Client Service Representative

VenbrookIrvine, CA
1d$34Hybrid

About The Position

The Client Services Representative supports employees and HR contacts with day-to-day benefit inquiries in a high-volume, member-facing environment. This role resolves routine issues, escalates complex matters following defined guidelines, and supports a consistent member experience while reducing service interruptions for Client Management teams.

Requirements

  • 1–3 years of employee benefits experience working at an insurance broker required
  • Clear written and verbal communication skills
  • Ability to manage high call and email volume
  • Strong organization and follow-through
  • Professional and composed in time-sensitive situations
  • Proficiency with Microsoft Office Suite (Outlook, Word, Excel)

Nice To Haves

  • Associate’s or Bachelor’s degree preferred
  • Bilingual English and Spanish preferred
  • Experience in an employee benefits brokerage or consulting environment preferred
  • Knowledge benefit plans preferred required
  • Experience with CRM or benefits administration platforms preferred

Responsibilities

  • Serves as the primary contact for benefit inquiries via phone and email.
  • Explains coverage, eligibility, and benefit usage in clear terms to employees and HR contacts.
  • Guides members through carrier portals, mobile applications, and ID card access.
  • Supports employees during open enrollment periods.
  • Provides bilingual support in English and Spanish when applicable.
  • Processes ID card requests and replacements.
  • Confirms provider network participation.
  • Responds to basic claim status inquiries.
  • Verifies eligibility and enrollment changes.
  • Processes dependent additions and removals.
  • Provides prescription refill guidance.
  • Addresses standard open enrollment questions.
  • Identifies issues requiring escalation and routes cases to Client Management per internal guidelines.
  • Ensures complete documentation prior to escalation.
  • Maintains ownership of escalated items until successful handoff is confirmed.
  • Documents all interactions and outcomes in the CRM system.
  • Tracks open items through resolution.
  • Partners with Client Managers and Advocacy teams to ensure follow-through.
  • Identifies recurring issues and shares trends with leadership.
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