Essential Duties and Responsibilities:
Participate in client meetings/sales calls with brokers, employee enrollment meetings and all departmental service meetings.
Responsible for the servicing of selected Group Agency Accounts. Functions include but are not limited to reconciliation of claim issues, benefit inquires, enrollment issues, and carrier premium billing discrepancies.
Handle telephone inquiries.
Intake and audit control of enrollment information.
Track inquiries and complaints regarding carrier claims resolution.
Act as liaison to intervene with delays in claim processing.
Correspond with carriers, members and providers to educate, clarify benefits, resolve claims, verify eligibility and resolve disputes.
Investigate, research and provide timely responses to all service issues.
Assists with implementation of new Business.
Assist with training of new Account Managers.
Routinely educate on current or pending Federal and State legislation with regard to HIPAA, COBRA laws, FMLA and any other legal issues as they pertain to Employee Benefits.
Pursue a program of personal and professional development.
All other duties as assigned.