Client Solutions Specialist

Independence Blue Cross, LLC; Philadelphia (Philadelphia County); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Independence Blue Cross, LLC is seeking a Client Solutions Specialist to research, resolve, and track client inquiries for Level Care Health Carpenter Funds. The role emphasizes detail, communication, and multi-tasking in a healthcare operations setting.

The successful candidate will collaborate with internal and external partners and operate within a Hybrid model, with in-office and remote days in the TriState Area. Equal opportunity employer.

Qualifications

• Associate degree in a business-related field or equivalent work experience preferred.
• Minimum of 3 to 5 years of experience in claims research, enrollment, customer service, or a related healthcare operations function.
• Knowledge of self-funded health insurance products and how they work.

Responsibilities

• Research, investigate, and resolve daily inquiries accurately and within established guidelines.
• Monitor assigned inquiries from receipt through resolution with timely follow-up and documentation.
• Provide regular status updates via email, meetings, and client calls.

Skills

Critical thinking

Attention to detail

Communication skills

Time management

Independent work

Team collaboration

Plantoplan experience

Education

Associate degree in business-related field

Equivalent work experience

Tools

Microsoft Excel

Microsoft Access

Microsoft Word

Microsoft Outlook

Job description

Job Summary

The Client Solutions Specialist is responsible for researching, resolving, and tracking client and partner inquiries in a timely, accurate, and professional manner for all Level Care Health Carpenter Funds. This role requires strong attention to detail, effective written and verbal communication, sound judgment, and the ability to manage multiple priorities in a fastpaced healthcare operations environment. A successful candidate will demonstrate initiative, accountability, teamwork, and a processoriented approach while collaborating with internal and external partners to support highquality service delivery.

Key Responsibilities

• Research, investigate, and resolve daily inquiries accurately and within established department guidelines.
• Monitor assigned inquiries from receipt through resolution, ensuring timely followup and clear documentation.
• Provide regular status updates on outstanding tasks, open inquiries, and pending followup items via email, internal meetings, and virtual client meetings.
• Apply initial training concepts while continuing to learn new processes, systems, and operational requirements.
• Escalate issues, risks, or barriers to leadership as appropriate to support timely client or partner communication.
• Collaborate with senior staff, leads, supervisors, and crossfunctional partners to coordinate issue resolution.
• Interact professionally with internal teams and external partners across related departments to obtain information and resolve inquiries.
• Identify, track, and report recurring trends, system issues, or process concerns related to inquiry volume and resolution.
• Maintain confidentiality and comply with all applicable privacy, security, and regulatory requirements.
• Perform other duties as assigned by management.

Qualifications

• Knowledge of selffunded health insurance products and how they work.
• Ability to think critically, analyze information, and resolve problems effectively.
• Strong attention to detail with the ability to perform accurately in a highpaced environment.
• Proficiency with Microsoft Excel, Access, Word, Outlook, and other business technology tools.
• Strong listening, written, and verbal communication skills.
• Ability to manage multiple priorities, organize work effectively, and meet established deadlines.
• Ability to work independently while contributing positively to a collaborative team environment.
• Plantoplan experience is preferred.

Education and Experience

• Associate degree in a businessrelated field or equivalent work experience preferred.
• Minimum of 3 to 5 years of experience in claims research, enrollment, customer service, or a related healthcare operations function.

Hybrid

Independence has implemented a "Hybrid" model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the "Hybrid" model. While associates may work remotely on our designated remote days, the work must be performed in the TriState Area of Delaware, New Jersey, or Pennsylvania.

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.