A Claims Adjuster or Specialist investigates and evaluates insurance claims. Specializes in a particular type of insurance. Inspects property damage, including damage to homes, buildings and cars; reviews claims after they are submitted; may authorize or deny payment for claims. May work directly for insurers or on behalf of claimants.
We are a fast-growing Third Party Administrator (TPA) specializing in tax-advantaged benefit plans such as Flexible Spending Accounts (FSAs), Health Reimbursement Arrangements (HRAs), Health Savings Accounts (HSAs), COBRA, and Individual Contribution HRAs (ICHRAs). Our mission is to help employers and participants maximize their benefits with confidence, clarity, and compliance.
Job Description:
We are seeking a Claims Team Specialist to join our dynamic and detail-focused team. In this role, you'll be responsible for the day-to-day plan administration of pre-tax benefit plans for an assigned group of clients. This high volume, fast paced position requires strong multi-tasking and organizational skills and includes validation of claims and process reimbursements, status changes, enrollments, responding to client and participant inquiries and implementation of plan set-ups/changes.
Responsibilities:
Provide a high level of professional service to our clients and benefit plan participants. Responsible for day-to-day plan administration of pre-tax benefit plans for assigned group of clients. Includes validation of claims and process reimbursements, plan changes, status changes, enrollments, responding to client and participant inquiries, plan set-up in administration software and implementing plan changes. Effective regular communication with clients via phone and email regarding plan changes, claims processing, updates, questions, etc. Generate reports and audit accuracy of information. Collaborate with all company departments to ensure client requests are met and a high level of service is consistently provided.
Qualifications:
Proven ability to provide a high level of customer service. Previous experience in claims processing, payroll, banking or insurance environment is desired. Minimum of two years of experience in a professional work environment working directly with clients/customers. Possess excellent organizational, detail orientation, follow-through, analytical and problem-solving skills. Strong multi-tasking abilities when working through changes and a proactive solutions Excellent interpersonal skills and demonstrated professionalism. Able to effectively work with personnel of varied skill levels and work through challenging situations efficiently. Solid working knowledge of Microsoft Office (including Excel) Able to handle information confidentially.
Job Type:
Full-time Schedule:
Monday to Friday Flexible start time (8:00 or 8:30 a.m.) Onsite/hybrid (Fulltime in office for six months with successful completion of training program. Role then transitions to hybrid with one day remote and four in office)
Compensation:
Competitive salary Annual performance reviews
Benefits:
Health, dental, and vision insurance Disability insurance - company paid Life insurance - company paid FSA, HSA, and HRA benefits with employer funding (of course!) 401(k) with employer match Paid time off and holiday pay Employee Referral bonus program Paid training program and professional development Opportunities for advancement and career pathing within a growing organization
Location:
Hartland, WI Ready to Apply? Whether you come from a healthcare background, payroll, banking or an insurance environment, or just passionate about making work more meaningful - we want to meet you!
APPLY NOW OR TAG SOMEONE WHO'S READY FOR THEIR NEXT GREAT OPPORTUNITY!
https://www.dbsbenefits.com/careers/
Job Type:
Full-time Pay:
$23.00 - $25.00 per hour
Benefits:
401(k) 401(k) 2% match 401(k) 3% Match 401(k) matching Dental insurance Employee assistance program Flexible spending account Health insurance Health savings account Life insurance Paid time off Prescription drug insurance Professional development assistance Referral program Vision insurance Application Question(s): Will you be able to reliably commute to Hartland, WI 53029 for this job? (1 day remote is available after 6 months) Please share your desired compensation range for this role.
Experience:
customer relationship management: 2 years (Required)
