The Client Service Specialist assists in all aspects of the day-to-day duties associated with servicing new and existing client accounts.
Have knowledge of various insurance carriers and have a general understanding of benefit plans/summary descriptions. (Blue Cross, Coventry, United Health Care, Humana, etc.)
Serve as point of contact for group administrators and employees concerning claims, ID cards, benefit questions, prescription and billing issues.
Respond to all client questions within 24 hours and accept personal responsibility for client satisfaction.
Process on-line enrollments in carrier websites, Easy Apps, Employee Navigator.
Enter service and client contact notes into CAPS – log calls with the resolution to date.
Have knowledge of HIPAA regulations – know the guidelines regarding privacy protocol.
Have knowledge of ACA/Affordable Care Act guidelines and reporting.
Have knowledge of State Continuation and Cobra guidelines – be able to respond to questions from employers regarding state regulations for
Kansas and Missouri groups.
Be able to respond knowledgeably regarding co-pay, deductible and plan summary client question.
May be asked to visit client site with key account group contacts on an annual basis.
Education: High school education required, college experience or degree preferred
Experience: Industry related experience desired
Specific Skills: Strong proficiency in Microsoft Office including Word, Excel, and Internet
Licensures: KS/MO Health and Life preferred
Email resumes to HR@bukaty.com