Dedicated Service Consultant

BlueCross BlueShield of South Carolina•Columbia, SC

1d•Onsite

About The Position

Facilitates service model for large group(s) accounts to include responsibility for customer service and benefits education of employees, maintaining positive relationships in meeting the needs of group executive management, and developing recommendations for plan improvements based on trend analysis. Description Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours 8am-8pm. Training will be Monday-Friday 9:am to 430PM/5PM for 6-8 weeks. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located at on site at 4101 Percival Road, Columbia SC What You’ll Do: Serves as primary contact to assigned group(s). Works directly with group executive management to achieve high satisfaction through addressing employee inquiries, tracking inquiries for trending and analysis, and developing improvements to the group service model. Based on trend analysis, makes recommendations on modifications to contracted benefits. Attends weekly meetings with group executives to address outstanding issues. Addresses sensitive employee issues in accordance with the summary plan document. Promotes benefits to group and reeducates groups on benefits. Conducts on-site open enrollment meetings to present new benefit plans and product changes in existing plans. Conducts individual meetings to assist members in benefit selection. Creates educational materials and educates group employees through on-site demonstrations /presentations including the use of self-service tools. Maintains up-to-date knowledge on contracts and claims payment policies and procedures in order to be able to address group employee inquiries and resolve issues in accordance with the group contract. Creates reports to monitors, track, and trend account inquiries. Interacts with Key Account Executive and internal operational areas to address matters affecting the group.

Requirements

Bachelor’s Degree or 4 years job related work experience or Associate's and 2 years job related work experience
Comprehensive knowledge of products, procedures, systems, and claims payment policy.
Fundamental understanding of employee benefit law and regulations.
Fundamental understanding of benefits financing formulas/reports.
Good judgment.
Effective customer service, presentation, and organizational skills.
Demonstrated verbal and written communication skills.
Analytical or critical thinking skills.
Ability to handle confidential or sensitive information with discretion.
Microsoft Office.

Nice To Haves

Working knowledge of products purchased through accounts.

Responsibilities

Serves as primary contact to assigned group(s).
Works directly with group executive management to achieve high satisfaction through addressing employee inquiries, tracking inquiries for trending and analysis, and developing improvements to the group service model.
Based on trend analysis, makes recommendations on modifications to contracted benefits.
Attends weekly meetings with group executives to address outstanding issues.
Addresses sensitive employee issues in accordance with the summary plan document.
Promotes benefits to group and reeducates groups on benefits.
Conducts on-site open enrollment meetings to present new benefit plans and product changes in existing plans.
Conducts individual meetings to assist members in benefit selection.
Creates educational materials and educates group employees through on-site demonstrations /presentations including the use of self-service tools.
Maintains up-to-date knowledge on contracts and claims payment policies and procedures in order to be able to address group employee inquiries and resolve issues in accordance with the group contract.
Creates reports to monitors, track, and trend account inquiries.
Interacts with Key Account Executive and internal operational areas to address matters affecting the group.