Summary: Facilitates service model for large group(s) accounts to include responsibility for customer service and benefits education of employees, maintaining positive relationships in meeting the needs of group executive management, and developing recommendations for plan improvements based on trend analysis.
Responsibilities:
50% Serves as primary contact to assigned group(s). Works directly with group executive management to achieve high satisfaction though addressing employee inquiries, tracking inquiries for trending and analysis, and developing improvements to the group service model. Based on trend analysis, makes recommendations on modifications to contracted benefits. Attends weekly meetings with group executives to address outstanding issues. Addresses sensitive employee issues in accordance with the summary plan document. Promotes benefits to group and reeducates group on benefits.
30% Conducts on-site open enrollment meetings to present new benefit plans and product changes in existing plans. Conducts individual meetings to assist members in benefit selection. Creates educational materials and educates group employees through on-site demonstrations /presentations including the use of self-service tools.
10% Maintains up-to-date knowledge on contracts and claims payment policies and procedures in order to be able to address group employee inquiries and resolve issues in accordance with the group contract.
10% Creates reports to monitors, track, and trend account inquiries. Interacts with Key Account Executive and internal operational areas to address matters affecting the group.
Required Education: Bachelor's degree any major. or 4 years job related work experience or 4 years of combined education and job related work experience. Required Work Experience: 4 years of experience in account management, claims, membership, customer service, and/or other job related work experience. Languages: English
About Us: Established in 2004, SPECTRAFORCE® is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. SPECTRAFORCE is built on a concept of “human connection,” defined by our branding attitude of NEWJOBPHORIA®, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reach their highest potential. Learn more at: http://www.spectraforce.com
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.
Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation. At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $17.00/hr.
