Account Management Specialist

Blue Cross of Idaho•Bozeman, MT

1d•$26 - $37•Onsite

About The Position

Our Account Management Specialists ensure delivery of excellent customer service, develop solid customer relationships by handling questions, concerns, transactions and renewals. Responsible for the delivery of client service and fostering solid client relationships to achieve targeted membership growth and retention for Major/National Accounts. Ensures the end-to-end process is executed, and provides consistent service level for Brokers and Groups.

Requirements

3/+ years’ health insurance industry and/or relevant experience
Microsoft Office (Excel, Outlook) at intermediate level
Experience using CRM, Salesforce, and/or Facets
Health care industry experience related to insurance and self-funded Groups
Health insurance contracts, Coding, and Benefit terminology
Comprehensive understanding of benefit plan administration, ERISA, COBRA, HIPAA, and industry practices, as well as fundamental understanding of plan compliance issues
Membership and claims processing procedures knowledge
Previous call center or phone experience in a professional setting
Idaho Health License or must obtain within 120 days

Responsibilities

Achieves targeted membership growth and retention for Major/National Accounts by performing or assisting in renewals, benefit design, account implementation, documentation, and procedure/process development and implementation.
Provides customer service, resolves problems, recommends modifications to products/services with client groups, brokers, consultants, and members.
Explains benefits, claim filing procedures, benefit upgrades and other situations that may arise.
Leads all aspects of proper set-up and maintenance of all documentation important to the administration of the account.
May help prepare presentations to existing clients and/or brokers.