Client Service Representative

Role Overview

• 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

Requirements

• 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
• 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.

Benefits

• Medical, Dental, Vision, Life and Disability Insurance
• Generous Paid Time Off
• Tuition Reimbursement
• EAP
• Technology Stipend