Senior Account Manager - Employee Benefits

Relation Insurance • Rosemont, CA

20d • $53,000 - $109,000

About The Position

The Senior Account Manager serves as the primary business contact for the client and is responsible for client satisfaction. The person in this position is expected to consistently provide excellent customer service to assigned accounts, as well as represent client needs and goals within the organization to ensure quality. In addition, the Senior Account Manager will build relationships with clients to encourage new and repeat business opportunities.

Requirements

• A Life Accident & Health License from state of domicile is required and must be maintained.
• High School Diploma or equivalent required.
• Minimum 5 years’ account management experience in the insurance industry with a focus on Accident and Health lines of coverage is required.
• In-depth understanding of the lines of coverage for employee benefit plans: medical, dental, life, long-term disability (LTD), short-term disability (STD), accidental death and dismemberment (AD&D), vision, etc.
• Strong knowledge of the rules and regulations associated with HIPAA, COBRA, Health Care Reform and all other legislation and compliance related areas to Group Health programs.
• (California-Only) In-depth understanding of AB1672 and Small group regulations.
• (California-Only) Required to participate in the process of identifying and selecting General Agents. Must have knowledge of the services that California General Agents provide and be able to utilize General Agents to the maximum capacity.
• Must understand R.A.F. (Risk Adjustment Factor) and the components to how rates are created, maintained and delivered on new business and renewals.
• Outstanding interpersonal and communications skills are required to maintain effective relationships with clients, co-workers, carriers, vendors and others.
• Advanced skills in Microsoft Office (primarily Excel, PowerPoint and Word).
• Must be computer literate with the ability to learn new software applications, such as online benefit enrollment programs and carrier enrollment sites.
• Ability to work independently with limited daily supervision and to work effectively in a team environment.
• Must have a valid driver’s license, the ability to travel to client sites and a reliable source of transportation.

Nice To Haves

• Four-year degree preferred.
• Advanced professional designation highly desirable (e.g. CEBS, CBP, etc.).

Responsibilities

• Serves as a client advocate and the primary point of contact for assigned accounts.
• Develops professional business relationships with client and understands the client’s core business.
• Manages client expectations, service commitments, and anticipates needs of the client.
• Quickly identifies and resolves complex client issues.
• Follows through on participant claims resolution matters with carriers and inquiries not immediately resolved.
• On behalf of the client, conducts research on insurance carrier billing issues.
• Manages open enrollment and prepares presentation materials, employee handouts, and other informational tools for client meetings.
• Provides training sessions during in-person or remote group meetings.
• Manages the Request for Proposal (RFP) process by compiling health benefits information from a variety of sources, responses from the carriers, and reviews the transparency documents maintains all appropriate documents in proper files.
• Analyzes vendor renewals by checking carrier or vendor's plan rates for reasonableness and by analyzing claims and enrollment data, trend rates, administrative expenses and other charges.
• Creates client presentations using Excel and PowerPoint to summarize client data obtained from vendors or Relation consultants.
• Develops benchmarking reports by gathering health benefits data to compare a client's plan information) to other companies by industry or geography and provides the information to the client.
• Gathers necessary data from the vendor or client; reviews to ensure it is complete, accurate, and reasonable.
• Prepares data for use in basic or advanced financial analyses or valuations.
• Assists consulting team with valuing medical, dental and prescription drug plan designs by entering plan design information to develop the relative cost differences between plan designs, in order to compare the client's current plan to alternative designs.
• Assists consulting team to develop employee contributions scenarios by entering current employee medical contribution data into an Excel spreadsheet and projecting contributions to the next plan year, taking into account the cost-sharing goals of the client.
• Reviews external vendor contracts, summary plan documents and employee communications to ensure alignment with client expectations and legal requirements.
• Reviews Summary Plan Descriptions (SPD) from the carrier and compares it to the client's benefits for accuracy; follows up with the carriers to make any necessary changes are made.
• Understands and demonstrates project management and consulting skills.
• Develops employee communication materials such as benefit brochures, open enrollment presentations, employee memos, etc.
• Recommends process improvements as needed.
• Performs other projects, duties, and tasks, as assigned.

Benefits

• Competitive pay.
• A safe and healthy work environment provided by our robust benefit program including family health and wellness programs, 401K, employee assistance programs, paid time off, paid holidays and more.
• Career advancement and development opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED