attend Open Enrollment meetings and complete employee benefits online enrollments into requisite carrier systems.
  • Perform other duties as assigned.
Requirements:
  • Bachelor's Degree or the recognized equivalent in experience.
  • 1-3 years' client service experience.
  • General knowledge of Group Benefit Programs.
  • Ability to obtain Life and Health License within the first 60 days of employment.
Why Innovative Benefit Planning?

We offer a hybrid work environment, competitive benefits, and a vibrant workplace designed for your success. Enjoy a culture that values your growth and supports your career aspirations. Join a team that celebrates diversity and is committed to creating an inclusive environment for all employees.

Apply now to take the first step in your career journey with Innovative Benefit Planning.


  • Account Manager

    6 months ago


    Moorestown, United States Innovative Benefit Planning Full time

    Join Our Team as an Account Manager! About Us Innovative Benefit Planning is a woman owned business that thrives on innovation and integrity, shaping employee benefits, wellness, HR Consulting, and group retirement planning nationwide. For 35 years, our commitment to putting people first has been at the heart of everything we do. Your Impact Matters! In a...

  • Account Manager

    2 weeks ago


    Moorestown, United States Innovative Benefit Planning Full time

    Join Our Team as an Account Manager! About Us Innovative Benefit Planning is a woman owned business that thrives on innovation and integrity, shaping employee benefits, wellness, HR Consulting, and group retirement planning nationwide. For 35 years, our commitment to putting people first has been at the heart of everything we do. Your Impact Matters! In a...

  • Account Manager

    2 weeks ago


    Moorestown, United States Innovative Benefit Planning Full time

    Join Our Team as an Account Manager! About Us Innovative Benefit Planning is a woman owned business that thrives on innovation and integrity, shaping employee benefits, wellness, HR Consulting, and group retirement planning nationwide. For 35 years, our commitment to putting people first has been at the heart of everything we do. Your Impact Matters! In a...

  • Benefits Specialist

    4 weeks ago


    Moorestown, United States Innovative Benefit Planning Full time

    Job OverviewAt Innovative Benefit Planning, we're seeking a skilled Benefits Specialist to join our team. As a key member of our sales team, you'll be responsible for establishing and nurturing positive experiences between our company and clients. Your role will be pivotal in selling and managing a range of benefit solutions tailored to meet the diverse...

  • Benefit Consultant

    4 weeks ago


    Moorestown-Lenola, New Jersey, United States Innovative Benefit Planning Full time

    About the RoleWe are seeking a highly motivated and experienced Benefit Consultant to join our team at Innovative Benefit Planning. As a Benefit Consultant, you will be responsible for establishing and nurturing positive experiences between our company and our clients. Your role will be pivotal in selling and managing a range of benefit solutions tailored to...


  • Moorestown, United States Innovative Benefit Planning Full time

    About Innovative Benefit PlanningInnovative Benefit Planning is a woman-owned business dedicated to shaping employee benefits, wellness, HR Consulting, and group retirement planning nationwide. With 35 years of experience, our commitment to putting people first has been at the heart of everything we do.Your Impact MattersIn a collaborative environment, your...


  • Moorestown, United States Innovative Benefit Planning Full time

    Job DescriptionAs a Business Development Manager at Innovative Benefit Planning, you will play a pivotal role in ensuring a positive experience between our company and our clients.Key Responsibilities:Client Lifecycle Management: Manage the progressive project management for the timely renewal process concerning quality, deadline, workflow, communication,...


  • Moorestown-Lenola, New Jersey, United States Innovative Benefit Planning Full time

    Account Manager Role OverviewInnovative Benefit Planning is a woman-owned business that thrives on innovation and integrity, shaping employee benefits, wellness, HR Consulting, and group retirement planning nationwide.As a key member of our team, you will play a pivotal role in ensuring a positive experience between Innovative and our clients.Key...


  • Moorestown-Lenola, New Jersey, United States Innovative Benefit Planning Full time

    About UsInnovative Benefit Planning is a woman-owned business that thrives on innovation and integrity, shaping employee benefits, wellness, HR Consulting, and group retirement planning nationwide. For 35 years, our commitment to putting people first has been at the heart of everything we do.Your Impact MattersIn a smaller company, bureaucracy does not...


