Senior Service Coordinator Large Market

Position Description

Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market-driven rates. The salary range displayed has not been adjusted for geographical location. This range has been created in good faith based on information known to Capital Blue Cross at the time of posting and may be modified in the future. Capital Blue Cross offers a comprehensive benefits packaging including Medical, Dental & Vision coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more.   

At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.” 

The Senior Service Coordinator Large Market works directly with Commercial Group Sales to support the sales quoting and proposal process as well as initiating the operational enrollment and maintenance of new and renewing Large & Major Market group customers focusing on those with complex benefit designs. The Senior Service Coordinator may need to meet with the Sales team and/or the group customer to ensure in-depth understanding of complex products, programs and services during quoting and the post-sale enrollment process. This position is responsible for working closely with the Sales team to identify, intake, process and manage all signed group paperwork, including the creation and submission of post-sale paperwork for processing by all downstream departments. The Senior Service Coordinator is accountable for assigned groups, must be detail oriented and able to manage several large tasks concurrently while navigating through risks and issues to ensure on-time delivery of finalized quote/proposal documents and group renewal, enrollment and maintenance paperwork.

Responsibilities and Qualifications

• Support Large and Major Market group sales via creation and submission of prospect and renewal quote requests, including production of final proposal documents, focusing on groups with complex benefit designs. These duties may include but are not limited to the following: Submit prospect and renewal quotes for Medical, Rx, Dental, Vision. Assist with Stop Loss quotes, if the Medical/Rx benefit designs are needed by Rating. Submit and monitor requests for all non-standard benefits, communicate. Approvals/denials with Sale Exec and initiate the appeal process when necessary. Create Medical/Rx, Dental and Vision Highlight sheets for quoted benefits. Assist with creation of custom Medicare quotes.
• Process post-sale internal paperwork for new Large and Major Market group enrollments, focusing on groups with complex benefit designs. These duties may include but are not limited to the following: Collaborate with Sales to acquire all necessary paperwork and scrub for accuracy. Create and Submit Pharmacy forms for all Rx benefits sold. Maintain accurate logging within the Large Group tracking log in SharePoint. Upload all required paperwork into the Large Group Library. Send acquired group paperwork to specified areas for processing. Submit SRS requests to IT&D for any group requesting deductible credit/proration. Update Highlights sheets with any applicable post-sale benefit changes. Create/Process SBC documents timely to meet compliance requirements
• Prepare and submit internal paperwork for active Large and Major Market group renewals, benefit changes, demographic and structural changes throughout the year, focusing on groups with complex benefit designs. These duties may include but are not limited to the following: Collaborate with Sales to acquire all necessary paperwork and scrub for accuracy. Update and Submit Pharmacy forms for all Rx benefits. Maintain accurate logging within the Large Group tracking log in SharePoint. Upload all required paperwork into the Large Group Library. Create yearly renewal highlight sheets with any applicable benefit changes and provide to Case Underwriting. Create/Process yearly renewal SBC documents with any applicable benefit changes timely to meet compliance requirements. Assist with creation of custom Medicare renewals
• Schedule meetings with Sales Rep as needed to resolve any questions/issues while generating quotes, proposals or handling post-sale group paperwork.
• Maintain group and operational data integrity within Maris and/or Salesforce and support technical issue resolution within Maris and/or Salesforce.
• Research and respond to complex inquiries from Sales and other internal operational units, as well as assist with special requests, special handling items and assigned Group Escalation cases. Attend and actively participate