About The Position

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: This position supports Ambetter Brokers and the Sales team with commission & contracting related questions, which are not limited to, in-depth analysis of the issues, which requires exceptional skills to accurately communicate the findings back. Collaborating with other internal teams, including the Sales team, on member related issues that are identified by the Ambetter Brokers and initially reported to the Broker & Sales Support team, ensuring initial research is completed and documented, following up until a resolution is obtained. Partnering with the Sales team to make outreaches to their brokers, in an attempt to secure and retain membership, to ensure organizational goals are met. Assists with projects, i.e., Investigates Department of Insurance (DOI) complaints and gathering official statements from Brokers, User Acceptance Testing (UAT). Administer the process of reviewing the submitted Agent of Record change forms to determine if the form/s should be processed or forwarded to be further investigated. The employee is responsible for the investigation of the form to validate the information received and have the ability to deny or approve as needed. Research and analyze complex commission issues in determining if a Broker should be paid commissions. Responsible for authorizing the Broker to be paid or not paid based on their evaluation. Serves as a subject matter expert for the assigned function to ensure operational performance. Diagnose problems and identify opportunities for process improvements. Create and update department policies and procedures. Performs other duties as assigned. Complies with all policies and standards.

Requirements

  • High School Diploma / GED.
  • 4+ year of customer service or health insurance industry experience.
  • Department of Insurance Life/Health License is required, or ability to obtain license within 120-days of being hired.

Responsibilities

  • Supports Ambetter Brokers and the Sales team with commission & contracting related questions, which are not limited to, in-depth analysis of the issues, which requires exceptional skills to accurately communicate the findings back.
  • Collaborating with other internal teams, including the Sales team, on member related issues that are identified by the Ambetter Brokers and initially reported to the Broker & Sales Support team, ensuring initial research is completed and documented, following up until a resolution is obtained.
  • Partnering with the Sales team to make outreaches to their brokers, in an attempt to secure and retain membership, to ensure organizational goals are met.
  • Assists with projects, i.e., Investigates Department of Insurance (DOI) complaints and gathering official statements from Brokers, User Acceptance Testing (UAT).
  • Administer the process of reviewing the submitted Agent of Record change forms to determine if the form/s should be processed or forwarded to be further investigated.
  • The employee is responsible for the investigation of the form to validate the information received and have the ability to deny or approve as needed.
  • Research and analyze complex commission issues in determining if a Broker should be paid commissions.
  • Responsible for authorizing the Broker to be paid or not paid based on their evaluation.
  • Serves as a subject matter expert for the assigned function to ensure operational performance.
  • Diagnose problems and identify opportunities for process improvements.
  • Create and update department policies and procedures.
  • Performs other duties as assigned.
  • Complies with all policies and standards.

Benefits

  • competitive pay
  • health insurance
  • 401K and stock purchase plans
  • tuition reimbursement
  • paid time off plus holidays
  • a flexible approach to work with remote, hybrid, field or office work schedules

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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