[Hiring] Client Services Specialist @Allied Benefit Systems

Role Description

The Client Service Representative is responsible for providing excellent client service to Allied members, including HR representatives, brokers, and other various clients. They are the main point of contact for all inquiries and issues and must provide resolution in a timely, professional, and courteous manner.

Essential Functions

• Act as the liaison between the client/broker and Allied Executives and Departments involved with the benefit plan.
• Promptly deliver client complaints to relevant departments, including Claims, Eligibility, and Account Management.
• Serve as an additional resource for Account Managers as needed.
• Provide communication to clients and brokers regarding claim issue resolution, reporting, industry-related and legislative information.
• Provide follow-up to month-end strategy by closing out open claim issues.
• Troubleshoot, identify, and improve internal processes with various Allied departments.
• Work with and foster relationships with other internal teams such as Claims and Eligibility.
• Help facilitate the renewal of existing cases by management of claim reviews and service level expectations.
• Other duties as assigned.

Qualifications

• High School Diploma or GED required.
• College degree preferred.
• 1 to 3 years of Medical Claims experience is required.
• Claim processing experience a plus.
• Customer Service skills.
• Intermediate level work experience with Microsoft Office, Word, Excel, Access, and PowerPoint software applications required.
• RIMS Claim Processing System preferred.
• Web Based Applications required.
• Excellent verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Ability to prioritize tasks and delegate them when appropriate.
• Ability to function well in a high-paced and at times stressful environment.

Requirements

• Accountability
• Communication
• Customer Service Orientation
• Functional/Technical Skills
• Quality Focus
• Time and Task Management

Physical Demands

This is a standard desk role requiring extended sitting and computer work.

Work Environment

Remote

Benefits

• Competitive Benefit Package including, but not limited to:
• Medical, Dental, Vision, Life and Disability Insurance
• Generous Paid Time Off
• Tuition Reimbursement
• EAP
• Technology Stipend