Get To Know Us!
WebTPA, a GuideWell Company, is a healthcare third-party benefit administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans.
Key position details:
- In office at 19100 Ridgewood Pkwy San Antonio TX 78259
- $20.00 per hour
- Full time position
- Comprehensive Benefits
- Training Hours: Monday to Friday 8:00am to 4:30pm CST
What is your impact?
The Client Resolution Specialist is an entry level position that maintains responsibilities similar to a Customer Service Representative and is responsible for handling inbound customer calls from both providers and members but is more highly focused on resolving client-related issues and providing expert-level resolution to complex cases. This may include partnering with Benefits departments in trying to solve complex issues.
Essential Functions:
- Primary client contact for claims and customer service issues and question for assigned accounts. Main customer service contact to resolve issues and identify customer needs on a pro-active basis.
- Assisting with customer service phone calls and queues as assigned.
- Identify members who have high claim volumes or excessive calls to customer service, which may be an indication that they need help understanding their plan or help with finding solutions
- Work directly with the Benefit Consultant for the employer group, to resolve claim or customer service issues.
- Researching claim appeals, researching benefit questions, locating in-network providers.
Qualifications
-1+ years related work experience in customer service
-High school diploma or GED
-Knowledge of medical CPT and ICD-9 coding, COBRA, HIPAA, pre-existing conditions, and coordination of benefits a plus
-Concise written and oral communication skills required, including the ability to deal with conflict.
-Knowledge of all MS Office products.
