Handle sales administration of client’s benefit plan by initiating follow-up to resolution of all service inquiries involving claims, membership, billing, interpretation of contract provisions, benefits/plan design, and other administrative requests originating from client groups in a timely fashion.
Assist with preparing renewals of existing groups by coordinating and submitting quotes and working with Underwriting and other internal departments as needed.
Assist sales staff to present and successfully close client renewals by carefully analyzing the renewal prior to release to the client and preparing material to support the renewal proposal.
Working with sales staff, participate in visits with clients and/or their consultants, and keep clients informed of issues that may impact benefits and rates.
Work with sales staff to ensure client satisfaction, retention and growth by collaborating effectively with other areas of EmblemHealth to proactively prevent and resolve issues as needed.
Present client Statements of Experience and other year-end reports that highlight the value proposition of the plan.
Coordinate mailings and actively participate in the organizing and execution of new sales or renewal campaigns such as annual reopeners for the purpose of increasing membership.
Working with sales staff, assist with the development of strategies to identify opportunities within assigned client groups to upsell additional coverage and lines of business.
Remain current with EmblemHealth’s benefits and capabilities, industry trends, competitive strategies and governmental regulations.
Ensure State licensure requirements are met and up to date.
Install new and existing client benefit programs/benefit changes.
Coordinate and conduct open enrollment meetings and presentations to existing and prospective members.
Work with community, civic and professional organizations to present information on health care issues, promoting a positive corporate image as well as attending client functions after business hours.
In a timely and accurate manner, maintain records, prepare reports and written correspondence (SBC’s/ Benefit Summaries), direct materials, gather competitive intelligence, complete forms and documents.
SME on process improvement issues for Account Management. Represent Account Management in internal meetings by assuming an active role.
Performs other duties as assigned or required.
Strong consulting, presentation, negotiation and selling skills
Excellent analytical skills, verbal and written communications skills are required
Detail oriented/Ability to multi-task
Bachelor’s degree preferred but not required; minimum of 2 years of experience in a health insurance field
Licensed NYS Health/Life Agent
Proficient in Microsoft Word, Excel and PowerPoint
Knowledge in pricing and underwriting, financial arrangements, benefits programs and utilization management