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JOB SUMMARY
This job provides account support activities associated with the quoting, set up, implementation, and administration of groups and accounts. May provide assistance with standard and/or non-standard benefit implementation tasks. May identify and resolves problems related to benefit interpretations, non- standard benefits, handle rating concerns, and coordinate claim extracts and any subsequent adjudication requirements. The incumbent may have direct interaction with producers, clients and sales reps to ensure complete quoting, set up, implementation, on-going service and all renewal activity. The incumbent has foundational knowledge and experience, is building higher-level knowledge and skills, and makes independent contributions to projects.
ESSENTIAL RESPONSIBILITIES
Load and maintain group information and benefit files. (20%)
Interact and provide support activities to Account Managers and/or Sales Executives. (20%)
Resolve benefit inquiries received from Account Managers, producers, sales reps and small market clients. May coordinate meetings, projects, implementations with clients and core partners. (20%)
Handle error management and ensure files are corrected. (20%)
Analyze/coordinate the implementation of new products, group changes, benefit enhancements, non-standard benefits and activities related to mass updates. (10%)
May assist with training new employees. (10%)
Other duties as assigned or requested.
EXPERIENCE
Required
1 years of relevant, progressive experience in the area of specialization.
Preferred
Experience in health care, insurance or sales
SKILLS
Knows and applies principles, practices and processes within the specific field or discipline. Building higher-level benefit/operational/implementation knowledge and skills. Gathers and analyzes information, designs and tests solutions to problems, and formulates plans.
Performs work that is varied and somewhat difficult. Solves a range of problems by analyzing possible solutions using standard processes.
Demonstrates basic knowledge in the systems utilized for client quoting, maintenance, setup, and implementation. Applies this knowledge to drive system enhancements, process improvements, and the testing of new functionalities.
Ability to manage multiple tasks and priorities
Strong communication skills- written and verbal
Demonstrated problem solving skills
Self-motivated and ability to work with minimal direction
Knowledge of Highmark products, services, and processes
EDUCATION
Required
High School/GED
Preferred
Associates
LICENSES or CERTIFICATIONS
Required
None
Preferred
Producer License- Accident & Health
Language (Other than English):
None
Travel Required:
None
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based or Remote Position
Physical work site required
Frequently
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$23.16Pay Range Maximum:
$35.88Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
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