Claims Specialist - Employee Benefits

Please note; this role is based in Hartland, WI!

Job Title:
Claims Specialist

Company Overview:
We are a fast-growing Third Party Administrator (TPA) specializing in tax-advantaged benefit plans such as Flexible Spending Accounts (FSAs), Health Reimbursement Arrangements (HRAs), Health Savings Accounts (HSAs), COBRA, and Individual Coverage HRAs (ICHRAs). Our mission is to help employers and participants maximize their benefits with confidence, clarity, and compliance.

Job Description:
We are seeking a Claims Specialist to join our dynamic and detail-focused team. In this role, you’ll be responsible for the day-to-day plan administration of pre-tax benefit plans for an assigned group of clients. This high volume, fast paced position requires strong multi-tasking and organizational skills and includes a high volume of claims processing, issuance of reimbursements, benefit plan setup/changes and managing daily client communications.

Responsibilities:

• Provide a high level of professional service to our clients and benefit plan participants.
• Responsible for day-to-day plan administration of pre-tax benefit plans for assigned group of clients. Includes a high volume of claims processing, issuance of reimbursements, plan changes, status changes, enrollments, responding to client and participant inquiries, plan set-up in administration software and implementing plan changes.
• Effective regular communication with clients via phone and email regarding plan changes, claims processing, updates, questions, etc.
• Generate reports and audit accuracy of information.
• Collaborate with all company departments to ensure client requests are met and a high level of service is consistently provided.

Qualifications:

• Previous experience in claims processing, payroll, banking or insurance environment is required.
• Minimum of two years of experience in a professional work environment working directly with customers.
• Possess excellent organizational, detail orientation, follow-through, analytical and problem-solving skills.
• Excellent interpersonal skills and demonstrated professionalism.
• Able to effectively work with personnel of varied skill levels and work through challenging situations efficiently.
• Solid working knowledge of Microsoft Office (including Excel)
• Able to handle information confidentially.

Job Type:
Full-time

Schedule:

• Monday to Friday
• Flexible start time (8:00 or 8:30 a.m.)
• Onsite fulltime for six months / transitions to hybrid (1 day remote/4 in office thereafter)

Compensation:

• Competitive salary
• Annual performance bonus opportunities

Benefits:

• Health, dental, and vision insurance
• Disability insurance – company paid
• Life Insurance – company paid
• FSA, HSA, and HRA benefits with employer funding (of course!)
• 401(k) with employer match
• Paid time off and holidays
• Employee Referral bonus program
• Paid training program and professional development
• Opportunities for advancement within a growing organization

Location:

• Hartland, WI

Ready to Apply?
Whether you come from a healthcare background, payroll, banking or an insurance environment, or just passionate about making work more meaningful – we want to meet you!

APPLY NOW OR TAG SOMEONE WHO’S READY FOR THEIR NEXT GREAT OPPORTUNITY! https://www.dbsbenefits.com/careers/