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Employee Benefit Claims Specialist | Employee Benefit Claims in Job Job at Innovative Benefit Plan1

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Employee Benefit Claims Specialist

Location:
Moorestown, NJ
Description:

Join Our Team as an Employee Benefit Claims Specialist! 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 smaller company, bureaucracy does not dilute your influence. Your insights will be heard, valued, and acted upon. You will not be just another cog in the machine - you will be a linchpin, an indispensable part of the team driving meaningful change and growth. Your ideas will be the catalyst for innovation, and your efforts will directly contribute to our success story. Collaborative Environment Collaboration is not just a buzzword here; it is the essence of how we operate. You will have the opportunity to collaborate closely with colleagues from various departments, fostering an environment where every voice is heard, and every opinion matters. Professional Growth Your professional development is not just a checkbox; it is a commitment. We are invested in your growth and provide you with opportunities to expand your skills and advance your career. Your success is our success, and we will work together to ensure you reach your full potential. If you are ready to make a real impact, take ownership of your work, and be an integral part of a thriving company, your journey towards professional fulfillment starts here. A day in the life as an Employee Benefit Claims Specialist: As a full-time Employee Benefit Claims Specialist, you will play a pivotal role in ensuring a positive experience between Innovative and our clients' members. Responsibilities include: Client Member Support Duties: Answer and respond to all issues, claims, and problems related to members or dependents coverage. These include benefits plan advice and questions, ID card requests, provider directories, member appeals, pre-authorization assistance, and referral assistance. Diligently and quickly pursue each inquiry/claim until the most positive resolution is achieved; regularly communicate the progress to the member and document in the Innovative database. Escalate and communicate critical or complex inquiries to the Account Manager and other related service team members to ensure the best possible resolution. P r o v i d e su pp o rt i n s e l e ct i n g plans for members and their dependents. Ass i st m e m b ers w ith pr o v i d er res e arch and provider issues. Support members with navigation of pricing transparency tools. Provide member portal and benefit administration assistance. C oo r d i n a t e with t h e p r o v i d er o r carrier to e n su r e the b ill is c o r r ect and assists w i th re s o lving d iscrep ancies. Resolve member balance billing issues. Negotiate provider bills as needed. Ass i st with m e m b ers nav i g ati n g t h e c o m p lexit i es o f alternative medical programs and carve out solutions i.e., reference-based pricing. Attend Open Enrollment meetings if necessary. C o m p lete e m p l o y e e b enef i t s o n li n e e n r o ll m ents i n t o r eq u is i te carr i er s y s t e m s a n d proce s s enrol l m ent a s n e P er f o r m s all o ther d u ties assigned. CORE COMPETENCIES: A b ility t o ide n ti f y cl i ent n e eds and pr o v i d e s o l u t i o n s t o ad d ress t ho se n eeds. A collaborator who can c o l l a b o rate and b u ild consensus. A str o n g cust o m er s e rvi c e f o cus A sense o f ur g e n cy and o w n ersh i p in all y o u do The a b ility t o m a n a g e s e v e ral di f ferent a s si gn m ents a n d responsi b ilities at the s a m e time. P rof i ciency w ith M ic r o s o ft Office S u i t e The a b ility t o e f f ect i v e l y in t eract a n d c o m m un icate w i t h v ar i o u s ins u ra n ce carr i e r s, cl i ents, and te a m members. A willi n gn ess t o c o n ti nu al l y u pg ra d e th e ir know l ed g e a n d u nd erstan d i n g o f the insurance i ndu stry and desire t o ad v a n ce within the o r g a n i z atio n . Why Innovative? Join a culture that values your growth and supports your career aspirations. We celebrate diversity and are committed to creating an inclusive environment for all employees. Life at Innovative: We offer a hybrid work environment to ensure a positive work life balance. Enjoy competitive benefits and a vibrant workplace designed for your success. Medical, dental, vision, life, and disability plans 401(k) plan with employer contributions Life insurance and disability coverage Legal Shield/ID Shield options Tuition Reimbursement program Competitive salary Flexible PTO policy with 2 weeks of PTO for the first year and open PTO after your 1-year anniversary Sixteen hours of paid Volunteer Time Off annually Culture at Innovative: We cultivate a team environment with special celebrations including: Team building events. Monthly employee recognition. Endless snacks and freebies in the office cafe. Commitment to workplace wellness programs and events. About You: Bac h el o r ' s D egr e e o r t h e r e c o gn i z ed eq u i v ale n t in e x p erience 1­3 y ear s ' Client Service e xperie n c e A g eneral k n o w l ed g e o f Group Benefit Programs M u st o b tain L ife and H eal t h L icen s e w i th i n t h e fi r s t 6 0 days o f e m p l o y ment. Join us at Innovative Benefit Planning and make a meaningful impact on the lives of our clients and their employees. If you are a dedicated professional with a passion for client success and meet the qualifications outlined above, we invite you to apply here: www.ibpllc.com/careers Innovative Benefit Planning is an equal opportunity employer.
Company:
Innovative Benefit Planning
Posted:
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