Client Service Specialist
$27,600–$27,600 year
RemoteUnited States
Job Summary
Serve as the day-to-day contact for assigned employer groups and broker partners, responding promptly to inquiries regarding plan design, eligibility, claims processing, and benefit administration. Maintain professionalism while assisting in onboarding new groups, setting up plan documents, and managing billing processes. Research and resolve client issues related to claims, enrollment, and system discrepancies in collaboration with internal departments, while monitoring compliance with regulatory requirements like ERISA, HIPAA, and ACA. Support account managers with renewal processes, plan changes, and open enrollment support, and track accurate client records in CRM systems. Work closely with underwriting, claims, and IT teams to maintain data integrity and provide feedback to leadership on process improvements.
Required Qualifications
- 3+ years in a client-facing service role with self-funded health insurance and/or third-party benefit plan administration experience
- Firm understanding of health insurance terminology, funding styles, and health savings accounts
- Exceptional problem-solving and customer services skills with the ability to manage and prioritize various cases
- Effective written and verbal communication skills
Desired Qualifications
- Passion for changing the healthcare landscape, using innovation to drive better outcomes, making the healthcare experience more positive and more affordable
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