Support Specialist, Client Experience jobs in United States
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Imagine360 · 5 hours ago

Support Specialist, Client Experience

Imagine360 is a health plan solution company that combines over 50 years of self-funding healthcare expertise. They are seeking a Support Specialist to provide analytical, relationship management, and administrative support to the Client Experience Team, working closely with Relationship Managers to enhance client satisfaction and streamline reporting processes.

Health CareHealth InsuranceInsurance

Responsibilities

Research issues and gather data on behalf of Account Managers. Issues may be related to the following: pulling and cataloging Explanation of Benefits, claims processing questions or troubleshooting, PBM prescription benefits, or PPO networks
Coordinate with claims/customer services teams on claim payments, corrections and letter writing
Coordinate with Member Experience Team on balance bill matters, such as balance bill reporting, member status updates, process or timeline questions, or settlement/negotiation status
Prepare client/broker-facing reports. Many reports will have defined parameters and templates. Some reports will be ad hoc
Client/broker facing responsibilities including emailing reports and other notifications
Provide timely and thorough follow-up with internal and external customers
Keep system databases current with accurate client and broker contact information
Log and research call logs
Manage terminated client relationships during the run-out period for TPA Services and continue to monitor escalated balance bill situations post run-out, notifying the client as needed
Represent Imagine360 at Client Open Enrollment Meetings or Health Fairs as needed, primarily during 4th Quarter
Coordinate ordering/printing of new group booklets or other product education materials for clients
Identify ways to innovate, such as streamlining reporting or other processes, and enhance support provided to Relationship Managers
Appropriately escalate issues or concerns to Relationship Managers
Work as part of the Client Experience Team to increase client satisfaction
Provide out of office support to Relationship Managers
Perform other duties as assigned (may be clerical)

Qualification

SalesforceHealth benefit plansMicrosoft OutlookMicrosoft ExcelMicrosoft PowerPointAnalytical skillsBilingual SpanishOrganizational skillsProblem-solvingCommunication skills

Required

Bachelor's degree in related field preferred with minimum of two years' experience in related field
Working knowledge of health benefit plans preferred
Experience working in Salesforce preferred
Proficient in Microsoft Outlook, Word and PowerPoint
Intermediate level Excel skills
Demonstrate organizational skills, problem-solving, administrative, analytical skills and detail oriented
Strong written, oral communication and presentation skills
Must be comfortable communicating with clients, brokers and vendors
Ability to juggle working on large projects with critical deadlines
Must be willing to work with and learn new technologies
Must work well within a team environment as well as independently
Overnight Travel is required, up to 15% of the time

Preferred

Bilingual Spanish speaking preferred

Benefits

Multiple Health Plan Options
Company paid employee premiums for disability, and Life Insurance
Parental Leave Policy
20 days PTO to start / 10 Paid Holidays
Tuition reimbursement
401k Company contribution
Professional development initiatives / continuous learning opportunities
Opportunities to participate in and support the company's diversity and inclusion initiatives

Company

Imagine360

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Imagine360 is an integrated health plan addressing one of the greatest challenges on behalf of self-funded employers: healthcare costs are harming the bottom line, they're increasingly unaffordable for employees, and the experience remains poor.

Funding

Current Stage
Late Stage

Leadership Team

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Jeff Bak
President & CEO
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Company data provided by crunchbase