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Client Service Representative
4 months ago
Are you looking to be part of a company where you have exciting opportunities to learn, grow and make a positive impact?
Join a team where each employee is empowered to listen generously, speak straight, collaborate, and build each other up through mutual accountability and shared success?
If that is what you're looking for, this is your chance to be part of an amazing organization
The Client Service Representative communicates with employer groups, insurance carriers, and other vendors regarding benefits, claim payment issues, eligibility questions, and billing. Works with the Client Service team as a liaison between carriers and vendors to coordinate and respond to client and member service issues. Assists Client Service team with audits when requested, such as eligibility, carrier records, etc. This role will assist the Client Service team with special projects across all segment sizes and service teams.
This job description in no way states or implies that these are the only duties to be performed by this employee. He or she will be required to follow any other instructions and to perform any other duties requested by his or her supervisor.
- Receives communication from clients and members, insurance carriers and other vendors regarding claims payment issues, eligibility/termination provisions, billing.
- General problem solving to provide quality service and efficient processing of information.
- Expedites escalated issues to management.
- Builds positive client relations by checking in regularly and following up on active processes.
- Maintains client and member records and documents processes and results.
- Identifies potential client service concerns and facilitates proactive steps to intervene.
- Assists with audits, such as eligibility, carrier records, etc., when requested.
- Performs other duties as assigned by Management.
- Proficient PC and data entry skills with experience in MS Word, Excel and Outlook. Database and PowerPoint skills are a plus.
- Proficient verbal and written communication skills as well as strong organizational and customer service skills.
- Basic mathematical aptitude.
- Excellent interpersonal and recordkeeping skills.
- Certificataion in customer service or similar would be advantageous.
- Exceptional ability in providing professional, efficient and friendly client service.
- Ability to coordinate with other departments, carriers, vendors to resolve issues.
- High school diploma
- 1-2 years or experience in client services, sales, or similar roles
- Hands and arms: Picking, pinching, handling, feeling, reaching, and typing.
- Frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 50 pounds.
- Speaking: Expressing or exchanging ideas by means of spoken word.
- Those activities in which require detailed or important spoken instructions must be conveyed to other workers accurately and quickly.
- Hearing: Ability to receive detailed information through verbal communication with or without correction.
- Vision: Ability to see and read computer screen and written documents and adjust focus with or without correction.
- Repetitive Motion: Substantial movement (motions) of the wrist, hands and fingers.
- Legs: Stand, walk, sit, stoop, kneel, and crouch.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Normal office environment with controlled temperature. The noise level in the work environment is usually moderate.
We offer comprehensive benefits to employees, including medical, dental, STD, LTD and life insurance, 401k, paid time off and much more.
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
If you're a California resident, please read the California Consumer Privacy Act prior to applying.