Employer Service Representative - LHB

Job Summary

At Care Allies, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. This position is responsible for working with external customers to resolve claim and customer service issues initiated by clients or Client Management. Responsibilities include research and resolution of issues;

recommendations for improvement of processes and procedures to eliminate recurrence of issues or to prevent future issues; communication with clients, Operations and Client Management; and tracking/monitoring of issues. This position may not service all clients.

• High School diploma or GED equivalent
• Minimum five or more years claim processing/health insurance industry experience
• Ability to work in a fast-paced, customer service driven environment
• Excellent verbal and written communication skills
• Ability to research various topics, succinctly summarize findings and develop a recommendation
• Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
• Solid understanding of ERISA and DOL regulations
• Ability to read, analyze and interpret documents and Summary Plan Descriptions (SPDs)
• Flexible; open to continued process improvement
• Self-directed individual who works well with minimal supervision
• Good leadership, organizational and interpersonal skills
• Demonstrated critical thinking skills
• Ability to effectively deal with problems in varying situations and reach resolution
• Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word

• Bachelor’s degree
• Good presentation skills
• Experience presenting and explaining benefits to a group or one-on-one

EEO Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Pay Transparency Statement:
At Care Allies, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, a minimum of 15 days’ of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-time employees.

The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. Min to Max Range: $42,200.00 - $79,300.00 Exact compensation may vary based on skills, experience, and location.

Join our talent community and receive the latest Care Allies news, content, and be first in line for new job opportunities. Join our Talent Community. Across 1600+ locations in 11 states, Care Allies is helping physicians make a difference in the lives of over 400,000 patients every day. Our mission is to unlock value, quality, and population health outcomes for physicians and health plans by simplifying a complex care environment and elevating clinical results.

Innovista Health is a subsidiary of Health Care Service Corporation.