Benefits Representative - Life Licensed
Irvine , California
February 08, 2017
Licensed - Benefits Representative

***IMPORTANT - Interested candidates MUST have an Active Life-Only Agent Insurance license***

The Adecco office in Irvine is currently recruiting for an experienced Benefits Representative for our client in Irvine.

The responsibility of a Benefits Representative is to ensure our clients' employees receive quick and accurate responses to inquiries related to their health insurance plans.

• Escalate issues of increased complexity, according to department standards, to the applicable internal client service contact
• Act as a liaison among the member, client, service provider, and the healthcare organization when necessary
• Assist members by helping them decipher benefit plan documents, describing their benefits, explaining the applicable benefit plan policies and/or procedures, and referring them to the appropriate service representatives
• Document member and client communications in the client management services tool according to department standards
• Resolve eligibility-related discrepancies by updating the carriers with the correct information
• Process qualified status changes by sending updated information to the applicable carriers and updating related benefits administration systems
• Assist members with benefit claims resolution by coordinating with the carrier or the assigned benefits administration team member to escalate the claim for further research and completion
• Research and complete daily assigned client services tickets
• Communicate and follow-up with team members regarding outstanding issues or client service management tickets
• Maintain excellent attendance and punctuality according to department standards


***IMPORTANT - Interested candidates MUST have an Active Life-Only Agent Insurance license***

• High school diploma required; college degree preferred
• Certification in Human Resources, Benefits, COBRA, or related field is desired
• Minimum three (3) years of employer group benefits administration experience (including administration of employer group benefits at an insurance carrier, broker, and/or Human Resources department)
• Minimum two (2) years in a customer service or call center is required, preferably in a health insurance carrier or Human Resources environment, with minimum one (1) year in a lead or supervisory role
• Active Life Agent License is required or must be obtained within three (3) months from hire date
• HIPAA Certificate must be obtained within one (1) week of hire date
• Advanced knowledge of benefits administration practices and procedures
• Excellent customer service and training skills
• Exceptional telephone etiquette and communication skills in a call-center environment

If you are interested in this Benefits Representative job or other customer service, call center jobs please apply today!

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