Customer Service Advocate (Employee Benefits)

<p><strong><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;"><a style="font-weight: bold;" href="https://foundationrp.com/">Foundation Risk Partners</a>, one of the fastest growing insurance brokerage and consulting firms in the US, is adding a Customer Service Advocate to their <a href="https://www.corpsyn.com/">Corporate Synergies</a> team in the Philly Metro Region.&nbsp;</span></strong></p> <p><strong><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Job Summary:<br></span></strong><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">The Customer Service Advocate handles claims resolution, benefits inquiries, coverage eligibility concerns, and other related issues for our clients' administrators and employees. They work closely with clients and carriers via phone and email to resolve matters within a 24-hour timeframe.<br></span><strong><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;"><br>Essential Functions:<br>• &nbsp; &nbsp;</span></strong><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Address client employee insurance concerns, answer benefit-related questions, and assist with claims resolution, patient advocacy, and pre-certifications.<br>• &nbsp; &nbsp;Educate client employees on optimal benefit utilization and provide guidance on cost-effective plan options.<br>• &nbsp; &nbsp;Maintain detailed records of client interactions, entering data into Salesforce and generating client analysis reports as necessary.<br>• &nbsp; &nbsp;Use Salesforce to gather client information and enhance service quality.<br>• &nbsp; &nbsp;Monitor resolution timelines to ensure benefit issues and claims are closed within the designated timeframe.<br>• &nbsp; &nbsp;Review Summary Plan Descriptions (SPDs) and benefit summaries for accuracy.<br>• &nbsp; &nbsp;Offer expertise on insurance billing, coding, employee group benefits, insurance processes, and plan descriptions to clients.<br>• &nbsp; &nbsp;Act as a primary resource within the team, delivering exceptional customer service and support in resolving insurance and benefit-related issues.<br>• &nbsp; &nbsp;Address member eligibility inquiries, enrollment entry and confirmation of coverage.<br></span><strong><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;"><br>Competencies &amp; Qualifications:&nbsp;<br>• &nbsp; </span></strong><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">&nbsp;Exceptional verb