Employee Benefits Account Manager

Santa Barbara, CA, United States

Description:

Your primary role is to ensure the management of the group employee benefits, individual health insurance and Medicare senior supplement coverages. This role entails servicing, educating clients, administrative work of front stage experience deliverables and back stage templates/processes to explain concepts. You will need to proactively manage your time with strategies to balance the urgent versus important within the New Business and Servicing pipelines as they arise. The position works closely with the EEB Advisor/Assoc. EEB Advisor to outline the NB/Serv expectations at hand, and then entails collaboration, execution, documentation, confirmation, collaboration and then closing out of all communications/backup to the issue.

Servicing Pipeline: This role largely entails executing preparation of the annual Renewal season materials for each group client of the firm. Directly communicate with clients in assessing, researching and then autonomously executing on client service requests- pertaining to billing, claims, dependents, eligibility issues.

New Business Pipeline: This role entails working supportively with the Associate and Lead EEB Advisors and collaboratively with the other EEB Service Coordinators/Analysts who work remotely through Warner Pacific. May participate in client meetings with more senior advisors and complete follow-up work from client meetings.

Correlations to other roles:

This role can be transitionary position for a motivated individual moving from an Administrative Role into attaining greater responsibility within the organization.

This role can also be partially utilized for onboarding a new EE into an Associate EEB Advisor Role, as they may need 6-12 months in a Client services Coordinator role first such that they understand the processes/systems.

Individuals excelling in this area, and desiring more autonomy & greater responsibility, whom are specifically capable of providing advice and being responsible for Bus Development activities can transition from this role into an “Associate EEB Advisor Role”.

Clear Expectation’s for the Role:

You are largely responsible for the accuracy of our EEB review materials which are utilized to make financially significant corporate decisions that have large financial, tax and legal implications. The role entails the execution of all back-office procedural/administrative functions for executing on New Business, and will set the table for the client’s overall satisfaction with our firm’s level of service in the EEB area. Your ability to focus on the details, honestly knowing your knowledge limits, and be proactively self-motivating and then managing your activities is paramount. The EEB Advisor you will be working with must be keenly aware of any ambiguity, or assumptions that were made as they could otherwise undermine hours of valuable advisory work.

Expectations of capabilities includes but is not limited to:

· Ability to execute on routine client servicing requests in a quick and efficient manner leveraging back stage Processes, Agendas and Template communications.

· High degree of accuracy in data entry into Warner Pacific website of quantitative parameters of case planning, and high degree of adherence to organizational protocols within the office.

· For each line of business, it is imperative that you possess a mastery of the specific rules pertaining to each of the respective areas of A and C, while the Advisor you will be working with must be keenly aware of section B. Below are some of the key areas you will need to be familiar with:

I. Individual Family Plans

a. New Business Pipeline- Enrollment Rules

i. Paperwork/ Procedural

ii. Timelines for enrollment/changes

iii. Maintain Relationships directly at the Carrier level for support

b. Servicing Pipeline- Common Value Creation

i. Premium Payment Issues

ii. Claim Coverage questions

c. Advisory- Coverage Design considerations

i. Health Policies (Off-Exchange): Understand the different rules and networks through the different carriers.

ii. Health Policies (On-Exchange): Be familiar with the different income guidelines that would allow individuals to obtain a subsidy with Covered CA and the application process for establishing the policy.

iii. Ancillary Benefits: Know the different plan options available for Dental and Vision amongst the different carriers.

II. Small Group Employee Benefits package

a. New Business Pipeline - Enrollment Rules

i. Paperwork/ Procedural

ii. Timelines for enrollment/Changes

iii. Maintain Relationships/Contacts at carrier and GA level

b. Servicing Pipeline- Common Value Creation

i. Premium Payment Issues

ii. Claim Coverage questions

c. Advisory- Coverage design considerations

i. Health Policies: ER/EE Premium Payment options, Flexibility available in creatively bracketing the benefits.

ii. Ancillary Benefits: Know the different plan options available for Dental, Vision, Life and LTD amongst the different carriers.

III. Senior Medicare Supplements/Advantage Plan/Part D RX

a. New Business Pipeline- Enrollment Rules

i. Paperwork/ Procedural

ii. Timelines for enrollment/Changes

iii. Maintain Relationships/Contacts at carrier and GA level

b. Servicing Pipeline- Common Value Creation

i. Premium Payment Issues

ii. Claim Coverage questions

c. Advisory- Coverage design considerations

i. Medicare parts A & B: Knowledgeable and know how the coverage works and dates and deadlines surrounding the coverage.

ii. Medicare supplement plans: Familiar with the different supplements available, how they work and the rules to set them up.

iii. Medicare Ancillary Benefits: Stay current on the plans and options available to add dental and vision.

iv. Have a broad-based knowledge of the structure of how PDP plans work especially surrounding the “donut hole” and be familiar on how to set them up and the penalties involved in not enrolling.

IV. HSA/HRA/FSA-125 Plan specifics

a. New Business Pipeline- Enrollment Rules

i. Paperwork/ Procedural

ii. Timelines for enrollment/Changes

iii. Maintain Relationships/Contacts at carrier and GA level

b. Servicing Pipeline- Common Value Creation

i. Premium Payment Issues

ii. Claim Coverage questions

c. Advisory Coverage design considerations

V. Retirement Plans

a. New Business Pipeline- Enrollment Rules

i. Paperwork/ Procedural

ii. Timelines for enrollment/Changes

iii. Maintain Relationships/Contacts at carrier and GA level

b. Servicing Pipeline- Common Value Creation

i. Premium Payment Issues

ii. Claim Coverage questions

c. Advisory Coverage design considerations

AS NEEDED

1\. As we become appointed with additional carriers, the contract needs to be saved in the producing agent’s folder within Paperless Office Compliance.

2\. Utilize Ease software to provide HR resources to group clients-

3\. Enter all Employee’s/Dependents into AA (such that we have their DOB for Medicare purpose

Experience and Education Requirements

High School Diploma

Insurance License

5+ Years of experience in Health Insurance/ HR

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