Client Service Specialist

MotivHealth Insurance Company

About The Position

We are seeking a Client Service Specialist with a background in self-funded health insurance plans and third-party benefit administration (TPA). This role is essential in delivering superior service and support to employer groups, brokers, and internal teams. You must have a desire to solve problems quickly and the ability to effectively communicate with a wide range of internal and external partners. You’d be joining a highly functioning team that supports the overall success of our company’s growth strategy.

Requirements

  • 3+ years in a client-facing service role with self-funded health insurance and/or third-party benefit plan administration experience
  • Firm understanding of health insurance terminology, funding styles, and health savings accounts.
  • Exceptional problem-solving and customer services skills with the ability to manage and prioritize various cases.
  • Effective written and verbal communication skills.
  • Passion for changing the healthcare landscape, using innovation to drive better outcomes, making the healthcare experience more positive and more affordable.

Responsibilities

  • Serve as the day-to-day contact for assigned employer groups and broker partners.
  • Respond promptly to client inquiries regarding plan design, eligibility, claims processing, and benefit administration.
  • Maintain a high level of professionalism and responsiveness in all interactions.
  • Assist in onboarding new groups, ensuring proper setup of plan documents, eligibility files, and billing processes.
  • Research and resolve client issues related to claims, enrollment, and system discrepancies in collaboration with internal departments.
  • Monitor compliance with regulatory requirements (ERISA, HIPAA, ACA) and company policies.
  • Support the preparation of client reporting, including claims utilization, cost trends, and performance summaries.
  • Assist account managers with renewal processes, plan changes, and open enrollment support.
  • Track and maintain accurate client records in CRM and administrative systems.
  • Work closely with underwriting, claims, and IT teams to resolve issues and maintain data integrity.
  • Provide feedback to leadership on process improvements to enhance client satisfaction.

Benefits

  • Affordable health, vision, and dental insurance for you and your family
  • Company contributes up to $2,300 to Health Savings Account annually
  • Wellness program that contributes money towards your HSA
  • Company automatically contributes 3% of salary into retirement plan
  • Career development and growth opportunities
  • Flexible Time Off & 10 paid holidays per year
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