Payroll & Benefits Specialist
LendbuzzSalary not specified
Full Time
Entry Level & New Grad
Not SpecifiedCompensation
Junior (1 to 2 years), Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
Insurance, Employee BenefitsIndustries
Requirements
- Exceptional verbal and written communication abilities
- Outstanding organizational and multi-tasking capabilities
- Strong problem-solving skills
- Skilled at taking initiative, prioritizing tasks, and meeting tight deadlines
- Proficiency in Spanish (both written and spoken) is a plus
- Collaborative team member
- Adaptable and detail-oriented
- Proficient in Microsoft Office Suite
- Three plus years’ experience working in customer service/call center environment
- Experience with an insurance industry carrier, broker, or insurance related vendor
- Knowledge of eligibility claims, medical coding and billing
- Knowledge of benefit summaries and Benefit Plan Descriptions
Responsibilities
- Address client employee insurance concerns, answer benefit-related questions, and assist with claims resolution, patient advocacy, and pre-certifications
- Educate client employees on optimal benefit utilization and provide guidance on cost-effective plan options
- Maintain detailed records of client interactions, entering data into Salesforce and generating client analysis reports as necessary
- Use Salesforce to gather client information and enhance service quality
- Monitor resolution timelines to ensure benefit issues and claims are closed within the designated timeframe
- Review Summary Plan Descriptions (SPDs) and benefit summaries for accuracy
- Offer expertise on insurance billing, coding, employee group benefits, insurance processes, and plan descriptions to clients
- Act as a primary resource within the team, delivering exceptional customer service and support in resolving insurance and benefit-related issues
- Address member eligibility inquiries, enrollment entry and confirmation of coverage
- Handle claims resolution, benefits inquiries, coverage eligibility concerns, and other related issues for clients' administrators and employees within a 24-hour timeframe, working closely with clients and carriers via phone and email
Skills
Salesforce
Claims Resolution
Patient Advocacy
Pre-certifications
Insurance Billing
Summary Plan Descriptions
Benefit Enrollment
Eligibility Verification
Customer Service
Foundation Risk Partners
Insurance brokerage and consulting services
About Foundation Risk Partners
Foundation Risk Partners operates as an insurance brokerage and consulting firm, focusing on providing tailored insurance solutions and expert advice to clients across the United States. The company grows by acquiring other firms and expanding its services organically, ensuring a diverse mix of industry knowledge and specialized services. Their approach combines expertise in various sectors with a commitment to cultural alignment and shared values. Unlike many competitors, Foundation Risk Partners emphasizes a collaborative relationship with clients, aiming to achieve exceptional outcomes and drive success for their partners.
Daytona Beach, FloridaHeadquarters
2017Year Founded
$2MTotal Funding
DEBTCompany Stage
Consulting, Financial ServicesIndustries
201-500Employees
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
401(k) Retirement Plan
401(k) Company Match
Unlimited Paid Time Off
Paid Holidays
Paid Vacation
Risks
Over-reliance on AI could cause disruptions if technical issues arise.
Expansion into new regions may pose compliance and operational challenges.
Leadership changes might lead to strategic shifts affecting company stability.
Differentiation
Foundation Risk Partners leverages AI to enhance risk analysis accuracy and speed.
The company focuses on a strategic mix of industry expertise and cultural fit.
Foundation Risk Partners is rapidly expanding through acquisitions and organic growth.
Upsides
AI solutions have decreased cycle times by up to 90% for certain activities.
Prospect conversion rates have increased by up to 50% due to AI adoption.
Expansion into Baldwin, New York, offers new market opportunities.
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