The Client Operations Specialist plays a vital role in supporting our Client Success team with the end-to-end delivery of health insurance services for employer groups, brokers, and individual members
Act as Subject Matter Expert, representing the voice of the customer and client success, on any product, network, vendor discussions and rollouts
Identify Client Success needs and requirements related to such rollouts, ensuring timely distribution of deliverables to Client Success
Ensure accuracy and integrity of client data in internal systems
Monitor KPIs related to client satisfaction, service level agreements (SLAs), and operational performance
Alert Client Success if KPI’s are not meeting targets and make recommendations to improve performance
Requirements
5 years of experience in health insurance, healthcare, or employee benefits, preferably in a client-facing or operational role
Must have worked in a TPA or direct carrier setting
Experience working with health insurance products (HMO, PPO, HDHP, etc.), funding types (fully insured, ASO, Level Funded), and regulations (ACA, HIPAA)
Strong organizational and project management skills
Proficiency with MS Office (Excel, Outlook, Word)
Excellent written and verbal communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others
Holds high Customer Service standards and aims to be client-orientated with a drive for quality service.
Benefits
Offers Equity
Offers Bonus
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
health insurancehealthcareemployee benefitsclient data managementKPI monitoringproject management
Soft skills
organizational skillscommunication skillscustomer service orientationproblem-solving