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
Job Type: Standard
Schedule: Full-time
Employee Status: Regular
Requisition ID: 1000001478
Hiring Range: $27.
00-$41.
00 per hour
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