Senior Account Manager – Employee Benefits
Relation Insurance Services
full-time
Posted on:
Location Type: Office
Location: Santa Maria • California • United States
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Salary
💰 $53,000 - $109,000 per year
Job Level
About the role
- 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.
Requirements
- A Life Accident & Health License from state of domicile is required and must be maintained.
- Advanced professional designation highly desirable (e.g. CEBS, CBP, etc.).
- High School Diploma or equivalent required.
- Four-year degree preferred.
- 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.
- Outstanding interpersonal and communications skills are required to maintain effective relationships with clients, co-workers, carriers, vendors and others.
- Must have a valid driver’s license, the ability to travel to client sites and a reliable source of transportation.
- Advanced skills in Microsoft Office (primarily Excel, PowerPoint and Word).
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
account managementfinancial analysisdata analysisvendor managementclaims resolutionpresentation developmentbenchmarkingemployee contributions scenariosRFP process managementinsurance billing research
Soft Skills
client advocacyrelationship buildingproblem solvingcommunicationtraininginterpersonal skillsorganizational skillsanticipation of client needsattention to detailcollaboration
Certifications
Life Accident & Health LicenseCEBSCBPHigh School DiplomaBachelor's Degree