Job Title: Customer Service Representative

Job Location: Orange, Connecticut

Company Website: www.90degreebenefits.com

Company Summary:

90 Degree Benefits is a Third Party Administrator that designs and administers benefits for self-funded employers. Our clients are mostly located in Connecticut and have between 20 to approximately 500 employees. We process health and dental claims, evaluate opportunities to improve members’ health, and help firms maximize the value of their benefits program. As leaders in the industry, the 90 Degree Benefits team in Connecticut takes pride in guiding clients and their members on the road to achieving greater health, productivity, and success.

Position Summary:

90 Degree Benefits is seeking a full time Customer Service Representative to join our team. This position is responsible for providing accurate and timely information on self funded plans, consumer driven products, and claims. The successful candidate will provide superior service to our clients, members, brokers and providers.

Essential Duties and Responsibilities:

• Partner with sales and account management to provide clients with information outlined in Administrative Agreement, Summary Plan Document and Summary of Benefits.
• Provide accurate response to requests from members or providers on general claims, , FSA and HRA.
• Work cooperatively with claims analysts on claim payment issues
• Work closely with the Client Services/Funding Department to resolve incorrect claim payment issues
• Effectively and accurately communicate with providers, clients and participants in oral and written form.
• Provide timely feedback to the company regarding service failures, ideas for efficiencies or concerns.
• Demonstrate the ability to understand the process of payment of health claims from entry to specific stop loss submission
• Monitor and respond to provider mailbox

Other non essential duties may be assigned at any time

Qualifications:

• Experience providing service excellence, preferably in the insurance industry

• Preferred: Experience working for a third party administrator managing health plans for clients
• Computer proficiency and technical aptitude with the ability to use Microsoft products, claims systems and shared drives.
• Effective planning and priority setting with the ability to manage several complex projects simultaneously with multiple deadlines.
• Strong analytical skills and the ability to understand how employee benefit changes impact employee behavior and plan costs.
• Knowledge of benefits contract language preferred
• Project management skills and experience
• Excellent communication and organization skills, both internally and externally, to all customers.

90 Degree Benefits celebrates diversity and is committed to creating an inclusive environment for all employees.

We are an Equal Employment Opportunity (EEO) employer and do not discriminate on the basis of race, color, national origin, religion, gender, age, veteran status, political affiliation, sexual orientation, marital status, or disability (in compliance with the Americans with Disabilities Act) with respect to employment opportunities.

Job Type: Full-time

Pay: $22.00 - $25.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance
• Work from home

Experience level:

• No experience needed

Shift:

• Day shift

COVID-19 considerations:
95% of our staff continues to work on a remote status. This position will remain 85-90% remote

Application Question(s):

• Are you able to work remotely most days (have a HIPAA compliant workspace at home)?

Experience:

• Health Insurance Customer Service: 1 year (Preferred)

Language:

• Spanish (Preferred)

Work Location: One location

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