Client Relationship Manager

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Account Manager

👻 Ghost score 19%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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National Healthcare Solutions Group

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2004

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

National Healthcare Solutions Group is a Texas-based third-party administrator and benefits management firm that designs, administers and manages self-funded and level-funded medical plans for employers, brokers and members. The company offers ASO (Administrative Services Only) plans, Minimum Essential Coverage (MEC) options, reference-based pricing, medical management, network solutions, price transparency tools, and online portals for employers, brokers, members and providers. It focuses on lowering costs, improving member outcomes, and providing customer service and compliance support for employer-sponsored health benefits.

📋 Description

• Serve as the single dedicated point of contact for all employees of the assigned client and the client's Human Resources department • Own member and HR service inquiries from initial contact through resolution • Resolve employee questions regarding benefits, claims status, EOBs, eligibility, prior authorizations, billing, and other plan-related needs via phone and email • Research and troubleshoot escalated or complex claims and benefit issues • Coordinate with Claims, Eligibility, Stop Loss, Accounting, Account Management, Operations, and external plan vendors • Educate HR contacts and employees on plan benefits, administrative procedures, claims procedures, available resources, and best practices • Build and maintain relationships with the client's HR team and employees and advocate within ABA • Identify recurring claims or service issues and escalate potential processing trends or systemic issues • Acknowledge inquiries within 24 business hours and provide resolution or status updates within 48 business hours • Participate in Open Enrollment meetings, benefit fairs, and other client-facing events • Coordinate and support account-level claims audits as requested • Analyze recurring client-specific issues and proactively identify solutions to improve service and satisfaction • Serve as a subject matter expert regarding the assigned client's benefits and member service experience • Perform other duties as assigned

🎯 Requirements

• Bachelor's degree in business administration, healthcare management, or a related field preferred • Equivalent work experience may be considered • Strong understanding of claims management, benefits administration, and general insurance concepts and terminology required • Prior experience in insurance, claims administration, account management, or client/customer service required • Excellent oral and written communication skills, including the ability to present to groups such as HR teams and employees during enrollment meetings • Strong service orientation and ability to remain calm, tactful, and solutions focused when addressing sensitive employee concerns • Analytical and problem-solving skills, with the ability to identify trends and recommend process improvements • Highly organized and self-directed, with the ability to manage a full caseload independently in a remote work environment • PC literate, including proficiency with Microsoft Office products • Ability to handle conflict and challenging issues professionally in a fast-paced environment • Reliable home internet connection • Dedicated, private workspace suitable for handling confidential health information • Ability to talk or hear and use hands or fingers to handle or feel objects, tools, or controls • Ability to occasionally stand, walk, sit, reach, and lift or move up to 25 pounds

🏖️ Benefits

• Certified “Great Place to Work” employer • Remote work environment • Dedicated, private workspace suitable for handling confidential health information • Reasonable accommodations may be made to enable individuals with disabilities to perform the functions