What are the responsibilities and job description for the Employee Benefits Client Representative position at Ross & Yerger Insurance, Inc.?
Summary
The Employee Benefits Client Representative is an entry-level role within the Employee Benefits Division and the first step on the pathway to Client Associate. The Client Representative supports Client Managers and Client Associates by handling
assigned day-to-day service tasks — pulling ID cards, assisting with claims issues, and keeping group account records current in Epic. Through this work, the Client Representative builds the product knowledge, system skills, and service habits needed to advance, while helping deliver a consistent client experience that reflects the Ross & Yerger standard of service.
Major Duties And Responsibilities
Client and Team Support
Required
Note: This job description is not all-inclusive and may be supplemented as business conditions change.
The Employee Benefits Client Representative is an entry-level role within the Employee Benefits Division and the first step on the pathway to Client Associate. The Client Representative supports Client Managers and Client Associates by handling
assigned day-to-day service tasks — pulling ID cards, assisting with claims issues, and keeping group account records current in Epic. Through this work, the Client Representative builds the product knowledge, system skills, and service habits needed to advance, while helping deliver a consistent client experience that reflects the Ross & Yerger standard of service.
Major Duties And Responsibilities
Client and Team Support
- Complete day-to-day service tasks assigned by Client Managers and Client Associates accurately and within requested timeframes.
- Request, retrieve, and distribute member ID cards through carrier portals and carrier service teams.
- Respond to routine client and employee inquiries by phone and email, escalating coverage interpretation, plan design, and renewal questions to the assigned Client Manager or Client Associate.
- Keep Client Managers and Client Associates informed of account activity, client concerns, and unresolved items.
- Assist members and HR contacts with claims issues by gathering details, contacting carriers or TPAs, and tracking each issue to resolution.
- Use carrier portals and industry websites to verify eligibility and obtain plan information, certificates of coverage, and other client-facing materials.
- Process and track enrollment forms, change forms, and terminations in accordance with carrier and client requirements, as assigned.
- Update and maintain group account records in Epic for the team, including activities, attachments, contacts, policy changes, and carrier correspondence.
- Document all client and carrier interactions in Epic consistent with department standards.
- Maintain a personal follow-up and suspense list so outstanding items are tracked and closed within expected timeframes.
- Handle all client and carrier interactions in a manner that minimizes exposure to errors and omissions.
- Handle protected health information in a HIPAA-compliant manner, sharing only the minimum necessary information through approved, secure channels.
- Escalate compliance questions or high-risk situations to the Client Manager or Department Manager promptly.
- Build working knowledge of group benefit product lines, including medical, dental, vision, life, disability, and voluntary benefits.
- Actively pursue training, licensure, and continuing education to prepare for advancement to the Client Associate role.
- Contribute to a collaborative team environment by sharing knowledge, supporting colleagues, and participating in department initiatives.
Required
- Life & Health License required within 6 months of employment; satisfactory employment record maintained throughout.
- High school diploma or equivalent.
- Strong verbal and written communication skills with a professional, service-first approach.
- Detail-oriented, with the ability to manage multiple assigned tasks and deadlines in a fast-paced environment.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and basic data entry skills.
- Willingness to learn, take direction, and follow through on commitments.
- Associate's or bachelor's degree, or equivalent combination of education and experience.
- One year of experience in customer service, insurance, healthcare, or an office environment.
- Exposure to Epic or another agency management system, carrier portals, or benefits administration platforms such as Employee Navigator.
- Basic familiarity with HIPAA and group health insurance terminology
Note: This job description is not all-inclusive and may be supplemented as business conditions change.