  • Moorestown, United States Envision Physician Services Full time

    Opportunity for a Physician Specialist in AnesthesiaEnvision Physician Services is seeking a skilled Physician Specialist in Anesthesia to join our team at the Surgical Center South Jersey Eye Physicians in Moorestown, NJ.The Surgical Center South Jersey Eye Physicians is a state-of-the-art facility with a dedicated team of expertly trained doctors and staff...


  • Moorestown, NJ , USA, United States Innovative Benefit Planning Full time

    About the RoleWe are seeking a highly skilled Strategic Account Executive to join our team at Innovative Benefit Planning. As a key member of our team, you will be responsible for fortifying and expanding relationships with our clients, ensuring growth and profitability in our Employee Benefits Practice.Key ResponsibilitiesStrategic Client Lifecycle...


  • Moorestown, United States Community Options Full time

    Description Community Options, Inc. is a national non-profit agency providing services to individuals with disabilities in 12 states.  We are seeking a Full-Time Behavior Support Specialist  to provide support in Moorestown, NJ to help effectively support individuals with intellectual and developmental disabilities. The Behavioral Support...


  • Moorestown, United States TD Bank Full time

    TD Bank is a leading financial institution offering a range of banking solutions to its customers. As a Frontline Banking Specialist at TD Bank, you'll have the opportunity to work in a dynamic environment where you can make a real difference in people's lives. In this role, you'll be responsible for providing exceptional customer service and financial...


  • MOORESTOWN, United States Aerotek Full time

    Aerotek, a leading staffing agency, is seeking an experienced Electrical Systems Specialist to join their team. As a key member of the team, you will have the opportunity to work with a variety of electrical systems, including batteries and chargers, in mission-critical sites.Job SummaryWe are looking for a highly skilled and motivated individual to fill...

  • Account Manager

    4 weeks ago


    Moorestown, NJ , USA, United States Innovative Benefit Planning Full time

    About the RoleWe are seeking a highly skilled Account Manager to join our team at Innovative Benefit Planning. As an Account Manager, you will play a pivotal role in ensuring a positive experience between our company and our clients.Your primary responsibility will be to manage client relationships, ensuring timely renewal processes, and providing...

  • Process Server

    5 months ago


    Moorestown, United States ABC Legal Services Full time

    Work when you want - Earn what you need!Delivering Legal Documents in your area with ABC Legal Services allows you to have a flexible schedule and take on as much or as little work as you want. We give you the training and tools you need, including an industry-leading mobile app that allows you to claim jobs, map your stops, and track your pay.Who is ABC...


  • Moorestown, United States Virtua Health Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Office Assistant to join our team at Virtua Health. In this role, you will be responsible for performing a variety of administrative tasks to ensure the smooth operation of our medical office.Key ResponsibilitiesVerify patient insurance coverage and process claimsAnswer phone calls and...


  • Moorestown, United States OPEX Corporation Full time

    Job OverviewOPEX Corporation is seeking a skilled Electronics Specialist to join our team at our World Headquarters in Moorestown, NJ. As a key member of our technical team, you will be responsible for troubleshooting and repairing complex electronic systems, including PCBs and equipment at the system level. If you have a strong background in electronics and...

  • Process Server

    5 months ago


    Moorestown, United States ABC Legal Services Full time

    Work when you want - Earn what you need! Delivering Legal Documents in your area with ABC Legal Services allows you to have a flexible schedule and take on as much or as little work as you want. We give you the training and tools you need, including an industry-leading mobile app that allows you to claim jobs, map your stops, and track your pay. Who is ABC...


  • Moorestown, United States Property Solutions Inc. Full time

    Project OverviewProperty Solutions Inc. is seeking a skilled Building Evaluation Specialist to join our team in Moorestown, NJ. As a key member of our team, you will be responsible for conducting site visits to assess the condition of various building systems, including site work, structural conditions, and building envelopes.Key ResponsibilitiesPrepare and...