[Remote] Client Service Representative

Note: The job is a remote job and is open to candidates in USA. Allied Benefit Systems is a company focused on providing top-tier service to clients through brokers and HR representatives. The Client Service Representative will act as a liaison between clients and various departments within the company, ensuring effective communication and resolution of issues related to claims.

Responsibilities

• Act as the liaison between the client/broker and Allied Executives and Departments as it relates to Allied Advocate claims
• Provide communication to clients and brokers regarding claim issue resolution
• Troubleshoot, identify and improve internal processes with various Allied departments
• Keep records of member and provider interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken
• Obtain and examine all relevant information to assess need for negotiation on balance due issues
• Work with other departments (Account Management, Client Services, Customer Service) as needed to resolve member issues
• Meet and sustain productivity and quality metrics determined by management
• Provides proactive outreach to clients to gain feedback on improved services
• Performs other duties as assigned

Skills

• High School diploma or equivalent required
• 1 or more year of medical claims experience required
• Customer service experience required
• Proficient with Microsoft Office Suite or related software
• Excellent verbal and written communication skills
• Excellent interpersonal and customer service skills
• Excellent organizational skills and attention to detail
• Ability to prioritize tasks and to delegate them when appropriate
• Ability to function well in a high-paced and at times stressful environment
• Bachelor's degree preferred
• Medical benefit insurance knowledge preferred

Benefits

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

Company Overview