Client Resolution Specialist - San Antonio

Job description

WebTPA is actively hiring for a Client Resolution Specialist to provide support to members and our clients with claims and customer service inquiries. This position is a Full time role in our San Antonio office. 

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. 

Position Details:

• In office required at 19100 Ridgewood Pkwy San Antonio, TX 78259
• Full time 
• Monday to Friday with availability between 8:00am - 6:00pm 
• $20.00 per hour plus benefits
• Ability to start in 2-3 weeks 

What Will You Be Doing: 

The essential functions listed represent the major duties of this role, additional duties may be assigned.

• Provide standard client support: (60%)
  • 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.
  • Utilize systems to tract all assigned clients questions or concerns.
  • Assisting with customer service phone calls and queues as assigned.
• Provide expert level of assistance to members who have complex or escalated issues that have not been successfully resolved by normal means: (20%)
  • 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, locating in-network providers. (10%)
• Provide direction and training to client-dedicated Customer Service Team staff: (5%)
  • Provide instruction and training to Customer Service Team when directed by the employer group or the Customer Service Manager.
• Assisting with assigned special projects. (5%)

What We Can Offer YOU!

To support your wellbeing, comprehensive benefits are offered. As a WebTPA employee, you will have access to:

• Medical, dental, vision, life and global travel health insurance
• Income protection benefits: life insurance, short- and long-term disability programs
• Leave programs to support personal circumstances.
• Retirement Savings Plan includes employer contribution and employer match
• Paid time off, volunteer time off, and 11 holidays
• Additional voluntary benefits available and a comprehensive wellness program