Client Services Specialist - Group Administration

Vimly Benefit Solutions · United States · $23 – $23 · posted today ago

Listing supplied by Himalayas. 101 Careers did not originate this post and applications are handled by the employer.

About this role

Vimly is hiring a Client Services Specialist to serve as the Tier 2 contact for members, employer groups, brokers and internal teams. You will own nine areas of group administration, from user access to EDI support. You will keep each one accurate and on deadline. This role will report to our Manager, Client Services.

At Vimly, our mission is to simplify the complexities of workforce and benefit administration for our customers and partners. We need team-oriented people who want to do excellent work, grow and enjoy the day while they do it.

YOU WILL OWN NINE AREAS OF GROUP ADMINISTRATION

Each area has a clear start, a deadline and a record in Salesforce. You will work them through cases and log every step so the next person can see what happened.

User Access - Set up, change and remove Vimly platform access for employer, broker and trust users. Troubleshoot login and permission problems, and answer how-to questions about SIMON features.
New Groups - Set up new employer groups, including plan setup, SBS tagging and new plan document tagging. Confirm each group is ready before its effective date.
Renewals - Process renewing groups and rolling renewals. Update plan and rate information, and track every renewal deadline through completion.
Terms & Reinstatements - Process employer and group terminations, then reinstate groups and members when coverage resumes. Confirm the billing and carrier impact of each change.
New Group & Renewal Audits - Check each new group and renewal against its source documents. Maintain the audit engine, and correct errors before they reach a carrier or member.
Broker Management - Keep broker records current, answer producer questions, and support broker commissions and case closing.
Reporting - Build recurring and ad-hoc reports in Excel and Cleaner Reports. Support ACA reporting and send compliance notices (SAR, Medicare Part D, CMS disclosure, Form M-1).
Trust Meeting Support - Prepare reports and materials for trust meetings, record action items, and follow up until each one closes. Track deadlines and deliverables for your assigned trusts.
EDI Support - Start manual carrier loads, review 834 suspensions and reconcile eligibility between SIMON and carriers. EDI (electronic data interchange) 834 files carry enrollment data to carriers.

YOU WILL ALSO PROVIDE GENERAL SUPPORT

Keep detailed logs, documentation and audit trails in internal systems.
Act as the liaison between clients, brokers, insurance carriers and providers.
Contribute to internal initiatives, process documentation and cross-functional projects.
Help other departments with overflow work and special assignments.

WHAT YOU BRING

High school diploma or GED required. Associate or bachelor's degree preferred.
1+ years in customer service, administrative support, operations or customer success.
1-2 years in benefits, eligibility, billing, and enrollment/Benefits Administration Experience
Advanced Microsoft Office skills, especially Excel (pivot tables, formulas, reporting).
Salesforce or another CRM (preferred).
Working knowledge of EDI 834 files or carrier eligibility feeds (preferred).
Strong math, analytical and problem-solving skills.
Clear verbal and written communication with a professional tone.
High accuracy, attention to detail and respect for confidentiality.
Skill at managing large workloads, shifting priorities and firm deadlines while working remotely.
Comfort with Teams, Zoom and shared drives.