Benefit Plan Service Representative — Claims Advocate

Job overview

The Benefit Plan Service Representative role is onsite in Covington, GA; compensation is not specified, though the posting describes pay as competitive. The role supports HealthComp members by reviewing medical claims and responding to benefit questions. The representative determines benefits due under plan provisions, completes payment or denial processing, and communicates with members and vendors to resolve claims. The schedule is an eight-hour shift, Monday through Friday.

What you'll do

• Review claim documentation and determine benefits due
• complete denial or payment processing
• request information by phone or in writing
• answer member calls and respond to email and telephone inquiries
• follow applicable insurance regulations
• authorize plan liability according to policy provisions.

What we're looking for

Skills & competencies

benefit plan service representative

claims advocate

healthcomp

covington ga

medical claims

benefits review

member support

call center

claims processing

monday–friday

eight-hour shift

health insurance

401(k) matching

paid time off

Work arrangement

• Weekend coverage required

Benefits & perks

• Paid time off, health and wellness benefits, company-paid life insurance and disability plan, 401(k) with matching, employee discounts, wellness program, dental, health, and vision insurance, and health savings account.

Why this role

The description calls the role a Claims Advocate and requests at least one year of related call-center customer-service experience or training.

About the employer

HealthComp is hiring for this role. Industry: Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds. Sector: 52.