Client Care Specialist at Exude resolving client inquiries and supporting benefit education. Researching claims and financial matters while maintaining strong client relationships and satisfaction.
Responsibilities
Research and resolve client inquiries related to claims, billing, benefits, and administrative matters.
Communicate with clients, internal teams, insurance carriers, TPAs, healthcare providers, and vendors to resolve issues.
Deliver exceptional client service in accordance with service standards and client satisfaction benchmarks.
Build and maintain strong relationships with client contacts through phone, email, and in-person communication.
Perform billing reconciliation, census audits, and thorough documentation of client interactions in CRM systems.
Create and deliver employee-facing benefit education materials and lead open enrollment meetings, webinars, and presentations.
Submit and track HSA, HRA, and FSA reimbursement claims through resolution; assist with debit card requests as needed.
Support Account Management and renewal activities during peak seasons, including benefit packets and open enrollment support.
Identify and escalate urgent or complex issues to appropriate internal stakeholders or leadership.
Maintain strong knowledge of Exude products, services, and benefit offerings.
Handle sensitive client, employee, and company information with professionalism and confidentiality.
Requirements
Bachelors degree in HR, Health Policy, Risk Management/Insurance, or related field preferred (or equivalent experience).
Minimum of 2 years of client service experience in a high-volume, fast-paced environment.
Active Life, Accident, and Health Insurance license required (must maintain continuing education requirements).
Strong knowledge of group benefits, related administrative processes, and compliance requirements.
Exceptional client service skills with the ability to manage complex issues in a fast-paced environment.
Excellent communication and relationship-building skills.
Ability to work independently, exercise sound judgment, and escalate issues when appropriate.
Strong organizational, time management, and multitasking abilities.
Proficiency with Microsoft Office Suite and CRM technology.
Flexibility to work variable hours, including occasional evenings, weekends, and on-call coverage during peak periods.
Benefits
Medical, Dental, and Vision Benefits
Flexible Spending Account (FSA) and Health Savings Account (HSA) and Commuter Transit Programs
Company paid Short-Term Disability, Long-Term Disability and Group Term Life
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