Employee Benefits Senior Client Manager

Fall River Employee Benefits, a division of BCG, an Alera Group Company, is looking to add a Senior Client Managerto their Employee Benefits Team!

The Client Manager performs a variety of account management activities related to the day-to-day administration of CBS/BCG’s Group Benefit plans. This position must demonstrate good judgment and be able to address all types of customer service issues with decisiveness. In addition, this position must have a good understanding of Large and Small Group products and benefits, Self-Funded, Fully Insured and Level Funded concepts, ACA, COBRA, HIPAA laws and other State and Federal regulations.

Responsibilities:

• Responsible for strategic management of Client accounts by developing relationships with client decision makers, HR Managers, and support staff.
• Ability to negotiate with insurance companies and underwriters to develop and implement appropriate solutions.
• Ability to perform renewal meetings and financial reporting discussions with clients.
• Receives or initiates communication to the employer groups, insurance carriers, and other vendors regarding claims payment issues, eligibility/termination provisions, billing, contract inquiries and conformance with Plan Documents and legislation, and general problem solving to provide quality service and efficient processing of information.
• Act as the liaison between all carriers and vendors to coordinate and implement changes, renewals, and new group business. Act as the point person in the same capacity for group and consultant.
• Perform on-site enrollment meetings at the group.
• Ability to interpret various contracts including excess loss contracts, administrative agreements, trusts documents, plan documents, certificates, and related documents with assistance from a senior level member of the Client Services team.
• Assist with details required to develop Plan Documents/Summary Plan Descriptions and/or amendments to Employee Benefit Plans at the request of the group or based upon legislative changes.
• Performs all duties related to establishing the set-up of new groups and the renewal of existing groups.
• Prepares and produces reports established or requested by groups
• Assist with audits when requested.
• Travel to client meetings/events.
• Other Duties as assigned.

Qualifications

• Five or more years of group medical insurance experience involving functions related to planning administration or equivalent combination of education and insurance experience.
• Customer Service or Call Center experience.
• Working knowledge of medical terminology, group medical insurance terminology, and regulatory requirements/restrictions.
• Experience with self-funded and/or fully insured large and small group plans.
• Ability to read and interpret contract documents and the ability to work with routine reports, billing statements, and correspondence with assistance from a senior-level member of the Client Services team.
• Excellent oral and written communication skills as well as strong organizational and customer service skills.
• PC and MS Office application skills along with mathematical aptitude.
• Bachelor’s degree in business or related field preferred.
• License in Health and Life insurance required.

Benefits & EEO Language

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

If you're a California resident, please read the prior to applying.

#LI-MM1

Job Type: Full-time

Pay: $100,000.00 - $120,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Vision insurance

Experience level:

• 2 years
• 3 years
• 4 years
• 5 years
• 6 years

Schedule:

• 8 hour shift
• Monday to Friday

Ability to Commute:

• Denver, CO 80211 (Required)

Ability to Relocate:

• Denver, CO 80211: Relocate before starting work (Preferred)

Work Location: Hybrid remote in Denver, CO 80211