Customer Service Representative - Claims Processing

Job Description

Job Description

Please note; this role is based in Hartland, WI!

Job Title:
Customer Service Representative - Claims Processing

Help People Navigate Their Benefits with Confidence

Are you someone who enjoys helping people, solving problems, and getting the details right? We’re looking for a Customer Service Representative who will serve as a trusted resource to plan participants while also ensuring the accurate and timely processing of Flexible Spending Account (FSA) and Health Reimbursement Arrangement (HRA) benefit plan claims.

In this role, you’ll have the opportunity to make a real difference in the participant’s experience from answering questions and providing knowledgeable, personalized service over the phone to carefully reviewing and entering claims in accordance with plan provisions and established procedures.

What You’ll Do

• Provide exceptional, professional phone support to plan participants, answering questions and helping them navigate their benefit plans.
• Educate participants on FSAs and HRAs, including eligibility, reimbursement processes, and required documentation.
• Accurately screen, review, and enter claims , ensuring documentation and claim information meet plan requirements.
• Research and resolve participant questions and claim issues with accuracy, efficiency, and sound judgment.
• Follow established procedures and regulatory requirements to ensure claims are processed consistently and accurately.
• Maintain detailed and accurate records while protecting confidential participant information.
• Collaborate with team members to resolve issues and deliver a seamless participant experience.

What We’re Looking For

• A customer-focused professional who genuinely enjoys helping people and finding solutions .
• Strong verbal and written communication skills, with the ability to explain benefit information clearly and confidently.
• Exceptional attention to detail and a high level of accuracy when reviewing and entering information.
• Strong organizational and time-management skills, with the ability to manage multiple priorities.
• Sound judgment and the ability to apply established guidelines and procedures.
• Previous experience in customer service, healthcare, employee benefits, claims processing, or a related field is a plus.

Company Overview
Diversified Benefit Services, Inc. (DBS) is a leading third-party administrator specializing in flexible benefit plan solutions such as FSAs, HRAs, HSAs, ICHRAs, and COBRA. With nearly 40 years of industry experience, we are dedicated to delivering exceptional service and innovative benefits management. We prioritize building a motivated, team-oriented and positive workforce in a supportive and rewarding environment.

Job Type:
Full-time

Schedule:

• Monday to Friday
• Flexible start time (8:00 or 8:30 a.m.)
• Onsite fulltime for six months / transitions to hybrid (1 day remote/4 in office thereafter)

Compensation:

• Competitive salary
• Annual performance bonus opportunities

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 holidays
• Employee Referral bonus program
• Paid training program and professional development
• Opportunities for advancement within a growing organization

Location:

• Hartland, WI

If you’re looking for a role where your attention to detail and commitment to exceptional service directly impacts the experience of the people you serve, we’d love to hear from you. Easy apply at

\nCompany Description

Who we are:

For nearly 40 years, Diversified Benefit Services, Inc. (DBS), continues to be a leading third party administrator (TPA) of FSA’s, ICHRA's, HRA’s, HSA’s, COBRA, and other customized benefit plans. At DBS we believe that good people are the key to our success, and we understand the importance of finding qualified, motivated and positive professionals who thrive on challenge and seek opportunities to utilize their skills and talents. DBS provides a well-rounded training program that gives our employees the best innovative tools and support they will build upon to be engaged and successful.

Company Description

Who we are:\r\n\r\nFor nearly 40 years, Diversified Benefit Services, Inc. (DBS), continues to be a leading third party administrator (TPA) of FSA’s, ICHRA's, HRA’s, HSA’s, COBRA, and other customized benefit plans. At DBS we believe that good people are the key to our success, and we understand the importance of finding qualified, motivated and positive professionals who thrive on challenge and seek opportunities to utilize their skills and talents. DBS provides a well-rounded training program that gives our employees the best innovative tools and support they will build upon to be engaged and successful.