Benefit Consultant

Benefit Consultant

Requirements

• Bachelor’s degree or equivalent work experience
• Minimum of 2 years client service experience in benefits brokerage and insurance, benefits consulting or benefits administration
• Life and Health License preferred; If not licensed, required to obtain Life and Health License within first 90 days of employment.

Responsibilities

• Create and update client activity log
• Conduct plan audits, including review of insurance contracts, amendments and other documents, to ensure compliance and appropriate documentation
• Review and complete compliance and renewal checklists for assigned clients
• Interpret plan documents to answer client questions
• Manage communications process and materials including OE benefit guide, highlight sheet, poster/postcard, benefit-at-a glance
• Set up iNGAGED app (as applicable)
• Review and revise benefit materials, communicating benefit updates and changes to clients and their employees
• Set up and maintain client contacts/mailing lists in BenefitPoint management system
• Create and maintain online folders/files for all clients
• Coordinate special projects, including, dependent eligibility audits, claim audits and benefits statements
• Coordinate and support needs generated by the Compliance Department such as, but not limited to, review form 5500 data requests
• Work directly with carriers to resolve disputed claim and eligibility issues for clients and their participants
• Manage the issue resolution process, meet quality and timing objectives and effectively communicate resolution issues
• Coordinate Medicare Part D Creditable Coverage determination/testing and generate and distribute Medicate Part D participant notices to clients
• Generate and distribute Federal Annual Notice packet to clients
• Assist client with data needed for RxDC plan year reporting
• Track and update stop loss reimbursements due to clients (as applicable)
• Conduct benchmarking analysis for assigned clients
• Analyze impact of new federal and state regulations on clients’ benefits plans and provide guidance to clients
• Draft renewal and strategy documents and assist in presenting to clients
• Make decisions concerning open enrollment timing, procedures and documentation
• Coordinate and conduct open enrollment meetings
• Review benefit materials, communicating benefit updates and changes to clients and their employees
• Manage all activities required to properly implement and service new business
• Manage vendor relations and activities during plan changes and for ongoing service
• Manage and prioritize work requests
• Responsible to mentor other members of the team by providing guidance, advice, feedback and support to the mentee (as needed)

Preferred Qualifications

• Demonstrated ability to provide superior customer service and maintain positive relationships with client contacts
• Strong organizational, analytical skills and strong attention to detail
• Effective decision making and problem solving abilities
• Solid interpersonal, verbal and written communication skills
• Strong negotiation and persuasion skills
• Ability to exercise sound judgment and possess confidence to make difficult decisions
• Ability to translate big picture ideas into client objectives
• Ability to define problems, collect data, establish facts and draw valid conclusions
• Ability to prioritize projects and meet deadlines
• Ability to work well independently and as a team member
• Ability to multitask and successfully operate in a fast-paced work environment
• Ability to follow through on and successfully execute tasks while adhering to specified quality standards
• Must be able to effectively interact and deal with people at all levels inside and outside of the Company
• Aptitude for learning internal systems, applications and internal work flow of the department
• Must be proficient with the MS Office suite (Word, Excel and PowerPoint)
• Ability to travel to client meetings at various local and regional locations