Client Service Specialist

Client Services Specialist

The Client Services Specialist (CSS) supports Gehring Group's account management team by providing responsive, solution-oriented assistance for daily service needs, including claims and billing support for client employees and members. Acting as a trusted advocate, the CSS helps navigate benefit-related issues while delivering exceptional client experience and reports directly to the Client Services Support Team Leader. The CSS is well-versed in employee benefits, including medical, dental, vision, life and disability coverage, Flexible Spending Accounts (FSA), Health Savings Accounts (HSA) and Health Reimbursement Account (HRA) benefits.

Your Impact:

Establish and maintain excellent working relationships with clients and insurance partners:

• Resolves clients' escalated and complex issues relative to billing and member eligibility, claims resolution, member appeals, benefit verification, medical procedure authorizations, and general benefit inquiries.
• Serves as an expert resource and provides guidance to clients and their employees throughout the year on benefits.
• Assists with the execution of Employee Benefit Highlight (EBH) booklets for all clients on an annual basis. Updates booklet content and works with in-house graphics and account management teams to ensure timely production and delivery of booklets.
• Reconciles basic to moderate billing discrepancies.
• Assists with the implementation and maintenance of clients' Benefit Enrollment System. This includes researching and compiling current plan documents and forms from carriers/venders.
• Enters employee eligibility into insurance partner systems on behalf of clients.

Assist Account and Account Relations Manager with completing open enrollment eligibility spreadsheets as needed.

• Completes 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.
• Supports use of CRM system by documenting all issues.
• Performs other relevant duties as needed and assigned.

Successful Candidates Will Have:

• 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.

EDUCATION, TRAINING AND EXPERIENCE:

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