Description of Duties:
- Handle sales administration of client's benefit plan by initiating follow-up to resolution of all service inquiries involving claims, membership, billing, interpretation of contract provisions, benefits/plan design, and other administrative requests originating from client groups in a timely fashion.
- Assist with preparing renewals of existing groups by coordinating and submitting quotes and working with Underwriting and other internal departments as needed.
- Assist sales staff to present and successfully close client renewals by carefully analyzing the renewal prior to release to the client and preparing material to support the renewal proposal.
- Working with sales staff, participate in visits with clients and/or their consultants, and keep clients informed of issues that may impact benefits and rates.
- Work with sales staff to ensure client satisfaction, retention, and growth by collaborating effectively with other areas of EmblemHealth to proactively prevent and resolve issues as needed.
- Present client Statements of Experience and other year-end reports that highlight the value proposition of the plan.
- Coordinate mailings and actively participate in the organizing and execution of New sales or renewal campaigns such as annual reopeners for the purpose of increasing membership.
- Working with sales staff, assist with the development of strategies to identify opportunities within assigned client groups to upsell additional coverage and lines of business.
- Remain current with EmblemHealth's benefits and capabilities, industry trends, competitive strategies, and governmental regulations.
- Ensure State licensure requirements are met and up to date.
- Complete and maintain the required group's union training program including, but not limited to the following topics: Collective Bargaining, Labor History, Labor Law, History of the City of New York Benefits Program, and
Industrial & Labor Relations. - Install new and existing client benefit programs/benefit changes.
- Coordinate and conduct open enrollment meetings and presentations to existing and prospective members virtually and on-site as required by the customer.
- Attend Union events, business dinners, conferences, regularly scheduled client meetings, presentations, and open enrollment on-site meetings.
- Work with community, civic and professional organizations to present information on health care issues, promoting a positive corporate image as well as attending client functions after business hours. Work in the offices of the City of New York Office of Labor Relations and/or key municipal labor union clients for short periods and/or extended period of time for direct client service support when needed.
- In a timely and accurate manner, maintain records, prepare reports and written correspondence (SBC's/ Benefit Summaries), direct materials, gather competitive intelligence, complete forms, and documents.
- SME on process improvement issues for Account Management. Represent Account Management in internal meetings by assuming an active role.
- Perform other duties as assigned or required.
Qualifications:
- Bachelor's degree required
- Minimum of 2 years of experience in a health insurance field required
- Must possess or obtain NYS Health/Life Agent's License within 60 days of appointment to the position and must maintain that license in good standing throughout employment.
- Proficiency in Microsoft Word, Excel and PowerPoint required
- Knowledge in pricing and underwriting, financial arrangements, benefits programs, and utilization management preferred
- Must be available to work on site in the offices of the City of New York Office of Labor Relations
- Successfully complete formal public speaking training within 90 days of hiring as a condition of continued employment
- Strong consulting, presentation, negotiation and selling skills required
- Demonstrated experience in public policy and the ability to communicate with all levels of New York City leadership including political leaders
- Excellent analytical skills, verbal and written communications skills required
- Detail oriented/Ability to multi-task required
Additional Information
- Requisition ID: 1000001478
- Hiring Range: $27.00-$41.00 per hour