Client Solutions Specialist - (Hybrid: PA, NJ, DE)

Independence Blue Cross; Philadelphia (Philadelphia County); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Hybrid work model

Job summary

Independence Blue Cross is seeking a Client Solutions Specialist to support clients, members, and internal partners by delivering timely solutions and exceptional service in a Hybrid role across PA, NJ, and DE.

You will research issues, own cases from intake to completion, provide proactive updates, and monitor SLAs while collaborating with multiple teams to improve the client experience in a fast-paced healthcare environment.

Qualifications

• 3+ years in healthcare operations, claims, enrollment, billing, customer service, or related areas.
• Demonstrated experience handling complex issues, escalations, and cross-functional resolution.
• Strong analytical, organizational, and communication skills.

Responsibilities

• Serve as primary contact for client and member inquiries, ensuring issues are researched, coordinated, and resolved.
• Research and analyze issues across multiple systems to identify solutions and next steps.
• Maintain ownership of assigned cases and service requests from intake through completion.
• Provide proactive updates and follow-up communications to keep stakeholders informed.
• Monitor assigned work and prioritize activities to meet service level expectations and commitments.
• Identify recurring issues and elevate trends or process concerns to leadership.
• Support operational initiatives and process improvements to enhance client and member experience.
• Develop and maintain working knowledge of products, services, systems, and processes.

Skills

Customer focus

Problem solver

Strong communicator

Detail-oriented

Collaborative partner

Adaptable

Technically proficient

Education

Associate's degree or equivalent work experience

Tools

Microsoft Office

Job description

Client Solutions Specialist - (Hybrid: PA, NJ, DE)

Are you passionate about helping clients, solving problems, and delivering exceptional service? Join our team as a Client Solutions Specialist, where you'll play a critical role in supporting clients, members, and internal partners by providing timely solutions and creating positive experiences every day.

Why This Role Matters

The Client Solutions Specialist serves as a primary point of contact for client and member inquiries, ensuring issues are researched, coordinated, and resolved efficiently. This role requires strong communication, attention to detail, and a commitment to service excellence while building collaborative relationships with internal and external partners.

What You'll Do

Serve as a trusted resource for clients and business partners by addressing inquiries and resolving issues in a timely and professional manner.

Research and analyze issues across multiple systems to identify appropriate solutions and next steps.

Maintain ownership of assigned cases and service requests from intake through completion.

Provide proactive updates and follow-up communications to ensure stakeholders remain informed throughout the resolution process.

Monitor assigned work and prioritize activities to meet service level expectations and client commitments.

Identify recurring issues and elevate trends or process concerns to leadership as appropriate.

Support operational initiatives, projects, and process improvement efforts designed to enhance the client and member experience.

Develop and maintain working knowledge of products, services, systems, and operational processes.

What Makes You a Great Fit

Customer Focused: Passionate about delivering exceptional service and building positive relationships with clients and members.

Problem Solver: Effectively researches issues, gathers information, and identifies practical solutions.

Strong Communicator: Communicates clearly, professionally, and confidently with clients, members, and internal stakeholders.

Detail-Oriented: Accurately documents work and follows through on commitments.

Collaborative Partner: Works effectively across teams to achieve resolutions and deliver positive outcomes.

Adaptable: Comfortable managing multiple priorities in a fast-paced environment.

Technically Proficient: Skilled in Microsoft Office applications and capable of learning new systems and technologies.

Qualifications

• Associate's degree in a business-related field or equivalent work experience preferred.
• 3+ years of experience in healthcare operations, claims, enrollment, billing, customer service, or related areas.
• Demonstrated experience handling complex issues, escalations, and cross-functional problem resolution.
• Strong analytical, organizational, and communication skills.

• Effective written communications, including client correspondence and operational documentation.

• Knowledge of self-funded healthcare, claims administration, enrollment processes, and healthcare operations preferred

What’s In It for You

Meaningful Work: Help clients and members navigate challenges and achieve successful outcomes.

Career Growth: Expand your healthcare and client service expertise through ongoing learning and development opportunities.

Collaborative Environment: Work alongside dedicated professionals committed to delivering exceptional service.

Professional Impact: Contribute to process improvements and operational excellence that enhance the overall client experience.

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 Tri-State 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.

Inclusion and Belonging

At IBX, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

About Our Company

Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.

At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!

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.