client services specialist ii.

Prior authorizations and appeals processing. Ability to work in a fast paced environment, handling both inbound and outbound calls. Must be organized, detail-oriented and able to document cases clearly and accurately in accordance with the program guidelines. Good communication skills are essential, both internal and external. Knowledge of Medicare benefits, enrollments and LIS assistance. Plans and organizes work assignments, set priorities and completes work with a minimum of supervision. Adheres to the service policy and principles of the company, as well as the program guidelines set by the department. Participates in cross-training to perform all roles within the department. Communicates effectively and professionally with our program partners to assure the best possible service for our patients and partners. Other duties as assigned. Physical Demands: May sit, stand, stoop, bend and walk intermittently during the day. May sit or stand seven (7) to ten (10) hours per day. May be necessary to work extended hours as needed. Finger dexterity to operate office equipment required. May need to lift up to twenty-five (25) pounds on occasion. Visual acuity to see and read fine prints. Specific vision abilities required by this role include close vision, color vision and the ability to adjust focus. Must be able to hear normal voice sounds. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this role. Work Environment: Work in a climate-controlled, smoke-free internal environment.

Tops 3 Skills: 1. Prescription Drug Reimbursement & Insurance Knowledge This includes: • Ability to explain benefit structures to agents or customers This is the core of the role — without it, they will struggle immediately.

2. strong Communication & Customer Service Skills They must be able to: • Handle inbound/outbound calls professionally • Document clearly and accurately • Communicate with agents, internal teams, manufacturers, and patients • Deliver guidance, education, and problem-solving This is a highly interactive, support‑heavy position.

3. Multi‑Tasking, Organization & Systems Navigation This includes: • Handling multiple cases and systems at once • Documenting case notes consistently • Managing multiple software tools • Staying detail‑oriented in a fast‑paced environment Without strong organizational skills, candidates won’t succeed.



salary: $16.4 - $16.41 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School

Responsibilities

• Possesses knowledge all Aetna health products available to the senior market.
• Gives guidance with sales inquiries.
• Manages various software applications while taking calls when needed and documents processes effectively.
• Cultivates positive and successful relationship with field sales force/broker/consultant community/customer teams.
• Navigates and instructs the customer on how to use agent support website.
• Completes sales orders and requests for materials.
• Trains and mentor other employees if needed.
• Assist Supervisor and Manager with providing support to the team.
• Consults cross-functionally with other departments to influence and promote change, to continually deliver quality service to both internal and external customers.• Anticipates agent’s needs and educates agent on various elements of information and available services created to enhance the overall customer service experience with the company (i.e., assistance with agent self-service tools).
• May provide technical or subject matter expertise concerning policies, procedures, and function-related applications/systems tools.
• Documents and tracks all contacts, events, and outcomes with clients using appropriate systems and processes.




Skills

Agent

Services

Call

Center

Qualifications

Years of experience: 1 year

Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.