Client Benefit Analyst

Highmark Health•PA, Working at Home - Pennsylvania, PA
•$58,100 - $90,000•Onsite

About The Position

The Client Benefit Analyst provides account support for the administration of experience-rated and community-rated dental groups. The role coordinates prompt support for UCCI Sales and Service personnel, group administrators, brokers, and Agent Plan personnel to resolve questions and issues involving benefit interpretations, customer service, claims adjudication, benefits, membership, and billing. The position supports account retention, satisfaction, and administration, with particular focus on new accounts, and works with internal teams including Customer Service Operations, Provider Data Management, Underwriting, and Professional Relations. The analyst gathers and analyzes customer-specific information from multiple sources, including benefit and claim utilization, enrollment, and network utilization, disruption, and geographic access. Based on analysis, the analyst recommends actions and evaluates benefit designs while considering financial impact. The role also represents United Concordia Dental at client meetings, including open enrollment meetings and health and wellness fairs, sells to members during open enrollment for renewal and new-business clients, and provides oral-health wellness consultation at client wellness events.

Requirements

  • Associate's degree in Business Administration/Management, or three years of progressive related experience in lieu of the degree.
  • 3–5 years of sales support experience.
  • 1–3 years of experience in insurance.
  • Producer's License – Accident & Health, or obtain it within 45 days of hire.
  • Analytical skills.
  • Communication skills.

Nice To Haves

  • Bachelor's degree in Business Administration/Management.
  • 1–3 years of dental sales experience.

Responsibilities

  • Provide or coordinate account support for experience-rated and community-rated dental groups.
  • Resolve issues involving benefit interpretations, customer service inquiries, claims adjudication, benefits, membership, and billing.
  • Support ongoing account retention, satisfaction, and administration, with additional focus on new accounts.
  • Collect and analyze customer-specific information on benefit and claim utilization, enrollment, and network utilization, disruption, and geographic access.
  • Make recommendations based on data analysis, including benefit-design analysis and assessment of financial cost impact.
  • Represent United Concordia Dental at client meetings, including open enrollment meetings and health and wellness fairs.
  • Sell at the member level for renewal and new-business clients during open enrollment.
  • Serve as an oral-health wellness consultant at renewal and new-business client wellness events.
  • Perform other duties as assigned.
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