Benefits Representative - Remote

Benefit Representative

Position Summary:

A Benefit Development Specialist is responsible for delivering high-quality service and administrative support to clients, policyholders, and internal teams related to life insurance and employee/group benefit products. This role involves responding to inquiries, processing policy changes, assisting with claims and billing issues, and ensuring the accurate maintenance of policy records. You will act as a critical liaison between the customer and the insurance provider, helping ensure client satisfaction and retention.

Key Responsibilities:

Customer Support & Communication

• Respond to incoming calls, emails, and support tickets regarding life and benefits policies in a timely, professional, and empathetic manner.
   
• Educate policyholders, HR administrators, and brokers on plan details, claims processes, and eligibility requirements.
   
• Provide detailed explanations of policy provisions, billing procedures, coverage levels, and benefit options.
   

Policy & Enrollment Administration

• Process policy changes, including beneficiary updates, coverage adjustments, cancellations, and reinstatements.
   
• Support open enrollment activities by updating systems, and confirming accuracy of benefit elections.
   
• Ensure timely and accurate data entry and documentation in policy administration in company systems.
   

Claims & Billing Support

• Guide policyholders and administrators through the claims process, ensuring all documentation is collected and submitted correctly.
   
• Resolve issues related to premium payments, invoice discrepancies, and employer billing accounts.
   
• Coordinate with the billing and claims teams to ensure smooth resolution of customer concerns.
   

Documentation & Reporting

• Maintain thorough and organized records of customer interactions, policy updates, and service resolutions.
   
• Generate reports related to client service metrics, open cases, and policy activity to identify trends and areas for improvement.
   
• Assist with compliance documentation to meet internal standards and external regulatory requirements.
   

Team Collaboration

• Work closely with internal departments Sales, Claims, and Legal to address customer needs effectively.
   
• Participate in training and cross-functional meetings to stay up to date on product changes, system updates, and best practices.
   
• Support team performance goals and contribute to a positive, solutions-oriented culture.
   

• Experience in a customer service, benefits administration, or insurance support role (life/health insurance is a plus but not required, we train new hires).
• Working knowledge of life insurance and group benefits 
• Experience with Zoom and insurance administration platforms
• Life & Health insurance license (required).

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Skills & Competencies:

• Strong verbal and written communication skills with a customer-first attitude.
   
• Attention to detail and accuracy in handling sensitive customer and policy data.
   
• Ability to multitask, prioritize workloads, and meet deadlines in a fast-paced environment.
   
• Solid problem-solving skills and sound judgment when handling escalations.
   
• Team player with a proactive approach to learning and service improvement.

Preferred Attributes:

• Familiarity with local jurisdiction, government, and other regulations impacting group life and benefit policies.
   
• Experience supporting policy/ benefits clients.

• Uncapped commission 
• Comprehensive health, dental, and vision plans
• Performance incentives
• Generous paid time off and holiday schedule
• Career development programs and licensing processing assistance