Client Services Specialist (Healthcare Benefits) - Fully Remote

Allied Benefit Systems; Chicago (IL); Remote; USD 42,000 - 66,000; Full time

Job summary

Allied Benefit Systems seeks a Client Service Representative to deliver exceptional service to Allied members, HR representatives, brokers, and other clients. You will be the main contact for inquiries and issues, providing timely, professional resolutions.

Responsibilities include coordinating with Claims, Eligibility, and Account Management; communicating claim-status updates; and supporting renewal efforts while driving process improvements in a remote-friendly environment.

Qualifications

• 1–3 years of medical claims experience.
• Claim processing experience a plus.
• Customer service skills.
• Intermediate level experience with Microsoft Office (Word, Excel, Access, PowerPoint).

Responsibilities

• Act as liaison between clients/brokers and Allied departments involved with the benefit plan.
• Promptly deliver client complaints to relevant departments, including Claims, Eligibility, and Account Management.
• 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.

Skills

Customer service

Communication

Time management

Education

High School Diploma or GED

College degree preferred

Tools

Microsoft Office

Word

Excel

Access

PowerPoint

Job description

POSITION SUMMARYThe Client Service Representative is responsible for providing excellent client service to Allied members, including HR representatives, brokers, and other various clients. They are the main point of contact for all inquiries and issues and must provide resolution in a timely, professional, and courteous manner.ESSENTIAL FUNCTIONSAct 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 neededProvide 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 assignedEDUCATIONHigh School Diploma or GED required.College degree preferred.EXPERIENCE AND SKILLS1 to 3 years of Medical Claims experience is required.Claim processing experience a plus.Customer Service skills.Intermediate level work experience with Microsoft Office, Word, Excel Access, and PowerPoint software applications. RequiredRIMS Claim Processing System PreferredWeb Based Applications RequiredExcellent 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.POSITION COMPETENCIESAccountabilityCommunicationCustomer Service OrientationFunctional/Technical SkillsQuality FocusTime and Task ManagementPHYSICAL DEMANDSThis is a standard desk role requiring extended sitting and computer work.WORK ENVIRONMENTRemoteHere at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.