Leading Edge Administrators

General

• Serve as the primary point of contact for inbound calls, emails, and digital inquiries from members and providers
• Deliver personalized, concierge-level service and provide tailored solutions, including outbound contacts
• Assist members with benefits education, eligibility verification, and plan navigation
• Guide members through claims inquiries, including status, processing, and explanations of benefits
• Support provider searches, appointment coordination, and healthcare navigation
• Research and resolve complex issues related to claims, billing, and coverage
• Investigate and resolve disputes and escalations by identifying root causes of denials, underpayments, and other errors
• Update and maintain accurate records of progress, actions taken, pending items, and status
• Communicate updates to internal and external stakeholders
• Escalate unresolved or high-impact issues appropriately
• Meet or exceed performance metrics for quality, accuracy, call handling time, time to resolution, work volume, and member satisfaction
• Deliver empathetic, professional communication and support retention through positive, seamless interactions

Explore Client Concierge Specialist at Leading Edge Administrators. Review requirements and application details.