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.

Description
 

What You’ll Do:

• 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.
• 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.
• 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.
• Creates reports to monitors, track, and trend account inquiries. Interacts with Key Account Executive and internal operational areas to address matters affecting the group.

To Qualify for This Position, You’ll Need:

• Bachelor’s degree.
• Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience.
• 4 years of experience in account management, claims, membership, customer service, and/or other job related work experience.
• Comprehensive knowledge of products, procedures, systems, and claims payment policy.
• Fundamental understanding of employee benefit law and regulations.
• Fundamental understanding of benefits financing formulas/reports. 
• Good judgment.
• Effective customer service, presentation, and organizational skills.
• Demonstrated verbal and written communication skills.
• Analytical or critical thinking skills.
• Ability to handle confidential or sensitive information with discretion.

What Blue Can Do For You:

Our comprehensive benefits package includes:

• 401(k) retirement savings plan with company match
• Subsidized health plans and free vision coverage
• Life insurance
• Paid annual leave — the longer you work here, the more you earn
• Nine paid holidays
• On-site cafeterias and fitness centers in major locations
• Wellness programs and a healthy lifestyle premium discount
• Tuition assistance
• Service recognition

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications.  This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.  Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.

 

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

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Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.

If you need special assistance or an accommodation while seeking employment, please e-mail [email protected] or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.