What are the responsibilities and job description for the Customer Service Representative - Employee Benefits - Bilingual Japanese/English position at MST Insurance Solutions, Inc?
Job Description
Job Title: Customer Service Representative
Classification: Non-Exempt
Department: Employee Benefits
Location: Torrance, CA hybrid - applicants should be local to LA area
Reports to: Customer Service Manager
Overview
Under the direction of the Customer Service Manager, the Customer Service Representative services a book of employee benefits business. Works with Account Managers, Account Executives, and Marketing Executives in handling all the inside service work associated with the client's program, including all customer service activity such as, but not limited to: routine coverage questions, claim issue solving, eligibility, preparation of formal proposals, creating employee benefit guides.
Essential Duties & Functions
Other duties may be assigned.
• Acts as a liaison with insurance carriers, providers, and employees to resolve claims (including assistance in the appeals process), billing, eligibility, and any other coverage issues.
• Assist with commission tracking and invoicing.
• Preparation of employee benefit booklets and open enrollment materials as needed under the direction of the Account Manager
• Communicates with Account Management Team, employees, and insurance carriers to resolve benefit issues.
• Processes client eligibility requests including enrollments, terminations, and changes using various online portals or benefits administration systems.
• Under the direction of the Account Manager, assist with census preparation for marketing or implementation purposes.
• Answers employee benefits and insurance coverage questions.
• Assist in conducting client open enrollment meetings as requested.
• Participate in seminars and educational classes for development of skills and knowledge.
• Provides high quality of work with professional demeanor and technical accuracy.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
• High school diploma or general education degree (GED) and minimum two-years related experience and/or training preferred.
• Proficient with MS Office Suite.
• Strong mathematical and analytical skills.
• Excellent verbal and written communication skills.
• Exceptional customer service skills.
• Ability to exercise independent judgment.
• Ability to work independently and make accurate decisions and demonstrate good judgement.
• Must obtain and maintain active Life/Accident and Health Insurance Agent License
• Maintain positive working relationships and clear communication with co-workers, vendors, and insurance carriers.
Work Environment
Fast-paced environment with significant telephone and personal disruption. Large number of multiple steps in complex system performed with accuracy and speed is essential to the successful completion of tasks. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
The company is an equal opportunity employer and complies with ADA regulations as applicable.
Salary : $52,000 - $62,000
