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Dedicated Service Consultant

BlueCross BlueShield of South Carolina
United Statesfull_timeVerifiedPosted 17 Jan 2025

About the role


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
 

Logistics

This position is full time (40 hours/week) Monday-Friday 8:00 am-5:00pm EST and will be on-site in Columbia, SC.

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

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Company

BlueCross BlueShield of South Carolina

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