Client Service Specialist

The Client Services Specialist (CSS) provides support to Gehring Group's account management team in answering daily service needs and providing claims/billing support to employees/members of clients. The CSS is an advocate for Gehring Group's clients' employees and reports directly to the Supervisory Account Manager while working under the supervision of the Client Services' Team Lead. The CSS is well-versed in employee benefits, including medical, dental, vision, life, and disability coverage.

Essential Duties And Responsibilities

• Establishes and maintains 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.
• Assists 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.
  
  

Success Factor/Ksa (knowledge, Skills, Abilities)

• 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.
  
  

Risk Strategies is the 9th largest privately held US brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, Risk Strategies serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies has over 100 offices and nearly 5,300 employees across the US and Canada.

Our industry recognition includes being named a Best Places to Work in Insurance for the past five years (2018-2022) and on the Inc. 5000 list as one of America's Fastest Growing Private Companies. We are committed to being good stewards for our company, culture, and communities by having a strong focus on Environmental, Social, and Governance issues.

Risk Strategies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at Risk Strategies by visiting our careers page: www.risk-strategies.com/careers.

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