Employee Benefits Claims Consultant

Job Description

About Acrisure

A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services – and more. 

In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.

Job Summary: 

The Claims Consultant (Public Entity) serves as a trusted client advocate and customer service resource for public sector clients, providing guidance and support throughout the employee benefits claims process. This role acts as the primary liaison between clients, carriers, TPAs, and internal Acrisure teams to ensure a positive claim experience, timely issue resolution, and exceptional service delivery. The Claims Consultant proactively addresses claim concerns, facilitates communication among stakeholders, educates clients on benefit processes, and supports the resolution of complex claim matters while building strong client relationships and promoting service excellence.  As an experienced team member, the Claims Consultant also provides support to the Call Center Team on complexed claim situations with guidance on next steps.

Responsibilities:

Client Advocacy & Customer Service

• Provide proactive, technical consultative advice to public entity clients on employee benefits claim handling, trends, and outcomes.

• Serve as the primary point of contact for clients regarding employee benefits claim questions, concerns, and service-related issues.

• Deliver a high level of customer service by responding promptly to client inquiries and providing clear, professional guidance throughout the claim process.

• Advocate on behalf of clients and members to facilitate timely claim resolution and ensure a positive service experience.

• Educate clients on claims processes, benefit programs, coverage provisions, and available resources.

Claims Support & Resolution

• Assist clients and Call Center Team members in navigating routine and complex claims issues involving medical, dental, vision, disability, life, and related benefit programs.

• Coordinate claim escalations with carriers and TPAs to facilitate timely resolutions.

• Investigate claim concerns by gathering information, tracking progress, and communicating updates to clients.

• Support appeals, grievances, and service-related claim challenges while maintaining a client-focused approach.

• Document claim activity, action plans, and outcomes to ensure accurate records and follow-up.

Relationship Management & Collaboration

• Act as a liaison between clients, carriers, TPAs, and internal service teams to promote effective communication and seamless service delivery.

• Foster strong working relationships with carrier representatives and vendor partners to help resolve client concerns efficiently.

• Collaborate with account management and service teams to support overall client satisfaction and retention efforts.

• Participate in client meetings and serve as a subject matter resource related service matters.

Claims Review & Client Reporting

• Coordinate periodic claim service reviews with clients, carriers, and internal stakeholders.

• Assist in preparing claim summaries, service reports, and trend information to support client discussions.

• Review claim service performance and identify opportunities to improve client experience and service delivery.

• Monitor service commitments and ensure follow-through on action items and client concerns.

Training & Client Education

• Provide training and educational support to clients regarding claims procedures, carrier requirements, and best practices.

• Develop user-friendly resources and presentations to help clients better understand claim processes and available benefits.

• Support internal education initiatives by sharing claims service trends, carrier updates, and client feedback.

• Support customer service representatives with complex claims.

Internal Collaboration & Process Improvement

• Identify opportu