Account Representative I

Medica•Omaha, NE
•Hybrid

About The Position

The Account Representative is a small group business specialist with expertise in Medica’s products, pricing, sales guidelines, and operational processes. The role supports Medica’s external broker distribution channel for new and renewing small group commercial business, providing consultation and education on regulatory requirements, processes, products, and available value adds. The position interacts with brokers to quote, install, retain, and service fully insured and self-insured small group business. It also collaborates and negotiates with operational content specialists to address client questions and demands, helping maintain client satisfaction and business retention. This is an office role requiring onsite work at Medica’s Omaha, Nebraska office an average of three days per week.

Requirements

  • Bachelor’s degree or an equivalent combination of education and experience.
  • Ability to gain thorough knowledge of federal and state regulations and Medica’s requirements related to small group validation and submission.
  • Strong interpersonal and relational skills in managing client service.
  • Excellent written and verbal communication skills.
  • Ability to negotiate successful outcomes with clients.
  • Ability to work independently.
  • Self-driven, motivated, and results oriented.

Nice To Haves

  • Demonstrated proficiency working with fully insured and self-funded health plans.
  • Experience working with brokers.
  • CRM experience, such as Salesforce or Brokerlink.
  • Relevant experience in customer service, vendor management, account management, group health, benefits administration, human resources, or similar areas.

Responsibilities

  • Manage an assigned portfolio of small group accounts.
  • Prioritize workload, monitor account activity, and maintain accurate account documentation.
  • Build and maintain strong relationships to support retention and client satisfaction.
  • Research, coordinate, and resolve escalated service issues.
  • Manage inquiries related to eligibility, billing, enrollment, claims, and benefits.
  • Provide guidance to brokers on regulatory requirements, processes, products, and available value adds.
  • Support brokers in quoting, installing, retaining, and servicing small group fully insured and self-insured business.
  • Collaborate and negotiate with functional content specialists across operations to address client questions and demands.
  • Perform other duties as assigned.

Benefits

  • Competitive medical, dental, and vision benefits.
  • Paid time off.
  • Holidays.
  • Paid volunteer time off.
  • 401(k) contributions.
  • Caregiver services.
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