Client Service Specialist

Risk Strategies•Palm Beach Gardens, FL

21h

About The Position

The Client Services Specialist (CSS) provides support to Gehring Group’s account management team in answering daily service needs and providing claims/billing support to employees/members of clients. The CSS is an advocate for Gehring Group’s clients’ employees and reports directly to the Supervisory Account Manager while working under the supervision of the Client Services’ Team Lead. The CSS is well-versed in employee benefits, including medical, dental, vision, life, and disability coverage. Risk Strategies is the 9th largest privately held US brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, Risk Strategies serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies has over 200 offices and nearly 5,800 employees across the US and Canada. The company is committed to being good stewards for its company, culture, and communities by having a strong focus on Environmental, Social, and Governance issues. Risk Strategies is an equal opportunity workplace and is committed to ensuring equal employment opportunity. The company values teamwork, trust, and courage, and fosters a culture where teammates are driven to grow and succeed, always doing what is best for their customers.

Requirements

Basic knowledge of various medical, dental, vision, retirement, life insurance and disability plans/programs
Familiarity with the Affordable Care Act, COBRA and other Federal and State regulations that relate to the administration of employee benefits plans
Ability to multi-task and prioritize tasks in a fast-paced environment
Self-motivated and proactive with regard to solving problems
Strong organizational and time management skills
Proficient in Microsoft Office Suite (Outlook, PowerPoint, Word, Excel), Bentek, and social business platforms
Minimum of two years of professional experience in customer services, sales, HR, insurance, or related field
Valid Florida Life, Health & Variable Annuities 2-15 license or the ability to obtain one within first 90 days of employment

Responsibilities

Establish and maintain excellent working relationships with clients and insurance partners
Resolve clients’ escalated and complex issues relative to billing and member eligibility, claims resolution, member appeals, benefit verification, medical procedure authorizations, and general benefit inquiries
Serve as an expert resource and provide guidance to clients and their employees throughout the year on benefits
Assist with the execution of Employee Benefit Highlight (EBH) booklets for all clients on an annual basis
Update booklet content and work with in-house graphics and account management teams to ensure timely production and delivery of booklets
Serve as a resource and provide basic guidance to clients and their employees throughout the year in these areas
Reconcile basic to moderate billing discrepancies
Assist with the implementation and maintenance of clients' Benefit Enrollment System
Research and compile current plan documents and forms from carriers/venders
Enter employee eligibility into insurance partner systems on behalf of clients
Assist Account and Account Relations Manager with completing open enrollment eligibility spreadsheet as needed
Complete special projects as needed, which may include contacting vendors for benefit fairs, data entry of employee surveys, and data entry of benefit maximum for claims audits
Support use of CRM system by documenting all issues
Perform other relevant duties as needed and assigned