Flexible Benefits Representative, Sr.

Title: Flexible Benefits Representative, Sr. Department: Claims

Bargaining Unit: UFCW 3000 Grade: 8

Position Type: Non-Exempt Hours per Week: 40

Date Open: 07/16/2024

Position Summary

The Flexible Benefits Rep, Sr administers flexible benefits for assigned clients in accordance with Company guidelines, client needs, and regulatory requirements.

"Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role."

Key Duties and Responsibilities

• Reviews and processes claims and receipts submitted by employee to ensure compliance with department turnaround time and accuracy standards, plan guidelines and IRS regulations.
• Enters and maintains relevant data related to claims and adjustments in Flexible Benefits system.
• Provides exceptional customer service by responding in a timely manner to communications from members and clients.
• Answers questions, conducts research, and resolves discrepancies including debit card inquiries.
• Educates members and clients on Plan benefits by providing detailed information and direction to appropriate plan documents.
• Coordinates voids and stop payments, posts, disbursements, and balances accounts.
• Coordinates work and necessary documents or files with internal and external partners as needed.
• Participates in the implementation of new client accounts.
• Maintains department reference materials for assigned clients.
• Assists with new hire and technical training as needed.
• Attends Open Enrollment or Membership meetings as required.
• Performs other duties as assigned.

Minimum Qualifications

• High school diploma or GED.
• One and a half years of experience working as Flexible Benefits Rep 2 or three and a half years of related experience such as accounting, bookkeeping, or claims processing.
• Highly developed sense of urgency, integrity, and commitment to customer satisfaction.
• Ability to solve practical problems and deal with a variety of variables to achieve desired outcomes.
• Strong organizational skills with an attention to detail.
• Ability to communicate clearly and professionally, both verbally and in writing.
• Computer proficiency including 10-key and Microsoft Office tools and applications.

Preferred Qualifications

• Experience working in a third-party administrator or Taft-Hartley environment.
• Experience with consumer driven health plans administration and software platforms such as FSA, HRA, or HSA.

*Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job. Duties, responsibilities and activities may change at any time with or without notice.

Working Conditions/Physical Effort

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.

Disability Accommodation

Consistent with the Americans with Disabilities Act (ADA) and other applicable federal and state law, it is the policy of Zenith American Solutions to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Recruiting Department at recruiting@zenith-american.com, and we would be