Position Overview

This is a client facing role. The CSS is the direct liaison between external clients and internal teams related to claim inquires.

Position Overview:

 

The Client Service Specialist will be responsible for building and maintaining outstanding relationships with ZELIS client contacts, as well as assisting all internal staff members in obtaining and verifying any necessary information needed to successfully and efficiently process claims. This job entails developing and nurturing strong customer relationships, with the ability to multi-task in order to handle the daily influx of matters with a quick turnaround time for a timely resolution to every request.

 

Key responsibilities:

 

• Serve as direct liaison for ZELIS clients regarding all daily claim matters and inquiries.
• Work closely with internal staff/departments and respond to claim related inquiries.
• Process client cancellation and adjustment requests.
• Research status of outstanding claims and expedite the processing of priority claims per client’s request.
• Monitor turnaround to ensure timely processing of claims.
• Provide assistance to Account Management and Sales as needed.
• Participate in client conference calls with Account Managers as requested.
• Assist Finance with outstanding fees due from clients.
• Demonstrates ability to learn and subsequently utilize Zelis Healthcare proprietary systems.
• Ensure clients are serviced in utmost professional manner as well as building and maintaining exceptional relationships with client contacts.
• Maintain awareness of and ensure adherence to ZELIS standards regarding privacy.

  

professional experience:

 2-4 years of medical claims or customer service experience.

• 1-3+ years of experience in client facing role within a claim environment.
• Excellent organizational skills are required to prioritize responsibilities, thus completing work in a timely fashion.
• Ability to communicate articulately via telephone and email.
• Must maintain a professional demeanor in sensitive situations.
• Proficient knowledge of Microsoft Outlook, Word, and Excel.
• Detail-oriented and able to work in a fast-paced environment.

 

education:

 

Associates degree and/or 2-4 years customer service, medical claims related experience and/or training; or equivalent combination of education and experience. 

  

work environment:

 

• Travel requirements to (primarily) domestic destinations should not exceed 10%.
• A standard work week exists but with the understanding that additional time/effort outside of the usual parameters can/will occur based upon the overall needs of the integration, where deadlines exist and when necessary due to the needs of the integration team.
• A standard business environment exists with moderate noise levels.
• Ability to lift and move approximately thirty (30) pounds on a non-routine basis.
• Ability to sit for extended periods of time.

 

 Disclaimer

 

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

 

Base Salary Range

$18.00 - $23.00

At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role.

Zelis’ full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees’ health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage.

Equal Employment Opportunity  
Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. 
 
We welcome applicants from all backgrounds and encourage you to apply even if you don’t meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. 

 

Accessibility Support 
We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email [email protected]. 

  

Disclaimer 

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.