Benefits Member Support Specialist - Remote

Job Description

Job Description

Deeply Rooted to Serve

Led by the values and mission of the organization, the Benefits Member Support Specialist has exceptional communication skills and phone etiquette, can troubleshoot issues while showing empathy and patience, and thrives in a fast-paced environment where a large portion of the work involves assisting members with their medical claims and benefits questions. They are a team player and willing to assist co-workers as needed.

Major Duties and Responsibilities

• Handle customer service calls regarding all benefits offered by the employer
• Review and investigate medical claims on behalf of members, collaborating with providers and carriers to confirm the claim was processed accurately and resolve any discrepancies.
• Communicate benefit eligibility based on Plan Descriptions
• Explain benefit plan options
• Outreach to providers, clients and carriers as needed
• Problem-solve and collaborate with co-workers on issues where help is needed
• Use excellent telephone and customer service skills and etiquette
• Maintain attention to detail and a strong work ethic
• Manage time efficiently
• Help maintain positive working relationships with callers and co-workers; always ethical, professional and kind
• Enter and maintain call notes with details and accuracy in the tracking application
• Utilize applicable databases to provide efficient and effective information
• Assess and handle challenging callers and / or escalate calls to the manager when needed
• Willing to assist with occasional tasks / projects within the Benefits department that may not be part of daily responsibilities
• Trained and expected to handle enrollment calls as needed and support potential extended hours during Open Enrollment.

Required Qualifications

About Us

Oakbridge Insurance Agency is a new kind of insurance and risk management agency with the mission to transform and elevate the way business is done in our industry.

For over 100 years, the founding firms of Oakbridge worked alongside each other in small towns and cities throughout the Southeast, cultivating similar company cultures and best practices, and earning each other's respect in the industry. They envisioned a way to impact the future of insurance and formed Oakbridge Insurance Agency on January 1, 2021. Since forging this different path, we are proud to have added additional partners to Oakbridge who reflect our vision, demonstrate our core values, and share our commitment to doing what is right for our friends and neighbors.

Our most important asset is our people. We offer a friendly and flexible work environment and offer first-class benefits to meet the needs of you and your family. Benefits include a 401k plan with immediate participation, company match, and immediate 100% vesting. Company-paid benefits include life insurance and short- and long-term disability. We have a strong health insurance plan and many supplemental, voluntary offerings.

Oakbridge Insurance is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Oakbridge Insurance makes hiring decisions based solely on qualifications, merit, and business needs at the time.

For more information visit our website

Deeply Rooted Insurance Agency | Oakbridge Insurance - Oakbridge Insurance

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