Remote Healthcare Benefits Client Success Specialist

RemoteFetch; Chicago (IL); Remote; USD 42.000 - 65.000; Vollzeit

Benefits dieser Stelle

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off

Tuition Reimbursement

EAP

Tech Stipend

Zusammenfassung

Allied is seeking a Client Service Representative to deliver excellent service to Allied members, brokers, and HR representatives. You will be the primary contact for inquiries and issues, resolving them promptly and professionally.

Responsibilities include liaising with Claims, Eligibility, and Account Management, communicating resolutions to clients and brokers, and supporting month-end claim follow-ups. A high school diploma is required; college degree is preferred.

Qualifikationen

• 1–3 years of Medical Claims experience required.
• Claim processing experience a plus.
• Customer Service skills required.
• Proficient in Microsoft Office (Word, Excel, Access, PowerPoint).
• RIMS Claim Processing System preferred.
• Web-Based Applications required.
• Excellent verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Ability to prioritize tasks in a fast-paced environment.

Aufgaben

• Act as liaison between client/broker and Allied departments.
• Promptly deliver client complaints to Claims, Eligibility, and Account Management.
• Serve as an additional resource for Account Managers as needed.
• Provide communication to clients and brokers regarding claim issue resolutions.
• Follow up to month end strategy by closing open claim issues.
• Troubleshoot, identify, and improve internal processes with Allied departments.
• Work with and foster relationships with internal teams such as Claims and Eligibility.
• Help facilitate renewal of existing cases by managing claim reviews and SLAs.
• Other duties as assigned.

Kenntnisse

Medical Claims

Customer Service

Microsoft Office

Excel

Word

Access

PowerPoint

RIMS

Web-Based Apps

Communication

Ausbildung

High School Diploma or GED

College degree preferred

Tools

RIMS

Web-Based Applications

Jobbeschreibung

Allied is seeking a Client Service Representative to deliver excellent service to Allied members, brokers, and HR representatives. You will be the primary contact for inquiries and issues, resolving them promptly and professionally.

Responsibilities include liaising with Claims, Eligibility, and Account Management, communicating resolutions to clients and brokers, and supporting month-end claim follow-ups. A high school diploma is required; college degree is preferred.