Client Service Representative

Allied Benefit Systems•Chicago, IL

36d•$23 - $24•Remote

About The Position

Provide the highest level of service to our Clients via Brokers and/or HR representatives. ESSENTIAL FUNCTIONS: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.

Requirements

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.

Nice To Haves

Bachelor’s degree preferred.
Medical benefit insurance knowledge preferred.

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.