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Employee Benefits Account Specialist
2 months ago
The Employee Benefits Account Specialist plays a crucial role in supporting agents with the sales and management of employee benefits offerings, including group health, life, and disability insurance. This position involves utilizing automated systems to establish and maintain electronic client records, engaging in the enrollment process as directed by management, and addressing client inquiries while overseeing the renewal procedures. The specialist is also accountable for comprehensive client account management and various other tasks as assigned by the Agent or Department Manager, in alignment with TIS practices aimed at fostering strong client relationships.
Employee Benefits
• Paid Time Off (PTO)
• Remote Work Options
• Flexible Work Hours
• Health Coverage
• Dental Coverage
• Vision Coverage
• Life Insurance
• Disability Coverage
• Evenings Off
• Retirement Savings Plan
• Opportunities for Career Advancement
• Monday to Friday Work Schedule
Key Responsibilities
- Facilitates the initial and renewal quoting process for group fully-insured health clients by preparing, receiving, and analyzing requests for proposals for Health, Life, Dental, Disability, and Vision.
- Initiates and manages various administrative service accounts such as HSAs, HRAs, POPs, FSAs, COBRA, and State Continuation benefits.
- Collaborates with insurance carriers, agents, consultants, benefits administrators, and decision-makers for product implementation and conducts employee benefit meetings; employs automated systems to create and maintain electronic files.
- Demonstrates meticulous attention to detail and organizational skills to effectively investigate potential or unexpected issues related to policy requirements.
- Reviews insurance policy documentation in accordance with state and federal compliance regulations.
- Ensures exceptional account support with a strong client focus for optimal customer retention and satisfaction, responding to client needs accurately and promptly.
- Collects census data, applications, and enrollment forms, submitting them to the insured or carrier as necessary; prepares BEGs, election forms, booklets, etc., obtains client signatures, binder checks, and follows up to ensure timely responses; all in collaboration with Producers and Marketing Representatives.
- Creates proposals, spreadsheets, and options; orders policies and manages the implementation of sold group benefits.
- Actively participates in client risk management and claims processes, facilitating communication and meetings between carriers, clients, and the Agency.
- Seeks referrals from the existing client base to generate new business opportunities.
- Possesses knowledge of underwriting and rating procedures for various life and health-related products and companies.
- Complies with applicable laws, including HIPAA regulations; demonstrates strong risk management skills; stays informed about changes in coverage; maintains file documentation and performs responsibilities with clients and others in a manner that minimizes potential errors and omissions.
- Undertakes additional duties as requested by the agent and/or in accordance with TIS practices; this may include occasional travel to client facilities when necessary.
Note: This job description is intended to convey the general nature of work performed by employees in this classification. It is not designed to be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this position.
Qualifications
- High school diploma or equivalent; college degree preferred.
- 3-5 years of experience in Employee Benefits-related insurance work required; related employee benefits designations preferred (CEBS, RHU, etc.).
- Proficient knowledge and experience with group benefits required; current or previously held Tennessee Life & Health license required; familiar with applicable federal and state regulations, including HIPAA.
- Strong client relationship skills and ability to problem-solve and document follow-up actions.
- Possession of required licenses or ability to obtain licenses as mandated by the State Department of Insurance; willingness to participate in seminars and training to maintain required licenses and stay updated on developments in the insurance industry.
- Proficient in Microsoft Office (Word, Excel, and Outlook); experience with BenefitPoint is a plus.
- Self-motivated with the ability to work independently while also functioning effectively as part of a team.
- Excellent communication and interpersonal skills; strong customer service and organizational abilities.