Customer Service and Claims Specialist
3 days ago
National Employee Benefits Administrators, Inc. is a Third Party Administrator that supports the hardworking members of the Taft-Hartley community.
We are looking for a skilled Member Services Representative to join our team in West Palm Beach, where you will handle medical claims and process enrollments for health, retirement, and other benefit plans.
The ideal candidate will have excellent communication, computer, and problem-solving skills, with a strong attention to detail and ability to work independently.
Estimated Salary:
$55,000 - $75,000 per year, based on experience.
About the PositionIn this role, you will be responsible for:
- Handling medical claims, including eligibility, benefits, and coverage questions.
- Coordinating enrollments, changes, and cancellations for various benefit plans.
- Working closely with the leadership team to ensure seamless day-to-day operations.
- Maintaining accurate records and reports, as required.
- Providing top-notch customer service to members via phone, email, and written correspondence.
Responsibilities:
- Process medical claims and provide detailed explanations to members.
- Manage enrollment requests, changes, and cancellations for various benefit plans.
- Collaborate with the leadership team to develop and implement processes to improve efficiency and productivity.
- Maintain accurate records and reports, as required.
- Communicate effectively with members, leadership, and internal stakeholders.
Requirements:
- High school diploma or equivalent required; associate's or bachelor's degree preferred.
- At least 1-2 years of customer service or administrative experience.
- Strong knowledge of medical terminology and benefits administration.
- Excellent communication, organizational, and time management skills.
- Ability to lift up to 15 pounds and sit for extended periods.
Benefits:
- Competitive salary range.
- Ongoing training and professional development opportunities.
- Comprehensive benefits package, including medical, dental, and vision insurance.
- Generous paid time off and holidays.
- A supportive and dynamic work environment.
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