Client Service Specialist

Risk Strategies•Palm Beach Gardens, FL

1d•Onsite

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.

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 is required.
Additional experience may substitute for the required education on a year-for-year basis.
Valid Florida Life, Health & Variable Annuities 2-15 license or the ability to obtain one within first 90 days of employment is required.

Nice To Haves

Training on Agency Management system, booklet editing, benefit enrollment systems, etc; will be provided.

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.