[Remote] Client Services Specialist (Healthcare Benefits) - Fully Remote

Note: The job is a remote job and is open to candidates in USA. Allied Benefit Systems is hiring a Client Services Specialist to provide timely, professional service to members, HR representatives, brokers, and other clients. The role handles client inquiries and issues, coordinates with internal benefit-plan departments, and supports claim resolution and renewals.

Responsibilities

• 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

Skills

• High School Diploma or GED required
• 1 to 3 years of Medical Claims experience is required
• Customer Service skills
• Intermediate level work experience with Microsoft Office, Word, Excel Access, and PowerPoint software applications
• 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
• College degree preferred
• Claim processing experience a plus
• RIMS Claim Processing System

Benefits

• Remote-friendly culture with flexibility and the comfort of working from home
• Medical insurance
• Dental insurance
• Vision insurance
• Life insurance
• Disability insurance
• Generous Paid Time Off
• Tuition Reimbursement
• EAP
• Technology Stipend

Company Overview