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.