Client Services Specialist (Healthcare Benefits) - Fully Remote

About the role

The Client Service Representative is responsible for providing excellent client service to Allied members, including HR representatives, brokers, and other various clients. They are the main point of contact for all inquiries and issues and must provide resolution in a timely, professional, and courteous manner. Allied offers a remote‑friendly culture; reliable cable broadband or fiber optic internet (minimum 100Mbps download/25Mbps upload) is required for this position.

Responsibilities

• Act as the liaison between the client/broker and Allied Executives and Departments involved with the benefit plan.
• Promptly deliver client complaints to relevant departments, including Claims, Eligibility, and Account Management.
• Serve as an additional resource for Account Managers as needed.
• Provide communication to clients and brokers regarding claim issue resolution, reporting, industry‑related and legislative information.
• Provide follow‑up to month‑end strategy by closing out open claim issues.
• Troubleshoot, identify, and improve internal processes with various Allied departments.
• Work with and foster relationships with other internal teams such as Claims and Eligibility.
• Help facilitate the renewal of existing cases by management of claim reviews and service level expectations.
• Other duties as assigned.

Qualifications

High School Diploma or GED required. College degree preferred.

Skills

• 1 to 3 years of Medical Claims experience required.
• Claim processing experience a plus.
• Customer service skills.
• Intermediate level work experience with Microsoft Office (Word, Excel, Access, PowerPoint).
• Required: RIMS Claim Processing System.
• Preferred: Web‑based applications.
• Excellent verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Ability to prioritize tasks and delegate when appropriate.
• Ability to function well in a high‑paced and at times stressful environment.
• Accountability.
• Communication.
• Customer Service Orientation.
• Functional/Technical Skills.
• Quality Focus.
• Time and Task Management.

Benefits

• Medical, Dental, Vision, Life and Disability Insurance.
• Generous Paid Time Off.
• Tuition Reimbursement.
• Employee Assistance Program (EAP).
• Technology Stipend.