MagnaCare is seeking detail-oriented and client-focused Client Liaisons to serve as the primary point of contact for client inquiries, claims processing, and issue resolution. This role requires strong communication, problem-solving, and analytical skills to ensure client satisfaction and efficient escalations management. This position is office-based and requires work to be performed on-site.
Primary Responsibilities
Build and maintain strong relationships with clients, serving as primary contact for day-to-day transactions.
Provide accurate and timely responses to client inquiries, both written and verbal.
Document all client interactions in the internal tracking system.
Process complex claims, including professional, facility, and ancillary.
Investigate client inquiries related to claim payments and pricing.
Apply medical policies, contractual provisions, and operational procedures to ensure accurate claims adjudication and adjustments.
Generate and analyze reports to identify root causes of client payment issues.
Identify negotiation solutions and resolve conflicts to ensure client satisfaction.
Demonstrate adaptability and willingness to provide backup support across various departments and roles as needed.
Essential Qualifications
Bachelor’s degree preferred or equivalent experience in healthcare, insurance, or claims management.
Minimum 1 year of claims adjudication experience, with expertise in processing professional, facility, and ancillary claims.
Strong knowledge of healthcare customer service and claims processing procedures.
Excellent verbal and written communication skills, with the ability to explain complex information clearly.
Exceptional attention to detail and problem-solving skills.
Strong organizational and time-management abilities, with the ability to prioritize multiple tasks effectively.
Ability to adapt to changing circumstances and collaborate as a team player.
High computer literacy, including proficiency in Microsoft Office Suite and claims-processing systems.
Prior experience serving unions is preferred.
Bilingual Spanish preferred.
At MagnaCare LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect, and increasing diversity, inclusion, and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all your unique abilities.
For more than 30 years, MagnaCare LLC has been a trusted partner in delivering flexible, customized solutions for self-insured organizations. As a national third-party administrator (TPA), we combine proprietary technology, network expertise, and a deep understanding of labor to help our clients achieve their goals while supporting the people they serve.
Our focus on labor means we work closely with funds, Taft-Hartley Trusts, and other self-insured groups to deliver tailored solutions that go beyond the basics. From health plan administration and eligibility management to contribution accounting, we provide the tools and support organizations need to succeed. With specialized offerings such as flexible network administration, direct contracting, in-house medical and care management, and workers’ compensation programs, we create benefit plans that address unique needs with precision.
