Client Resolution Specialist
GuideWellSan Antonio, Texas, United States
Posted September 30, 2025
Full Time
About the Company
GuideWell Mutual Holding Corporation is a not-for-profit mutual holding company dedicated to transforming healthcare through innovation and collaboration. The company offers health insurance, consumerism services, new care delivery models, and health innovation initiatives, aiming to provide integrated solutions that enhance patient experiences and drive efficiency in the industry.
Job Description
The Client Resolution Specialist maintains customer service and claims handling responsibilities, with a focus on resolving complex client issues and providing expert support. The role involves interaction with Benefit departments and offers opportunities to research plans, benefit questions, and navigate claims appeals. The position requires strong communication and analytical skills.
Requirements
- 1+ years related work experience in customer service
- High school diploma or GED
- Knowledge of CPT and ICD-9 coding, COBRA, HIPAA, pre-existing conditions, and coordination of benefits
- Proficiency in maintaining good rapport with physicians, healthcare facilities, clients and providers
- Knowledge of all MS Office products
Benefits
- Benefits provided by employer