Claims Client Service Associate
Listed on 2026-10-20
-
Insurance
Health Insurance -
Customer Service/HelpDesk
Employee Benefits - Claims Client Service Associate
About the Organization At Sterling Seacrest Pritchard, we are here to serve as your risk advisors first and insurance broker second. We have a highly skilled team ready to collaborate with your business to position you to reach your goals with uniquely tailored insurance and consulting solutions.
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
Category Insurance
Position Summary The Employee Benefits Claims Specialist serves as the advocate and point of contact for client employees and HR contacts on claims issues. The role researches, escalates, and resolves problems with carriers (medical, dental, vision, life, disability, voluntary), ensuring timely and accurate resolution and a strong client experience.
Key Responsibilities- Serve as the primary contact for client employees and HR administrators with claims questions, denials, and billing discrepancies.
- Open, track, and document claims inquiries and escalations with carriers until resolution.
- Research claim denials, explain benefit coverage and plan provisions, and assist with appeals.
- Coordinate with carrier representatives, account managers, and clients to resolve complex issues.
- Assist with life, STD, and LTD claims by helping employees and employers complete forms and meet deadlines.
- Maintain a claims log and report on open issues, trends, and turnaround times.
- Identify recurring carrier or plan issues and flag them to account teams for renewal and service discussions.
- Maintain confidentiality of protected health information (PHI) in compliance with HIPAA and agency policy.
- Attention to detail
- Time management and workflow prioritization
- Effective oral and written communication
- Eagerness to learn
- Proactive problem solving
- Excellent customer service abilities
Full-Time/Part-Time Full-Time
Shift
-not applicable-
City Atlanta
State GA
Position Claims Client Service Associate
Exempt/Non-Exempt Exempt
Open Date 10/16/2026
This position is currently accepting applications.
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