The Appeals Specialist assists clients and members with health insurance claims, analyzing denied medical claims and resolving issues. This role involves processing appeals, escalating claims, and maintaining key contacts with insurance carriers while advocating for members' coverage. The specialist must meet call center metrics and serve as a subject matter expert on health insurance plan language and regulations.

The Client Success Executive is responsible for managing a portfolio of clients to ensure satisfaction, retention, and organic revenue growth. This includes improving client utilization of services, developing strong relationships, and implementing retention strategies to address client needs and maximize revenue.