Claims Processor- Flex Benefits and CDH Accounts (MA Hybrid or remote)

Indianapolis, Indiana
Full time
Posted
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NFP Corp.
Insurance & superannuation
5,001-10,000 employees
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Who We Are

NFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and the WORK180 employer endorsement. We’re a recognized Elite Agency award winner and a leading property and casualty broker, benefits consultant, wealth manager, and retirement plan advisor. NFP provides solutions enabling client success through the expertise of over 8,000 global employees, investments in innovative technologies, and enduring relationships with highly rated insurers, vendors and financial institutions. To learn more, please visit: https://www.NFP.com.

The Division within NFP

American Benefits Group (ABG) is one of the nation’s leading employee benefit solution providers for Consumer Directed Health accounts, COBRA and Direct Billing services. Over the course of the past 25 years, we have grown considerably and we are looking to grow our team even further. We are transforming the benefits administration industry with empowering technology and a world-class customer service experience. Come join us and be a part of a team of outstanding individuals working towards building benefit solutions and creating great futures.

Every employee at ABG maintains a laser focus to exceed client expectations every day. We’re proud to be on the leading edge of our industry today, and as we move into the future of Consumer Directed Health Care. Our core mission is to deliver our empowering technology solutions and exceptional service while building strong long-term relationships with our clients, brokers, consultants, and participants. Welcome to American Benefits Group.

This position includes but is not limited to the following:

Position Summary:

The Claims Processor is responsible for accurate and timely processing of claims which includes claims for FSA’s, HRA’s, Retiree plans, Lifestyle Accounts, Parking and more. The position requires working collaboratively with our claims team to ensure that participant claims are handled accurately and promptly.

  • Required experience in CDH accounts and reviewing and processing Flex Benefits claims. Experience within a TPA is highly desired.

This is a full-time opportunity working a hybrid schedule from our office in Northampton, MA. the work hours are 8:30am-5pm EST. We also offer the flexibility for experienced candidates to work remotely.

Core Competencies:

  • Understand and follow all claims procedures
  • Stay up to date on all applicable regulations related to claims processing
  • Collaborate with the claims team to optimize efficiency
  • Handle confidential information according to all HIPAA legislation
  • Key claims for FSA, HRA, Wellness and parking benefits
  • Adjudicate card transactions and manual claims submitted by participants through our online portal
  • Provide an excellent experience for our participants and clients
  • Process claims adjustments per internal procedure
  • Utilize company resources to maximize efficiency
  • Perform any other duties, pertaining to the business needs as assigned by Department Manager

Requirements:

  • Must have a passion for service
  • Be a keen problem-solver
  • Be a self-starter who can takes initiative when needed
  • Embraces challenges
  • Superior written, verbal, and organizational skills
  • Be highly detail-oriented and possess strong multitasking and time management
  • Highly organized
  • Work well under stressful situations and manage a large client book with high call and email volumes at times
  • Must be able to rely on your resources and quickly research a response
  • Ability to work and thrive in an energetic, fast-paced environment
  • Highly goal-oriented and self-motivated
  • Ability to set and exceed expectations
  • Forward-thinking and adaptable to change
  • Ability to navigate between multiple web-based programs
  • Be a team player

Credentials & Experience

  • Required: Minimum of 2 years’ experience in CDH accounts and reviewing and processing Flex Benefits claims. Experience within a TPA is highly desired.
  • Experience in medical billing preferred
  • Familiarity with compliance requirements governing pre-tax benefits. IRS Sections 125, 105, and 132
  • Associates Degree or relevant experience is preferred. HS Diploma or GED is required

What We Offer

We're proud to offer a competitive salary, PTO & paid holidays, 401(k) with match, exclusive discount programs, health & wellness programs, and more. Our PeopleFirst culture focuses on building and nurturing lifelong relationships with our employees because, at the end of the day, we exist to be there for others.

NFP and You... Better together!

NFP is an inclusive Equal Employment Opportunity employer.