Guidewell
From Guidewell's careers page
Status: listed on the employer's own careers page when we last checked (daily). Confirm on their site before applying.
Get To Know Us!
WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans.
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.
In office at 19100 Ridgewood Pkwy San Antonio, TX 78259 required
Ability to work between the hours of 7:00am - 7:00pm CST Monday to Friday
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.
Provide expert level of assistance to members who have complex or escalated issues that have not been successfully resolved by normal means
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.
Other responsibilities include researching claim appeals, researching benefit questions, and locating network providers.
Provide direction and training to client-dedicated Customer Service Team staff
Provide instruction and training to Customer Service Team when directed by the employer group or the Customer Service Manager.
Assisting with assigned special projects.
1+ years related work experience in customer service
High school diploma or GED
Knowledge in the healthcare industry including CPT and ICD-10 coding, COBRA, HIPAA, pre-existing conditions, and coordination of benefits
Concise written and oral communication skills required, including the ability to deal with conflict.
Proficiency in maintaining good rapport with physicians, healthcare facilities, clients and providers.
Knowledge of all MS Office products.
Must possess proven judgment, decision-making skills and the ability to analyze.
We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.
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Hi [Name], I just applied for the Client Resolution Specialist role at Guidewell. My background in [your most relevant experience] lines up well with what the team is looking for. Would you be open to a quick chat, or could you point me to the right person on the team? Thank you!
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