Client Concierge Specialist

About Our Client:The organization operates within the health insurance sector, addressing the complexities and challenges consumers face navigating healthcare benefits, claims, and provider networks. It aims to simplify these processes by delivering personalized support and clear guidance to members, providers, and clients, thereby improving the overall healthcare experience. About the Opportunity:The CLIENT CONCIERGE SPECIALIST role is designed to provide high-touch, white-glove service as the primary point of contact for members and providers. This position is pivotal in guiding individuals through their healthcare journey by resolving inquiries related to benefits, claims, eligibility, and provider navigation. The role is focused on ownership, empathy, and proactive problem-solving to enhance member satisfaction and retention. Responsibilities:Serve as the primary contact for inbound communications from members and providersDeliver personalized concierge-level service, including outbound outreachAssist with benefits education, eligibility verification, and plan navigationManage claims inquiries and explain benefits clearlySupport provider searches and appointment coordinationInvestigate and resolve complex claims, billing, and coverage issuesHandle escalations by identifying root causes and facilitating resolutionsMaintain accurate records and communicate updates to stakeholdersMeet performance metrics related to quality, accuracy, and member satisfactionProvide empathetic and professional communication to support retention Requirements:High school diploma or equivalent; Associate or Bachelor degree preferredMinimum 2 years in customer service or call center roles, preferably healthcare or insuranceExperience handling escalations and second-tier inquiriesFamiliarity with call center metrics and quality standardsPreferably experienced with claims processing, benefits, eligibility systems, and CRM platformsProficient with standard computer applications (MS Word, Excel, Outlook, PowerPoint)Strong communication skills, both verbal and writtenAbility to work independently and collaborativelyAttention to detail and problem-solving skillsCapacity to maintain confidentiality and discretionAdaptability to changing work demands and environmentsWillingness to work overtime as required Pay Range and Compensation Package:The pay range and compensation package for this role will be determined based on the candidate's experience, skills, and other relevant factors. Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note:RemoteHunter is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.