Benefit Review Specialist

ProAct Account And Client Service Representative

Assist with the day-to-day operations of Account and Client Service Resources of ProAct, while focusing on providing top level service to ProAct clients. Work under direct supervision and follow standard procedures to accomplish assigned tasks.

Assist with the day-to-day operations of Account and Client Service Resources of ProAct. Coordinate and implement the setup and support of existing ProAct clients for all aspects of customer service, account management, and quality assurance.

Responsibilities

Process and implement benefit changes and / or updates for existing ProAct clients in all appropriate systems.

Perform testing for all new ProAct clients to measure benefit accuracy.

Perform quality assurance audits on a regular basis to measure client satisfaction.

Maintain client information integrity within all appropriate systems.

Assist Customer Service Representatives in the resolution of customer service issues, requiring additional support, to ensure complete client satisfaction.

Assist Account Resources in the resolution of customer service issues, requiring additional support, to ensure complete client satisfaction.

Coordinate, maintain, and manage the distribution of member mailings.

Responsible for completing all mandatory and regulatory training programs.

Perform other duties as assigned.

Qualifications

Education :

Required : Minimum High School Diploma or GED

Preferred : AS Degree or Higher in Business Administration, Marketing or related field

Experience :

Preferred : 2 Years experience with Health Care, Insurance, or related field

Special Conditions of Employment :

Drug test

Initial and continuous exclusion and sanction / disciplinary monitoring

Any and all additional eligibility requirements based on the specific position

Compensation : $20.60-21.03 per hour.

The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience, and education.

KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state, and federal regulations as it pertains to minimum wage requirements.