Remote Healthcare Benefits Client Services Specialist

Allied Benefit Systems; Chicago (IL); Remote; USD 52,000 - 72,000; Full time

Job summary

Allied Benefit Systems seeks a Client Service Representative to deliver responsive, accurate service to clients, brokers, employer HR reps, and benefit partners. You will own inquiries from initial request through resolution and coordinate with internal teams to ensure timely follow-up.

This role requires strong medical claims knowledge, detail orientation, and professional communication. You will document interactions, support claim reviews, assist with issue resolution, and contribute to a

Qualifications

• At least one year of medical claims experience required.
• Hands-on experience with HCFA/CMS-1500 and UB-04 medical claims, including CPT codes.
• Experience researching, processing, or resolving medical claims strongly preferred.
• Previous client service or customer service experience in healthcare, benefits administration, insurance, or a related environment preferred.
• Working knowledge of medical claims terminology, claim status, benefit plan administration, and issue-resolution processes.

Responsibilities

• Serve as the primary liaison between clients and brokers and the Allied executives and departments that support the benefit plan.
• Manage client inquiries and service issues from receipt through resolution, providing timely, accurate, professional, and courteous communication.
• Research claim-related questions, coordinate with Claims, Eligibility, Account Management, and other internal teams, and clearly communicate outcomes and next steps.
• Promptly elevate client complaints, service concerns, and unresolved issues to the appropriate department while maintaining ownership of follow-up.
• Provide clients and brokers with updates regarding claim issue resolution, reporting, relevant industry developments, and legislative information as directed.
• Support Account Managers by assisting with client communication, claim reviews, reporting needs, issue tracking, and follow-up activities.

Skills

Medical claims

CPT codes

Claims knowledge

Customer service

Communication

Microsoft Office

Research/analysis

Education

High school diploma

Associate or Bachelor's degree preferred

Tools

RIMS system

Microsoft Office

Web-based applications

Job description

Allied Benefit Systems seeks a Client Service Representative to deliver responsive, accurate service to clients, brokers, employer HR reps, and benefit partners. You will own inquiries from initial request through resolution and coordinate with internal teams to ensure timely follow-up.

This role requires strong medical claims knowledge, detail orientation, and professional communication. You will document interactions, support claim reviews, assist with issue resolution, and contribute to a