Customer & Client Resolution Specialist

The Client Resolution Specialist is responsible for handling inbound customer calls, resolving client-related issues, and providing expert-level resolution to complex cases. The role involves providing standard client support, utilizing systems to track client questions or concerns, and assisting with customer service phone calls and queues. Additionally, the Specialist will work directly with Benefit Consultants to resolve claim or customer service issues, research claim appeals, and provide direction and training to client-dedicated Customer Service Team staff.

Requirements

• 1+ years related work experience in customer service
• High school diploma or GED
• Knowledge in the healthcare industry including CPT and ICD-10 coding, COBRA, HIPAA, pre-existing conditions, and coordination of benefits
• Concise written and oral communication skills
• Proficiency in maintaining good rapport with physicians, healthcare facilities, clients and providers
• Knowledge of all MS Office products

Benefits

• Medical, dental, vision, life and global travel health insurance
• Income protection benefits: life insurance, Short- and long-term disability programs
• Flexible schedules after training + future WAH options!
• Leave programs to support personal circumstances
• Retirement Savings Plan includes employer contribution and employer match
• Paid time off, volunteer time off, and 11 holidays
• Additional voluntary benefits available and a comprehensive wellness program