Account Relationship Specialist I at HMSA

Honolulu, Hawaii, United States -

Full Time

Start Date

Immediate

Expiry Date

19 May, 26

Salary

0.0

Posted On

18 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Service, Account Servicing, Communication, Problem Solving, Data Validation, System Updates, Enrollment Coordination, Issue Resolution, Delinquency Reporting, Claims Research, Performance Metrics, Team Collaboration, Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint

Industry

Insurance

Description

1. In-office service contact for assigned groups. Handles day-to-day servicing inquiries directly with account contact via e-mail and phone. 2. Assist with coordination of GTB and certificate requests. 3. Validate the Summary of Benefits Coverage (SBCs), Benefit Summaries, and Summary of Changes that all accurately reflect what the group contracted for and ensure that employer group SBCs are sent out timely in accordance with Federal regulations. 4. Prepare and submit documentation of accepted renewal rates and benefit changes (if applicable) for system updates. Verify that rates and benefits submitted are reflected accurately in HMSA's QNXT system. 5. Assist with activities associated with Open Enrollment and the new group on-boarding process as assigned. 6. Work with internal HMSA departments to answer account questions and resolve issues as needed. i.e.- Membership, Customer Relations 7. Screen delinquency report monthly and work under the guidance of the account manager to determine when proactive outreach to selected employers who are past due is necessary, or to request exceptions when justified. Follow up with actions to avoid negative impact on the group's employees. 8. Review retroactive transactions and work under the guidance of the account manager to determine whether an exception is warranted. Research claims paid and uncovered any special circumstances which may affect exception decision. 9. Assist with researching, processing and following up on inquiries from employer groups. 10. Meet assigned goals for customer retention, servicing standards, customer survey and other key performance metrics as defined. 11. Work in collaboration with cross functional team consisting of Strategic Account SAM, ARC, ARS I and HPA. This includes attending team meetings to plan various account servicing activities, appropriate escalation of issue, accepting delegated work from members of the team, and serving as the in-office contact for field-based team members needed assistance while in the field. 12. Assist in implementing proactive sales and servicing strategies 13. Back up for ARS team members and account teams. 14. Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid Qualifications 1. Associate's degree and two years progressively responsible work experience, or equivalent combination of education and/or related work experience. 2. Strong verbal and written communication skills 3. Intermediate working knowledge of Microsoft Office applications, including but not limited Word, Excel, Outlook, and PowerPoint.

Responsibilities

This role involves serving as the in-office contact for assigned groups, handling daily service inquiries via email and phone, and assisting with benefit documentation validation and system updates. The specialist will also support Open Enrollment, new group onboarding, and work cross-functionally to resolve account questions and issues.