Employee Benefits Claims Consultant

About Acrisure

A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services – and more. 

In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.

Job Summary: 

The Claims Consultant (Public Entity) serves as a trusted client advocate and customer service resource for public sector clients, providing guidance and support throughout the employee benefits claims process. This role acts as the primary liaison between clients, carriers, TPAs, and internal Acrisure teams to ensure a positive claim experience, timely issue resolution, and exceptional service delivery. The Claims Consultant proactively addresses claim concerns, facilitates communication among stakeholders, educates clients on benefit processes, and supports the resolution of complex claim matters while building strong client relationships and promoting service excellence.  As an experienced team member, the Claims Consultant also provides support to the Call Center Team on complexed claim situations with guidance on next steps.

Responsibilities:

Client Advocacy & Customer Service

• Provide proactive, technical consultative advice to public entity clients on employee benefits claim handling, trends, and outcomes.

• Serve as the primary point of contact for clients regarding employee benefits claim questions, concerns, and service-related issues.

• Deliver a high level of customer service by responding promptly to client inquiries and providing clear, professional guidance throughout the claim process.

• Advocate on behalf of clients and members to facilitate timely claim resolution and ensure a positive service experience.

• Educate clients on claims processes, benefit programs, coverage provisions, and available resources.

Claims Support & Resolution

• Assist clients and Call Center Team members in navigating routine and complex claims issues involving medical, dental, vision, disability, life, and related benefit programs.

• Coordinate claim escalations with carriers and TPAs to facilitate timely resolutions.

• Investigate claim concerns by gathering information, tracking progress, and communicating updates to clients.

• Support appeals, grievances, and service-related claim challenges while maintaining a client-focused approach.

• Document claim activity, action plans, and outcomes to ensure accurate records and follow-up.

Relationship Management & Collaboration

• Act as a liaison between clients, carriers, TPAs, and internal service teams to promote effective communication and seamless service delivery.

• Foster strong working relationships with carrier representatives and vendor partners to help resolve client concerns efficiently.

• Collaborate with account management and service teams to support overall client satisfaction and retention efforts.

• Participate in client meetings and serve as a subject matter resource related service matters.

Claims Review & Client Reporting

• Coordinate periodic claim service reviews with clients, carriers, and internal stakeholders.

• Assist in preparing claim summaries, service reports, and trend information to support client discussions.

• Review claim service performance and identify opportunities to improve client experience and service delivery.

• Monitor service commitments and ensure follow-through on action items and client concerns.

Training & Client Education

• Provide training and educational support to clients regarding claims procedures, carrier requirements, and best practices.

• Develop user-friendly resources and presentations to help clients better understand claim processes and available benefits.

• Support internal education initiatives by sharing claims service trends, carrier updates, and client feedback.

• Support customer service representatives with complex claims.

Internal Collaboration & Process Improvement

• Identify opportunities to improve claims support processes, communication practices, and overall customer experience.

• Provide feedback to carriers, TPAs, and internal teams regarding recurring service concerns and client needs.

• Assist in developing best practices and service standards that enhance efficiency and client satisfaction.

Education and Experience:

• Bachelor’s degree in business or related field of study or equivalent experience required. 

• 3 – 5 + years of experience in employee benefits administration, claims customer service, carrier operations, TPA services, account management, or employee benefits consulting.

• Experience working with public entities (municipalities, school districts, counties, authorities, etc.) strongly preferred.

• Experience working directly with insurance carriers, TPAs, healthcare vendors, or brokerage organizations preferred.

• Active Life & Health Insurance License, or ability to obtain within 120 days of hire

• Strong organizational skills- ability to prioritize and be proactive

• Ability to adapt well to change in direction and priority in a fast-paced environment

• Computer skills, specifically Microsoft Word, Outlook and Excel

• Excellent verbal and written communication skills as well as strong interpersonal skills

#LI-LS1

Pay Details:

Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Why Join Us:

At Acrisure, we’re building more than a business, we’re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.

Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York.

Employee Benefits

We also offer our employees a comprehensive suite of benefits and perks, including:

• Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.

• Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.

• Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.

• Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

• … and so much more!

This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.

Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting [email protected].

Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.

California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.

Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice.

Welcome, your new opportunity awaits you.