Benefits Claims Specialist

Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Benefits Claims Specialist, you'll play an important role in helping us offer customized, self-funded insurance options to our clients and members.

The Benefits Claims Specialist will be responsible for the organization's flexible spending account and tuition reimbursement benefits. This includes processing claims, auditing reimbursement requests, and answering phone calls from plan participants and clients. The position resides in a commercial office setting. Remote equipment is provided for business continuity purposes for all trained employees. The candidate must be capable of working onsite Full-time, especially during introductory training period (roughly 90-120 days).

Responsibilities

• Review, adjudicate, and remit/deny claims for clients with employer-sponsor benefit plans related to flexible spending accounts and tuition reimbursement plans.
• Answer participant and client calls to resolve benefit inquiries pertaining to flexible spending accounts and tuition reimbursement plans.
• Engage in dialogue with clients to review and update policies and procedures relating to the administrated benefit plan(s).
• Serve as internal subject matter expert for flexible spending accounts and tuition reimbursement plans and communicate any compliance or operational changes to other department leaders.
• Perform other duties as assigned.

• High school degree or GED, with relevant industry experience (as detailed below).
• Healthcare of health-related experience with respect to operations support, including provider maintenance, billing, coding, or customer support.
• Past exposure to employee benefits also desired.
• Working knowledge of Microsoft Office and the ability to integrate and learn new systems.
• Demonstrated telephonic customer service experience.
• Capable of high-paced multitasking, prioritizing, and meeting deadlines.

Benefits:

After successfully completing a 60-day waiting period, every Full-time employee has access to our comprehensive benefits package, including:

• Fantastic medical, dental, and vision insurance- twice annual employer HSA contribution, covering 50% of the plan's annual deductible!
• Company paid Basic Life and AD&D
• Company paid Short-Term and Long-Term Disability
• Flexible Spending Accounts
• 401(k) Retirement Plan with up to a 6% employer-match (WOW!)
• 10+ paid holidays
• Generous paid vacation and sick time
• Lots of fun company events

Who We are:

As a trusted third-party administrator (TPA) specializing in self-funded benefit plans, Cobalt Benefits Group (CBG) is committed to helping employers find high-quality coverage at a cost they can afford. We administer self-funded insurance benefits through our three companies: EBPA, Blue Benefit Administrators of Massachusetts, and CBA Blue.

With over 30 years of experience and a dedicated team of more than 180 employees, we work collaboratively to build customized self-funded health plans, manage claim payments and disputes, and administer other specialized programs such as FSAs, HSAs, COBRA, and retiree billing. Join us as we match employers across our region with the right solutions for their employee benefit needs.

To learn more about working at CBG, visit Careers | EBPA (ebpabenefits.com).

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