NJM Insurance Group

Account Manager II

NJM Insurance Group

full-time

Posted on:

Location Type: Hybrid

Location: Newark • New Jersey • United States

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Salary

💰 $73,700 - $96,705 per year

About the role

  • Acquires new business (Medicare Advantage Employer Group).
  • Manages contract renewals (all markets for Dental) and ensures services are provided that will maximize the potential for account retention and initial member enrollment.
  • Ensures proper installation of new accounts (Medicare Advantage Employer Group) as well as changes to existing accounts.
  • Plans and negotiates terms and conditions of contracts with existing accounts.
  • Directs the implementation process for new clients and/or employers.
  • Sells additional lines of business to existing clients.
  • Compares and evaluates various products to make appropriate recommendations based on client needs assessment.
  • Modifies existing contracts that require term changes that may be outside of predetermined guidelines or standards.
  • Develops and conducts workshops for clients/groups relative to enrollment, claim procedures, and health industry regulations.
  • Weighs factors and outcomes to make binding financial, operational, and service-related decisions.
  • Ensures that all accounts and brokers are promptly informed of relevant legislative and regulatory issues and their associated impact.
  • Performs other duties as assigned by management.

Requirements

  • High School Diploma/GED required
  • Bachelor degree preferred or relevant experience in lieu of degree
  • Requires a minimum of four years (4) of professional sales or contract negotiation experience, preferably in the health insurance industry, with a documented track record of success.
  • Requires a New Jersey State Health/Life License.
  • Must be proficient and possess advanced skills in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint).
  • Should be knowledgeable in the use of intranet and internet applications.
  • Requires knowledge of Group Health products lines including Managed Care and Dental.
  • Requires knowledge of rating and policy renewal practices for all Funding mechanisms, i.e., fully insured prospective group, minimum premium, and ASO.
  • Prefers knowledge of Horizon BCBSNJ products, underwriting policies, enrollment, billing, and claims processing procedures.
Benefits
  • Comprehensive health benefits (Medical/Dental/Vision)
  • Retirement Plans
  • Generous PTO
  • Incentive Plans
  • Wellness Programs
  • Paid Volunteer Time Off
  • Tuition Reimbursement
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
contract negotiationsalesaccount managementenrollment proceduresclaims processinghealth insurance knowledgepolicy renewal practicesManaged Care knowledgeDental product knowledgefinancial decision making
Soft Skills
communicationorganizational skillsclient assessmentworkshop developmentdecision makingnegotiationrelationship managementproblem solvingleadershipadaptability
Certifications
New Jersey State Health/Life License