Member Services Representative

Job Description

Job Description

National Employee Benefits Administrators, Inc. (NEBA) is a full service, licensed Third Party Administrator providing benefit administration services to health, retirement and other benefit plans.

We are looking for a highly motivated individual with Customer Service experience for a busy medical claims and enrollment department in our West Palm Beach location.

The ideal candidate will be creative, observant and very attentive to detail. Excellent communication, computer and problem solving skills, and a willingness to dig in and work alongside the other members of the department are critical.

The office processes a variety of claims, including medical, dental, life, short term disability and vision claims as well as processing enrollments. The Customer Service Representatives handle a high volume of phone calls for inquiries such as enrollment eligibility and benefits, claim status and coverage questions.

We are looking for someone who is organized, diligent, responsive, takes initiative, works well independently, maintains a positive attitude and strives to maintain the companies culture.

ESSENTIAL FUNCTIONS

Member Service Responsibilities

• Answer phone calls from both Members & Providers calling inquiring on benefits and claims
• Handle phone and online inquiries such as insurance eligibility and benefits, claim status and coverage questions
• Assist with Member walk-ins
• Respond to messages timely with appropriate information for the providers and members
• Data entry of benefit and claim forms
• Clerical tasks (mail, fax, filing)

EDUCATION AND/OR EXPERIENCE

To perform this job successfully, an individual must have the following education and/or experience.

• High School Diploma Required
• Medical Terminology Preferred
• Customer Service 1-2 years Preferred

KNOWLEDGE, SKILLS, AND ABILITIES

The requirements listed below are representative of the knowledge, skills, and/or abilities required to perform each essential duty satisfactorily. We will make reasonable accommodations to enable individuals with disabilities to perform these functions.

• Experience with Microsoft Office Suite
• Strong Customer Service background
• Strong communication skills both written and oral
• Attention to detail and accuracy
• Solid computer and problem solving skills
• Understanding of medical terminology, ICD-10, CPT and HCPCS codes

Physical Requirements:

The physical demands described here are representative of those an individual must meet in order to successfully perform the essential functions of this job. We will make reasonable accommodations to enable individuals with disabilities to perform these functions.

• Ability to sit for extended periods and to move intermittently throughout the workday.
• Strong sensory skills, such as good eyesight, good hearing, and dexterity.
• Good speaking and listening skills.
• Ability to perform focused work with close attention to detail.
• Ability to operate office equipment, including computers, copiers, fax machines, and phones.
• Ability to interact with others, both in person and through phone, e-mail, and written correspondence.
• Ability to lift up to 15 pounds.

Location

This is a full-time position based in office. The typical work schedule is Monday through Friday 7:30am- 4:30 pm est.

Awesome leadership team, great benefits, strong appreciation of work/life balance.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Experience:

• Customer service: 1 year (Required)
• health benefits: 1 year (Preferred)
• medical claims: 1 year (Preferred)

Ability to Commute:

• West Palm Beach, FL 33409 (Required)

Work Location: In person

NEBA is a Third Party Administrator that supports the hardworking members of the Taft-Hartley community that are the backbone of our country. We perform administrative services to members regarding their health and retirement plans and encourage candidates to review our website for an overview of what we do.

Company Description

NEBA is a Third Party Administrator that supports the hardworking members of the Taft-Hartley community that are the backbone of our country. We perform administrative services to members regarding their health and retirement plans and encourage candidates to review our website for an overview of what we do.