Job Description
Job Description
About Armed Forces Benefit Association (AFBA) and 5Star Life
In 1947, AFBA emerged from the basement of the Pentagon to solve a critical need in support of the military. More than 75 years later, our commitment to those who serve and to solving their unique problems remains core to everything we do. Founded to provide military members with a death benefit no one else would, we continue to embrace our mission and deliver benefits tailored to the real-life needs of all who serve today, including active duty, National Guard, and first responders. Providing protection to those who go in harm’s way, we ensure survivor and other benefits are available to all who serve, defend, and protect our great nation, no matter what. 5Star Life Insurance Company was founded in service and carry that mission today by committing to serve those who serve, from underwriting benefits for military and first responder families to providing coverage to the employees that keep our communities running. Our commitment to our communities – rather than the bottom line- drives our business.
We offer a hybrid work environment. This position is in Lincoln, NE.
GENERAL DESCRIPTION :
Be part of a dynamic forward thinking Worksite Group Voluntary Benefits team focused on providing an elevated client experience and comprehensive portfolio of life and supplemental health products striving to deliver total health and wellbeing to employer groups and their employees. The Customer Concierge position is among our most visible and important roles, responsible for processing and responding to all insurance inquiries and completing appropriate actions to meet the needs of our customers.
ESSENTIAL DUTIES AND RESPONSIBILITIES :
- Manage a high volume of call inquiries while meeting established performance benchmarks and Metric’s quality standards
- Adjudicate qualifying voluntary health wellness, office visit and Rx claims per contract and benefit guidelines
- Handle other claim intake phone calls with brokers, groups and beneficiaries to enable the claim setup / intake process with warm handoff to Claims Analyst when appropriate
- Effectively communicate with insureds on requirements for processing claims and other requested changes to coverage
- Learn, understand, and explain company products and services
- Understand and explain application processes and procedures
- Work with New Business and other functional areas to assist in non-financial processing work during phone-free time
- Communicate with members via phone, emails, and respond to voice mails and chats.
- Provide information about members’ current policies, products we offer, payment options, beneficiary information, and our company’s processes
- Respond to member questions and / or concerns promptly, courteously, accurately and to the best of our ability.
- Document interactions with members including recording details of inquiries, complaints, resolutions and comments)
- Coordinate with the other departments to identify and select solutions to resolve inquiries and / or complains (Through workflows, emails, or supervisors)
- Handle daily administrative tasks
- Participate in special projects as needed
EDUCATION AND EXPERIENCE :
High school GED equivalent or equivalent work experience, 2 year associates degree preferred2-3 years of customer service experience including extensive telephone customer serviceExcellent written and oral communication skillsExcellent customer service skills including the ability to maintain professional composure when communicating with the membersWorking knowledge of software packages to include Microsoft office, and Salesforce.comAbility to manage a high volume of calls, multi-task and be attentive to detailsSpanish Language skills a plusKNOWLEDGE, SKILLS AND ABILITIES
Working knowledge of life and health insurance or the ability to learnSome limited health claims adjudication experience a plusAbility to guide conversations and use appropriate words and tone when dealing with difficult situations while maintaining a professional demeanorStrong attention to detailForward thinking with innovation in mindAbility to multi-task and navigate multiple systemsFlexibility in adapting to changes in systems, procedures, and guidelinesDemonstrates complete adherence to privacy laws and company privacy guidelines, and appropriate level of concern for the safeguarding all client informationBelieve in teamworkAbility to solve problems and react quickly in case of any urgent situationsA helpful and supportive naturePossess and maintain a positive work environmentPractice good work ethics and be able to lead by exampleBenefits we offer :
health insurance (medical, dental, and vision)flexible spending accounts (medical and dependent care)401k plan with generous employer matchpaid time offpaid holidays (11)life insuranceshort- and long-term disability insuranceemployee assistance programprofessional development & tuition reimbursementcareer growth opportunitieson-site gym and locker rooms (Alexandria, VA office only)friendly, collaborative cultureQualified people of all races, ethnicities, ages, sex, genders, sexual orientations, national origins, gender identities, marital status, religions, veterans' statuses, disabilities, and any other protected classes are strongly encouraged to apply. As an equal opportunity workplace, we are committed to creating an inclusive environment for all employees. AFBA and 5Star Life Insurance Company endeavors to make reasonable accommodations to the known physical or mental limitations of qualified applicants with a disability unless the accommodation would impose an undue hardship on the operation of our business. If an applicant believes they require such assistance to complete the application or to participate in an interview, or has any questions or concerns, they should contact Human Resources ([email protected]). EEO is the Law (Link to external DOL site). AFBA and 5Star Life Insurance Company is an Equal Opportunity Employer and an E-Verify Employer.