Blue Cross and Blue Shield Association logo

Client Solutions Specialist

Blue Cross and Blue Shield Association
  • Philadelphia, PA
    24 days ago

    Job Description

    Job Summary

    The Client Solutions Specialist is responsible for researching, resolving, and tracking client and partner inquiries in a timely, accurate, and professional manner for all Level Care Health Carpenter Funds. This role requires strong attention to detail, effective written and verbal communication, sound judgment, and the ability to manage multiple priorities in a fast-paced healthcare operations environment. A successful candidate will demonstrate initiative, accountability, teamwork, and a process-oriented approach while collaborating with internal and external partners to support high-quality service delivery.

    Key Responsibilities

    • Research, investigate, and resolve daily inquiries accurately and within established department guidelines.
    • Monitor assigned inquiries from receipt through resolution, ensuring timely follow-up and clear documentation.
    • Provide regular status updates on outstanding tasks, open inquiries, and pending follow-up items via email, internal meetings, and virtual client meetings.
    • Apply initial training concepts while continuing to learn new processes, systems, and operational requirements.
    • Escalate issues, risks, or barriers to leadership as appropriate to support timely client or partner communication.
    • Collaborate with senior staff, leads, supervisors, and cross-functional partners to coordinate issue resolution.
    • Interact professionally with internal teams and external partners across related departments to obtain information and resolve inquiries.
    • Identify, track, and report recurring trends, system issues, or process concerns related to inquiry volume and resolution.
    • Maintain confidentiality and comply with all applicable privacy, security, and regulatory requirements.
    • Perform other duties as assigned by management.

    Qualifications

    • Knowledge of self-funded health insurance products and how they work.
    • Ability to think critically, analyze information, and resolve problems effectively.
    • Strong attention to detail with the ability to perform accurately in a high-paced environment.
    • Proficiency with Microsoft Excel, Access, Word, Outlook, and other business technology tools.
    • Strong listening, written, and verbal communication skills.
    • Ability to manage multiple priorities, organize work effectively, and meet established deadlines.
    • Ability to work independently while contributing positively to a collaborative team environment.
    • Plan-to-plan experience is preferred.

    Education and Experience

    • Associate degree in a business-related field or equivalent work experience preferred.
    • Minimum of 3 to 5 years of experience in claims research, enrollment, customer service, or a related healthcare operations function.

    Hybrid

    Independence has implemented a "Hybrid" model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the "Hybrid" model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.

    IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

    Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

    Numbers & Facts

    LocationPhiladelphia, PA
    IndustryInsurance
    Company Size2,000 to 2,499 employees
    Websitehttps://www.bcbs.com/about-us/careers

    About Company

    At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

    Skills

    • Analysis Skillsunmatched
    • Carpentryunmatched
    • Communication Skillsunmatched
    • Cross-Functionalunmatched
    • Customer Support/Serviceunmatched
    • Detail Orientedunmatched
    • Documentationunmatched
    • Health Insuranceunmatched
    • Healthcareunmatched
    • Leadershipunmatched
    • Microsoft Access Databaseunmatched
    • Microsoft Excelunmatched
    • Microsoft Outlookunmatched
    • Microsoft Wordunmatched
    • Multitaskingunmatched
    • Presentation/Verbal Skillsunmatched
    • Privacy Controlsunmatched
    • Problem Solving Skillsunmatched
    • Regulatory Requirementsunmatched
    • Service Deliveryunmatched
    • System Operationsunmatched
    • Team Playerunmatched
    • Time Managementunmatched
    • Track Customer Issuesunmatched
    • Trend Analysisunmatched
    • Writing Skillsunmatched

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