Senior Client Advocate, Claims Advocacy

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Senior Client Advocate, Claims Advocacy – NFP Corporate Services

Essential Duties and Responsibilities:

* Manages high volume of client requests; services difficult or high maintenance clients and their employees.

* Effectively handles complex claim appeals or issues.

* Assist in developing new/better practices for Claims Advocacy and Client Management.

* Assist with creation of templates and materials used by the Claims Advocacy Team.

* Act as a liaison between insurance providers and clients regarding employee status and eligibility for coverage.

* Resolve standard claim issues and provide assistance with non-standard claim appeals.

* Verify completion and validity of claim forms.

* Review company records to determine coverage.

* Calculate amounts of claims and submit for payment.

* Ensure all client data is entered into CRM System (SalesForce) in a timely manner.

Knowledge, Skills and/or Abilities:

* Ability to effectively demonstrate claims process and practices to coach new and Associate Client Advocates and act as a guide.

* Knowledge of Medical, Dental, Vision Plans and Flexible Spending Accounts required.

* Experience with Insurance Carrier self-service portals and call centers a plus.

* Strong Microsoft Excel and PowerPoint skills.

* Ability to thrive in a fast-paced and demanding environment.

* Vigorous attention to detail, highly-organized with the ability to balance multiple tasks simultaneously.

Supervisory Responsibilities:

* Indirect mentoring and training of junior team members.

Contact Information

NFP Corporate Services (NY), LLC

Pamela Dorner

1405 Davis Ave

Endwell, NY 13760



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