Client Service Support Analyst

Avalon Administrative Services LLC

73d

About The Position

The Client Service Support Analyst (CSSA) is a key member of the Operations Department, supporting the internal operations needed for stellar client service delivery. This position is responsible for resolution of client inquiries and issues, including triaging requests and conducting detailed claims research. The CSSA works cross-functionally with other departments to conduct research, pull impact analyses, and insightful information as needed from other departments to understand and resolve operational issues. Ideal candidates bring a proactive, solution-oriented approach and can balance tactical execution with strategic thinking—ensuring excellence in operational efficiency. This position is eligible for remote work, but quarterly travel will be required to Avalon's corporate office located in Tampa, Florida.

Requirements

• Previous experience working in a health plan or healthcare services company is required.
• Maintains a positive, solutions-oriented mindset, even when faced with ambiguity or shifting priorities.
• Demonstrates a strong sense of ownership and accountability for outcomes and continuous improvement.
• Follows up consistently and respectfully to keep deliverables on track.
• Ability to learn basic SQL queries to run client reports.
• Good working knowledge of Microsoft Office Suite is essential.
• Attention to detail is critical.

Nice To Haves

• Working knowledge of SQL is highly desired.
• Experience or certification in medical billing and/or coding a plus.
• Reporting and JIRA experience is preferred.

Responsibilities

• Act as the Operational Subject Matter Expert and support team for service delivery.
• Acquire an in-depth understanding of internal processes to resolve customer inquiries effectively and efficiently.
• Develop, run, and execute client queries for internal reports.
• Pull and prepare monthly, quarterly, and ad hoc reports for assigned clients.
• Develop and provide customer (and occasional provider) education as needed.
• Evaluate disputed claims in denial management process for system configuration, claims processing, and/or contractual issues to facilitate health plan review of claims.
• Support the resolution of operational errors and trends.
• Collaborate with Service Delivery team and other internal departments to provide excellent service.
• Understand departmental needs and recommend process improvements.
• Assist with special assignments and projects that require extensive and thorough research.

What This Job Offers

• Job Type: Full-time
• Number of Employees: 101-250 employees