Account Manager Small Group Business

at  Moda Health

REQUIRED SKILLS, EXPERIENCE & EDUCATION:

• 2-4 years in health insurance and employee benefits/administration field and/or sales and account management experience.
• Demonstrated proficiency in desktop application software including email, word processing, ability to spreadsheet rates and options and creation of presentations, Salesforce and Microsoft Office Suite preferred.
• Bilingual preferred.
• Ability to communicate effectively both verbally and in writing.
• Highly organized, ability to prioritize and manage a large work volume to meet established deadlines.
• Ability to navigate a complex organization to accomplish customer satisfaction.
• Displays an enthusiastic, fully committed, and self-directed approach to work.
• Strong team player.
• Ability to engage in community/networking opportunities outside of normal business hours.
• Knowledge of medical and dental insurance business as it relates to the processing of claims, handling of premium bills, customer service, and related information.
• Presents a positive and professional image in the communities we serve.
• Maintain a valid driver’s license and a good driving record. Must be able to provide own reliable transportation.
• Maintain a current Oregon Health Insurance license.
• Ability to handle a pushcart/hand truck and ability to lift boxes up to 40 lbs in and out of a car trunk.

Primary Functions:

• Provide existing accounts with frequent service to assure their retention and to protect them from competition.
• Accountable as the principle contact for dealing with escalated questions or problems related to membership accounting, underwriting, and/or claims in cases where the account is not satisfied with the resolution of a problem within Moda Health and its affiliates.
• Develop and maintain strong relationships with internal partners to manager customer service experience.
• Establish and maintain strong and appropriate relationships with group administrators and brokers to maintain persistency.
• Perform field audits to assess the degree of account compliance with our established underwriting regulations to ensure that these requirements are being followed.
• Manage assigned medical and dental accounts, responsible for ensuring administrative staff executes tasks as requested, within timeframes, including internal communication and paperwork.
• Represent Moda Health at benefit and wellness fairs and conduct open enrollment presentations of the employee benefit package upon request.
• Trains and consults with brokers and employers on enrollment, benefits, and electronic service processes.
• Influences, demonstrates, and trains employer groups about Moda Health’s online electronic services, tools and technologies.
• Establish and build a knowledge base relative to trends and development in the medical and dental insurance field, new or revised benefit designs, and related service offerings.
• Accountable for performing delinquent account functions and follow up.
• Perform other related duties as assigned by management team.

Working Conditions & Contact with Others

• Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Must be able to travel and to work with challenging clients. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business need.
• Works with multiple internal departments and externally with agents, group administrators, and customers.

Please refer the Job description for details