Client Service Specialist
Risk Strategies
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.
- Serves as a resource and provides basic guidance to clients and their employees throughout the year in these areas.
- 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.
- 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.
- 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.
- Training on Agency Management system, booklet editing, benefit enrollment systems, etc; will be provided.
Personal information submitted by California applicants in response to a job posting is subject to Risk Strategies' California Job Applicant Privacy Notice. Recruiting Vendor Disclosure Statement Brown & Brown does not accept unsolicited resumes from external recruiters, recruitment vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and receive prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any unsolicited resumes submitted to Brown & Brown or its employees become the property of Brown & Brown, and no fees will be paid for such submissions. Additional information regarding this policy can be found on our careers page.
$1,000 per week
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