Client Relations Specialist I

2 weeks ago

Miami, United States Elevance Health Full time

Position Title:
Client Relations Specialist I

Job Overview:

The Client Relations Specialist I plays a crucial role in delivering exceptional customer support within a sales and account management framework.


Key Responsibilities:
  • Addresses client inquiries through phone and written communication regarding insurance benefits, provider agreements, eligibility, claims, and more.
  • Adheres to established policies and procedures.
  • Conducts research and data analysis to resolve customer service challenges.
  • Offers information and suggests solutions to client issues.
  • Accurately documents the outcomes of inquiries for effective tracking and analysis.

Fosters and maintains positive relationships with customers while collaborating with various departments to ensure timely and appropriate handling of customer requests and questions.

Provides both external and internal clients with the information they seek. Utilizes computerized systems for tracking, information gathering, and troubleshooting.


Minimum Qualifications:
High school diploma and a minimum of three months of experience in a customer service role; or a combination of education and experience that provides an equivalent background.

Preferred Skills and Experience:


Familiarity with the application of benefit contracts, pricing, processing, policies, procedures, government regulations, coordination of benefits, healthcare terminology, claims, and products. Experience with PC, database systems, and related software (such as word processing and spreadsheets) is preferred.

Experience in a call center environment is also preferred.

Bilingual Skills:
Proficiency in Spanish is preferred.

Job Level:
Non-Management Non-Exempt

Work Shift:
1st Shift (United States of America)

Job Family:

CUS > Client Services


Company Overview:

Elevance Health is dedicated to enhancing lives and communities by simplifying healthcare. As a Fortune 25 organization with a rich history in the healthcare sector, we seek leaders at all levels who are committed to making a positive impact on our members and the communities we serve.

Our Work Culture:
At Elevance Health, we are cultivating a culture that not only advances our strategic goals but also promotes personal and professional growth for our associates. Our core values and behaviors are fundamental to our culture, driving our strategy, business outcomes, and collective success.

Benefits:
We offer a comprehensive range of competitive rewards, including merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), as well as medical, dental, vision, short and long-term disability benefits, 401(k) with matching, stock purchase plans, life insurance, wellness programs, and financial education resources, among others.

Elevance Health operates under a Hybrid Workforce Strategy, requiring associates to work at an Elevance Health location at least once per week, unless specified otherwise by the hiring manager. Specific requirements regarding onsite presence will be discussed during the hiring process.

The health and safety of our associates and communities are paramount. We require all new candidates in certain patient/member-facing roles to be vaccinated against COVID-19, with exceptions made for valid explanations. Elevance Health adheres to all relevant federal, state, and local laws.

Elevance Health is an Equal Employment Opportunity employer, ensuring that all qualified applicants receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status or condition protected by applicable laws.

Applicants requiring accommodation to participate in the job application process may reach out for assistance.

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