VantagePoint Benefit Administrators has a 20+ year track record of helping employers implement superior programs to simplify payroll, benefits, and HR into a cohesive, compliant and affordable package, providing a long-term strategic approach that manages the ever-increasing cost and complexity of employee management.
Role Description
We have openings for full time and part time roles for a Claims Specialist at VantagePoint Benefit Administrators located in Lynbrook, NY. The Claims Specialist will be responsible for managing and handling claims for FSA/TPA/HSA/HRA/COBRA etc., liaising with clients, analyzing claim data, working with insurance providers, and communicating with internal and external stakeholders.
Benefits (dependent of number of hours worked)
Comprehensive PTO Package, which increases with tenure
Contributed Medical, Dental, Vision, FSA, TRA
Contributed 401k
Employer paid Short Term Disability, Long Term Disability and Life Insurance
Qualifications
Experience working with Employee Benefits
Experience with FSA, TRA, HSA, HRA, COBRA plans
Experience working in a medical facility such as a doctors office or a hospital is a bonus
Strong Claims Management and Claims Handling skills
Analytical skills to analyze and interpret claim data
Insurance knowledge and experience with insurance providers
Excellent communication skills, both written and verbal
A Bachelor's degree in a related field or equivalent experience
Strong attention to detail and ability to prioritize tasks
Proficient in Microsoft Excel and other office software
Bilingual (English and Spanish) is a plus
Essential Duties and Responsibilities
Responsible for claims support / customer service to clients on new and renewal accounts.
Maintains in-house support for clients.
Takes initiative to handle all Account Management activities, including direct client contact, with very little support from the TPA Team Leader.
Maintains a professional and friendly communication with clients, insurance carriers, general agents, vendors, etc.
Acts as backup for overflow and/or absent benefits team members to support client needs and deadlines.
Assist with the setup and maintenance of client files according to department systems and procedures.
Assists in retrieving carrier information, setting up the file and inputting information into internal systems.
Assists with open enrollment meetings and manage any carrier requirements for both small and large group renewals.
Acknowledges and responds to any client requests in a timely manner.
Performs other tasks on projects as needed/assigned.
Equal Employment Opportunity
VantagePoint Benefit Administrators is an equal opportunity employer. We will extend equal opportunity to all individuals without regard to race, religion, color, creed, sex (including pregnancy, sexual orientation and gender identity), national origin or ancestry, citizenship and immigration status (if legally eligible to work), marital status, military service/veteran status, disability, age, genetic information, hair (Crown Act), height, weight, or any other status protected under applicable federal, state, or local laws. Our policy reflects and affirms VantagePoint's commitment to the principles of fair employment and the elimination of all discriminatory practices.