Bilingual Claims Account Specialist - Employee Benefits

Location: Hartland, Wisconsin

Employment Type: Full-time (possible 1 day remote after six months)

Help people make the most of their employee benefits.

We’re looking for a Bilingual Claims Account Specialist to join our Employee Benefits team and play an important role in helping employees navigate their benefits and claims. This position is ideal for someone who enjoys problem-solving, working with people, and bringing clarity to situations that can sometimes feel complicated or frustrating.

This is a high-volume, fast-paced role where attention to detail, organization, and the ability to manage multiple priorities are essential and includes validation of claims and process reimbursements, status changes, enrollments, responding to client and participant inquiries and implementation of plan set-ups/changes.

If you enjoy solving problems, working with people, and keeping the details moving behind the scenes, this could be a great fit.

Spanish/English bilingual proficiency is required.

What You’ll Do

• Provide a high level of professional service to DBS clients and benefit plan participants
• Responsible for day-to-day plan administration of pre-tax employee benefit plans for assigned group of clients that includes validation of claims and process 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 in both English and Spanish with clients and plan participants via phone and email regarding plan changes, claims processing, updates, questions, etc.
• Master various PC applications and learn software programs quickly.
• Maintain current working knowledge of benefit plan designs and IRS regulations regarding plans.
• Accurately enter and audit participant claims and determine eligibility for reimbursement.
• Generate reports and audit accuracy of information.
• Provide assistance to Customer Service Team during peak times when we experience increased claims and call volume.
• Assist with basic office coverage for team members who are out of the office.
• Work directly with all company departments to ensure client requests are met and a high level of service is consistently provided.

What We’re Looking For

We’re looking for someone who is organized, detail-oriented, responsive, and comfortable working in a high-volume environment. You don’t have to know everything about employee benefits on day one but we value someone who is curious, positive minded, learns quickly, and takes ownership of their work.

What You’ll Need to Succeed:

• Proven ability to provide a high level of customer service.
• Possess excellent organizational, detail orientation, follow-through, analytical and problem-solving skills.
• Possess basic math/accounting competencies required within position.
• Effective multi-tasking skills.
• Excellent interpersonal skills and demonstrated professionalism.
• Ability to quickly change gears and demonstrate flexibility.
• Solid working knowledge of Microsoft Office 365 (including excel).
• Able to effectively work with personnel of varied skill levels and work through challenging situations efficiently.
• Able to handle information confidentially.
• Minimum of two years of experience in a professional work environment working directly with customers.

What Will Set You Apart

• Experience administering FSA, HSA, HRA, ICHRA or other pre-tax benefit plans.
• Previous experience with benefits administration or claims validation and process reimbursements.
• Familiarity with employee benefits terminology and processes.
• Experience working with insurance carriers, third-party administrators, employers, or benefit providers.
• Experience supporting a high volume of clients, customers, or participants.
• Previous experience working in a bilingual customer-facing role.

What You Can Expect

This is a role where the details matter and the work makes a difference. Every day, you’ll have the opportunity to help a diverse group of people understand and access benefits that are important to them and their families.

You’ll be part of a collaborative team that values accuracy, accountability, responsiveness, and excellent service. We’ll provide the training and resources you need to learn about our systems and processes while giving you the opportunity to grow your knowledge of the employee benefits industry.

Company Overview
Diversified Benefit Services, Inc. (DBS) is a leading third-party administrator specializing in flexible benefit plans such as FSAs, HRAs, HSAs, ICHRAs, and COBRA. With nearly 40 years of experience, we are dedicated to delivering exceptional benefit plan solutions and fostering a positive, team-oriented work environment.

Join us at DBS where your expertise will contribute to delivering top-tier benefits administration while growing your career in a vibrant environment that values motivated professionals committed to excellence! Apply now, it’s quick and mobile-friendly https://diversifiedbenefitservices.applytojob.com/apply

If this role sounds like a fit, we'd love to hear from you. Apply now.

Diversified Benefit Services Terms and Conditions:

1. Diversified Benefits Services uses SMS in efforts to contact candidates in a timely manner in order to request more information or keep candidate informed regarding the status of their application.

2. You can cancel the SMS service at any time. Just text "STOP" to the short code. After you send the SMS message "STOP" to us, we will send you an SMS message to confirm that you have been unsubscribed. After this, you will no longer receive SMS messages from us. If you want to join again, just sign up as you did the first time and we will start sending SMS messages to you again.

3. If you are experiencing issues with the messaging program you can reply with the keyword HELP for more assistance, or you can get help directly at mprescott@dbsbenefits.com.

4. Carriers are not liable for delayed or undelivered messages.

5. As always, message and data rates may apply for any messages sent to you from us and to us from you. You will receive occasionally. If you have any questions about your text plan or data plan, it is best to contact your wireless provider.

6. If you have any questions regarding privacy, please read our privacy policy below.

Privacy Policy: We collect your mobile number and related opt-in data for the delivery of SMS messages. Your mobile opt-in data and consent will not be shared with third parties or affiliates for marketing or promotional purposes.