Client Services Associate
2 weeks ago
Position Summary:
The Client Services Associate plays a vital role in ensuring member satisfaction and effective communication regarding the Plans' offerings.
Key Responsibilities:
- Perform a variety of tasks associated with Member Services, including responsibilities of both Assistant and Lead roles.
- Engage with members through phone, in-person interactions, and written communication to address inquiries about benefits, eligibility, claims processing, and appeals.
- Gather essential information to ascertain the purpose of member interactions.
- Draft eligibility appeals and medical claims appeals as necessary.
- Prepare and manage correspondence and documentation to clarify questions and provide information to members in compliance with the Plans' guidelines.
- Initiate and review applications, notices, forms, and other relevant documentation.
- Identify and rectify discrepancies in the computer system or escalate issues to the appropriate personnel.
- Assess eligibility based on Plan criteria and resolve any related questions or issues.
- Maintain thorough records of all member interactions.
- Assist walk-in members with professionalism and courtesy.
- Evaluate member needs and direct them to the appropriate staff as necessary.
- Act as a bridge between members and providers to convey plan benefits and facilitate claims processing.
- Calculate sick leave balances accurately.
- Refer inquiries to the relevant departments as needed.
- Support special projects as assigned.
Experience Level:
Entry Level
Eligibility for certain benefits may depend on job classification and length of employment. Benefits are subject to change and may have specific terms and conditions.
- Medical, dental & vision coverage
- 401(k)/Roth retirement plans
- Life & AD&D insurance options
- Short and long-term disability coverage
- Health & Dependent Care Spending Accounts
- Transportation benefits
- Employee Assistance Program
- Paid Time Off (PTO), vacation, and sick leave
About TEKsystems:
At TEKsystems, we are committed to driving transformation for our clients. We collaborate with organizations to activate innovative ideas and solutions, capitalizing on emerging opportunities. Our team of 80,000 professionals partners with over 6,000 clients, including a significant portion of the Fortune 500, across North America, Europe, and Asia. As a leader in Full-Stack Technology Services and Talent Services, we work alongside forward-thinking leaders to foster change. This is the essence of true partnership. TEKsystems is part of the Allegis Group.
We are an equal opportunity employer and welcome applications from all individuals without regard to race, gender, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any characteristic protected by law.
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