We’re looking for people who genuinely enjoy helping others and want to make healthcare feel less confusing and more human.
Who We Are
Healthcare can feel overwhelming, cold, and incredibly complicated. We’re here to completely flip the script.
At BeniComp, we believe that navigating health shouldn't be a headache, it should be personal, transparent, and effortlessly simple. As a modern Third-Party Administrator (TPA), we use smart technology and genuine human connection to rewrite the healthcare experience for employers and members alike.
Our ultimate vision? A future where people enjoy happier, healthier lifestyles. We are incredibly passionate about supporting people through some of life’s most important moments, and we’re looking for humans who genuinely care to join our mission.
What You'll Do
We're more than customer service. As a Member Advocate, you are a trusted guide, a relief valve for stress, and a champion for our members navigating the complex world of healthcare.
Whether someone has a quick question about their benefits, needs a hand decoding a claim, or is walking through a heavy, stressful health situation, you are the empathetic voice on the other end of the line providing clarity, calm, and real solutions.
This role is the absolute heartbeat of our vision. It’s perfect for someone who gets a genuine buzz out of helping people, loves clear communication, and wants to make a tangible, positive impact on someone's life every single day.
No healthcare experience? No worries at all. We can teach you the industry, but we can't teach heart. If you are naturally compassionate, highly motivated, and eager to learn, you’ll fit right in.
Responsibilities
- Answer and resolve incoming phone calls and support ticket
- Initiate Prior Authorization requests
- Correspond with providers and vendor partners to resolve member inquiries
- Make provider recommendations based on cost and quality
- Provide Rx pricing and location information
- Review medical bills for balance bill identification
- Keep detailed notes and liaison member to appropriate points of care (Health Coach, Medical Manager, Vendor Partner, PCP, etc.)
- Provide benefits and healthcare education to our members to ensure all patients concerns are answered including eligibility, billing, claims, and provider access
- Follow up after specific claim triggers (ex: emergency hospitalization) to ensure compliance around medication + PCP visits
- Proactively outreach to providers to verify insurance coverage
- Answer phone calls from provider to verify insurance coverage
- Proactively outreach to members based on data triggers (ex: Potential for balance bills, advice on plan utilization services such as Rx, etc.)
- Answer plan questions and help them navigate through the healthcare system
- Identify and intervene in crisis or critical-risk situations.
- Solve problems and work autonomously in a supportive, collaborative environment
- Share feedback to help our team and technology improve and add functionality
- Track data to measure the effectiveness of outcomes.
Requirements
- Serve as a trusted point of contact for members.
- Help people understand their health benefits and coverage.
- Guide members through claims, providers, billing questions, and healthcare navigation.
- Deliver compassionate support during stressful or sensitive situations.
- Advocate for members internally to help resolve issues quickly.
- Collaborate with teams like claims, eligibility, and clinical support.
- Educate members on wellness programs and healthcare resources.
- Document member interactions accurately and professionally.
- Identify ways to improve the member experience.
- Adapt quickly in a fast-paced, evolving environment.
Salary: Will be discussed during the interview process
Career Level: Talented
Job Type: Full Time in Fort Wayne Office or Tampa Office
To Apply You Must: Submit an application with a current resume with a cover letter.
About BeniComp
“The future of health is a health solution” - Doug Short, President & CEO
BeniComp originated in Ft. Wayne, IN in 1962 by Don Short as Short Associates, Inc. Years later his son, Doug Short, built out the health division and began innovating. In 2014 BeniComp opened an office in Tampa dedicated to innovation and development in order to stay on the cutting edge of health technology and digital communication strategies.
We work with forward-thinking employer groups who have tremendous influence in the lives of tens, hundreds, or thousands of people who work for them. We want them to know we are on their side.
Our operations support the movement from reactive, conventional medicine practices to proactive, functional medicine strategies that empower people to take control of their health and reverse the chronic conditions that are socially and financially affecting the nation.
Our Vision
A future where people enjoy happier, healthier lifestyles
Our Mission
To reduce chronic disease and healthcare spending in America by empowering people with data, prevention, and technology.