MEBS TPA Client Service Representative at MMC in Greenville, South Carolina

Job Description:

** Currently Remote, may have a hybrid future schedule**




**8 hour shifts that range between 10am - 8pm, shifts will be discussed during the interview**



The applicable base salary for this role is$45,760. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.


Provide responsive service for information inquiries and claims process for Flexible Spending Accounts, Health Reimbursement Arrangements, Transportation Spending Accounts and Health Saving Account (HSA) Plan or COBRA Clients as appropriate. Determine coverage and pay out based on IRS guidelines. Educate plan participants verbally and via written correspondence on clients' plan specifics. Research and resolve issues as it relates to benefits. Build and maintain rapport with clients. Work collegially as a supportive member of the production team for the benefit of the clients and internal partners. Maintain open, effective communication and timely follow-up.



ESSENTIAL DUTIES AND RESPONSIBILITIES

Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
1. Take ownership and accountability to address and resolve client questions and issues, working toward a first call, first email or letter resolution, whenever possible.
2. Identify any coverage gaps and offer client solutions. Maintain proper documentation on coverages, eligibility and exceptions.
3. Document customer contact completely within client management system.
4. Ensure all business results (quality, production, and time service) meet standards.
5. Maintain daily client management functions in system applications, as required.
6. Keep abreast of system functionality, industry related regulations as it pertains to Health Insurance Portability and Accountability Act (HIPAA)), §125, §132, HSAs and COBRA as appropriate.
7. Teach clients plan specifics, the use of online tools and provide information to assist them in the future.
8. Support overall MEBS revenue and retention goals.
9. Other responsibilities as assigned.



QUALIFICATIONS


Required Qualifications:

The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. High School diploma or equivalent work experience
2. Strong organizational skills
3. Strong communication and interpersonal skills (written and verbal)
4. Maintain an enthusiastic, positive attitude at all times
5. Able to utilize Office Suite applications (Word, Excel, Outlook) and Adobe



Preferred Qualifications:

1. Advanced degree
2. Certification in field of endeavor
3. Call Center experience as appropriate