CSR - Customer Service Representative

FSA TPA POSITION PROFILE

JOB TITLE: Customer Service Representative Tier 1

DEPARTMENT: Benefits Department

REPORTS TO: Customer Service Manager

I. SUMMARY

Primary responsibilities include but not limited to providing outstanding customer service for all external customers to FSA TPA as it relates to Tribal Member benefit account services by utilizing excellent, in depth knowledge of the Company's products and programs, adjudicating electronic claims and data entry of paper claims per General Welfare Exclusion Act of 2014 as well as IRS tax code and according to plan designs as established by the client as well as generating correspondence to members regarding individual claim issues

II. QUALIFICATIONS

The requirements listed below are representative of the education, experience, knowledge, skill and/or ability required or preferred.

REQUIRED SKILLS

· High school diploma is required

· Must have a working knowledge of computers with the ability to work in a Windows environment with various software programs such as Word, Excel, etc.

· Communication, problem solving and analytical skills with a high attention to detail in a team environment is a must

· Excellent interpersonal and communication skills, both verbally and in writing

PREFERRED SKILLS

· Experience working with flexible spending accounts and cafeteria plans in a customer service environment is preferred

· Knowledge of additional software programs such as: Alegeus, Salesforce and Five9 is preferred

III. ESSENTIAL FUNCTIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

· Respond to telephone calls and e-mails to address the customer's needs as it relates to benefit payments related to housing, healthcare, transportation, food and other defined benefits.

· Position may require the ability to examine, process, calculate and pay

claims insuring substantiation, authentication, documentation and reports, etc. according to Tribal Client’s General Welfare Exclusion Ordinances and or Plan Documents

· Research customer's information to resolve their questions and concerns efficiently and accurately

· Communicate and distribute information to various departments with the company

· Perform high levels of data entry and other benefit related services

IV. Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to sit for extended periods of time; stand; walk; use hands to finger, handle or feel; and reach with hands and arms.

V. POSITION TYPE / EXPECTED HOURS of WORK

· This is a full-time position. Days of work are Monday through Friday, with the possibility of working non-traditional hours as required to meet FSA TPA objectives.

VI. DISCLAIMER AND CONDITIONS OF EMPLOYMENT

· The above statements are intended to describe the general nature and level of work being performed by persons assigned to this job. These statements are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required.

· To ensure that individuals who join FSA TPA, LLC are well qualified and to ensure that we maintain a safe and productive work environment, FSA TPA, LLC reserves the right to conduct pre-employment background checks on all applicants who accept an offer of employment. Background checks may include verification of any information on the applicant’s resume or application form and their authorization to work in the US.

Job Type: Full-time

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Shift:

• Day shift

Ability to Relocate:

• Atmore, AL 36502: Relocate before starting work (Required)

Work Location: In person