Job Details

POSITION SUMMARY

Provide the highest level of service to our Clients via Brokers and/or HR representatives.

ESSENTIAL FUNCTIONS:Act as the liaison between the client/broker and Allied Executives and Departments as it relates to Allied Advocate claims.

• Provide communication to clients and brokers regarding claim issue resolution.
• Troubleshoot, identify and improve internal processes with various Allied departments.
• Keep records of member and provider interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.
• Obtain and examine all relevant information to assess need for negotiation on balance due issues.
• Work with other departments (Account Management, Client Services, Customer Service) as needed to resolve member issues.
• Meet and sustain productivity and quality metrics determined by management.
• Provides proactive outreach to clients to gain feedback on improved services.
• Performs other duties as assigned.

EDUCATION

• High School diploma or equivalent required.
• Bachelor's degree preferred.

EXPERIENCE & SKILLS

• 1 or more year of medical claims experience required.
• Customer service experience required.
• Medical benefit insurance knowledge preferred.
• Proficient with Microsoft Office Suite or related software.
• Excellent verbal and written communication skills.
• Excellent interpersonal and customer service skills.
• Excellent organizational skills and attention to detail.
• Ability to prioritize tasks and to delegate them when appropriate.
• Ability to function well in a high-paced and at times stressful environment.

POSITION COMPETENCIES

• Job Knowledge

• Time Management
• Accountability
• Communication
• Initiative
• Customer Focus

PHYSICAL DEMANDS

• This is a standard desk role - long periods of sitting and working on a computer are required.

WORK ENVIRONMENT

• Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.