Client Service Representative

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Logo of Allied Benefit Systems

Allied Benefit Systems

201 - 500 employees

Founded 1980

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

Allied Benefit Systems is a national healthcare solutions company that provides health plan administration, care and cost management, provider network services, and data analytics to employers, members, and benefits consultants. The company focuses on reducing healthcare costs, optimizing plan performance, and improving member experience through administrative services, analytics & insights, and customizable provider networks.

📋 Description

• Act as the liaison between the client/broker and Allied Executives and Departments involved with the benefit plan. • Promptly deliver client complaints to relevant departments, including Claims, Eligibility, and Account Management. • Serve as an additional resource for Account Managers as needed. • Provide communication to clients and brokers regarding claim issue resolution, reporting, industry related and legislative information. • Provide follow up to month end strategy by closing out open claim issues. • Troubleshoot, identify, and improve internal processes with various Allied departments. • Work with and foster relationships with other internal teams such as Claims and Eligibility. • Help facilitate the renewal of existing cases by management of claim reviews and service level expectations. • Other duties as assigned

🎯 Requirements

• High School Diploma or GED required. College degree preferred. • 1 to 3 years of Medical Claims experience is required. • Claim processing experience a plus. • Customer Service skills. • Intermediate level work experience with Microsoft Office, Word, Excel Access, and PowerPoint software applications. • Required RIMS Claim Processing System • Preferred Web Based Applications • Excellent verbal and written communication skills. • Excellent organizational skills and attention to detail. • Ability to prioritize tasks and delegate them when appropriate. • Ability to function well in a high paced and at times stressful environment.

🏖️ Benefits

• Medical, Dental, Vision, Life and Disability Insurance • Generous Paid Time Off • Tuition Reimbursement • EAP • Technology Stipend

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