Client Concierge Specialist

Leading Edge Administrators

. Serve as the primary point of contact for inbound calls, emails, and digital inquiries from members and providers .

Posted 10/13/2026full-timeUnited StatesJuniorMid-Level💰 $23 - $26 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in customer service within healthcare or insurance environments, focusing on claims processing, benefits education, and effective communication. Proficient in managing escalations and delivering personalized support while meeting performance metrics.

Highest-signal resume keywords

Customer Service ExperienceClaims ProcessingEscalation ManagementCRM Systems ProficiencyCall Center Metrics Familiarity

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims ProcessingBenefits EducationEligibility VerificationProblem ResolutionData EntryMS WordMS ExcelMS OutlookMS PowerPointKeyboard Navigation

Soft Skills

Empathetic CommunicationAttention to DetailSound JudgmentAdaptabilityTeam Collaboration

Tools & Technologies

CRM SystemsCustomer Support PlatformsWorkforce Management ToolsScheduling Tools

Industry Keywords

HealthcareInsuranceTPACall CenterCustomer Service

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

High school graduate or equivalent
2+ years of experience in a customer service or call center environment handling escalation/2nd tier inquiries in a healthcare, insurance or TPA environment
Comfortable supporting multiple channels and adjusting to dynamic workloads
Familiarity with call center metrics and quality standards
Experience with claims processing, benefits, and eligibility systems preferred
Experience with CRM systems or customer support platforms preferred
Experience working escalations through emails and spreadsheets while meeting timely resolution
Previous exposure to workforce management or scheduling tools
Solid working knowledge of MS Word, Excel, Outlook, and PowerPoint
Expert keyboard and computer navigation skills and ability to learn new programs
Clear and professional communication with internal and external customers
Ability to work individually and as part of a team
Attention to detail, sound judgment, confidentiality, and discretion
Ability to identify and resolve problems in a timely manner
Ability to adapt to changes, manage competing demands, and handle unexpected events
Ability to work overtime as required
Regular, predictable attendance in the office is required
Ability to talk, hear, speak, and use hands and fingers to operate a computer, telephone, keyboard/mouse
Ability to lift and/or move up to 15 pounds occasionally