Lakeland, Florida
Employee Benefits Claims Specialist Job Opening in Lakeland, Florida - The company is a PEO provider which includes payroll, human resources, employee benefits and workers' compensation.
Main Function : to service and support the Benefits Department through understanding the workflow and administration of benefits and services to the clients. Work directly with employers and employees to resolve claims and service issues using proactive practices.
Principal Duties :
Have knowledge of all benefit insurance products and procedures and assist benefits department with administrative duties.
Focus on client's high priority issues (i.e. claims, service problems, invoice and basic questions, carrier/client issues)
Performs as liaison between Employee and Carriers to manage client and employee issues as it relates to their policies
Assist in handling general services issues
Assist with single enrollments, terminations and deductions for employees based on the result of the research
Back-up for other departmental tasks as needed
Assist with policy and procedure development and projects
Document calls and activity in Brokerage Builder, computer client folder and update other pertinent databases
Attend and participate in departmental meeting as requested
Perform other duties as assigned
Qualifications:
HS Diploma with some college work
Must be able to develop spreadsheets, databases, charts and other complex worksheets in Excel
Must have knowledge and experience with formatting, tables and using other tools in Word
3+ years of Medical insurance experience in an insurance industry (not healthcare/hospital setting)
440 or 215 Insurance License
Customer service track record
Ability to handle high volume of work
Ability to work and relate to clients, management and team members
Ability to meet company professional guidelines
Oral and written communication skills
Job Type: Full-time
Salary: $16.00 to $19.00 /hour
Required education:
High school or equivalent
Required experience:
medical insurance: 3 years
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