Provides Tier 1 phone and email support to employee benefits clients, answering benefit questions, supporting enrollment, documenting client interactions, processing benefit administration, and advocating on escalated claims. The role supports small group accounts, coordinates with HR and insurance carriers, maintains knowledge of carrier requirements, identifies discrepancies, and recommends process improvements. Strong communication, organization, multitasking, and benefits knowledge are required.
The Benefit Specialist assists benefit clients’ employees with questions regarding benefits, claims advocacy, enrollment support, and communications via phone and email as Tier 1 ECC support.
PRIMARY RESPONSIBILITIES:
- Maintains a concern for timeliness and completeness when interacting with clients, firm and insurance company partners to minimize potential for errors and omissions claims.
- Documents all activity in on-line client file to ensure quality and responsiveness.
- Personally, provides prompt, efficient, high-quality service to designated small group accounts (less than 10 lives) Interacts with HR as main point of contact Processes benefit administration as needed
- Provides enrollment support. Provides daily (Tier 1) Employee Care Center Call Center Support for ECC accounts. Provides daily (Tier 1) Employee Care Center email support for ECC accounts.
- Provides escalated Claims Advocacy for clients. Cultivates strong relationships with insurance company partners.
- Is responsible for knowing carrier requirements and attributes
- Looks for opportunities to improve the firm, business segment and processes.
- Brings issues and discrepancies to the attention of appropriate leadership.
KNOWLEDGE, SKILLS & ABILITIES:
- Effective presentation skills in both verbal and written communications.
- The ability to learn benefits and grow in product knowledge.
- The ability to apply knowledge and experience to explain benefits to members in clear and relatable terms.
- Capable of multi-tasking and prioritizing workloads while adhering to deadlines.
- The ability to interact and communicate effectively in a team environment to share knowledge and manage workflows.
- Demonstrates the organization’s core values, exuding behavior that is aligned with the firm’s culture
EDUCATION & EXPERIENCE:
- At least 1 year of call center experience and/or experience working in Employee Benefits, with an emphasis on handling client issues
- Certification(s): None required; None preferred License(s): Maintains all licenses as required by the State Department of Insurance to provide service, consultation, and financial risk transfer solutions in states where the firm functions or be willing and able to obtain all required licenses within the first 90 days of employment required;
- Maintains all licenses as required by the State Department of Insurance to provide service, consultation, and financial risk transfer solutions in states where the firm functions or be willing and able to obtain all required licenses within the first 90 days of employment preferred
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The Baldwin Group will not accept unsolicited resumes from any source other than directly from a candidate who applies on our career site. Any unsolicited resumes sent to The Baldwin Group, including unsolicited resumes sent via any source from an Agency, will not be considered and are not subject to any fees for any placement resulting from the receipt of an unsolicited resume.
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