Client Care Specialist

Job Description

Hybrid position, requires going to the office. Office is located in Waterford District Drive.

Job Purpose

The position exists to ensure that Corporate Client request are overseen, responded to in a timely manner, while either acting as a liaison between the client and operational teams or performing the coordination of services necessary to meet the clients’ needs. The Client Care Specialist are part of the Claims Services team and will work closely with the Claims and Account Management teams as well as with other departments and outside vendors with the goal of obtaining information required by clients or needed as part of our internal processes.

• Client Care & Service Delivery: Manage client requests, coordinate with providers and internal teams, maintain accurate claim information, resolve billing and claim-related issues, and deliver a high level of customer service.
• Claims Administration & Operational Support: Process and maintain claims and policy information, review and validate documentation, manage system workflows, support escalations, data entry, account reconciliations, and collaborate across departments to ensure efficient operations.
• Knowledge Development & Team Support: Serve as a subject matter expert, support colleagues and business initiatives, develop knowledge of healthcare markets and claims processes, and participate in ongoing learning and professional development.

KSA (Knowledge, Skills and Abilities)

• Knowledge of healthcare services and medical billing practices • Comfort with Microsoft suite of products and adaptable to different tools and technologies • Principles and application of excellent customer experience skills • Ability to work independently, organize, prioritize, and multitask • Resourcefulness and critical decision-making skills • Excellent interpersonal skills and professional written and spoken communication (and Spanish as needed)

Requirements and Qualifications • High school or Post-Secondary Education or equivalent • Minimum of two years of work experience in customer service and industry • Excellent verbal and written communication skills in English and Spanish