Client Service Representative

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Act as the intermediary between clients/brokers and Allied Executives and Departments related to the benefit plan.

• Timely convey client complaints to the appropriate departments, including Claims, Eligibility, and Account Management.

• Serve as an additional support resource for Account Managers as required.

• Communicate with clients and brokers about the resolution of claim issues, reporting, and information related to the industry and legislation.

• Follow up on month-end strategies by resolving outstanding claim issues.

• Analyze, identify, and enhance internal processes in collaboration with various Allied departments.

• Collaborate and build relationships with other internal teams, such as Claims and Eligibility.

• Assist in the renewal of existing cases through the management of claim reviews and service level expectations.

• Perform additional duties as assigned.

⛳️ Requirements

• A High School Diploma or GED is required; a college degree is preferred.

• 1 to 3 years of experience in Medical Claims is necessary.

• Experience in claim processing is advantageous.

• Strong customer service skills.

• Intermediate proficiency in Microsoft Office, including Word, Excel, Access, and PowerPoint.

• Experience with RIMS Claim Processing System is required.

• Familiarity with Web-Based Applications is preferred.

• Exceptional verbal and written communication skills.

• Strong organizational skills and attention to detail.

• Ability to prioritize tasks and delegate when appropriate.

• Capacity to perform effectively in a fast-paced and occasionally stressful environment.

🏝️ Benefits

• Medical, Dental, Vision, Life, and Disability Insurance.

• Generous Paid Time Off.

• Tuition Reimbursement.

• Employee Assistance Program (EAP).

• Technology Stipend.