Account Support Analyst- SES

Company :

Highmark Inc.

Job Description : 

JOB SUMMARY

This job provides account support activities associated with the quoting, set up, implementation, and administration of groups and accounts.  May provide assistance with standard and/or non-standard benefit implementation tasks.  May identify and resolves problems related to benefit interpretations, non- standard benefits, handle rating concerns, and coordinate claim extracts and any subsequent adjudication requirements.  The incumbent may have direct interaction with producers, clients and sales reps to ensure complete quoting, set up, implementation, on-going service and all renewal activity. The incumbent has foundational knowledge and experience, is building higher-level knowledge and skills, and makes independent contributions to projects.

ESSENTIAL RESPONSIBILITIES

• Load and maintain group information and benefit files. (20%)

• Interact and provide support activities to Account Managers and/or Sales Executives. (20%)

• Resolve benefit inquiries received from Account Managers, producers, sales reps and small market clients.  May coordinate meetings, projects, implementations with clients and core partners. (20%)

• Handle error management and ensure files are corrected. (20%)

• Analyze/coordinate the implementation of new products, group changes, benefit enhancements, non-standard benefits and activities related to mass updates. (10%)

• May assist with training new employees. (10%) 

• Other duties as assigned or requested. 

EXPERIENCE

Required

• 1 years of relevant, progressive experience in the area of specialization.

Preferred

• Experience in health care, insurance or sales

SKILLS

• Knows and applies principles, practices and processes within the specific field or discipline. Building higher-level benefit/operational/implementation knowledge and skills. Gathers and analyzes information, designs and tests solutions to problems, and formulates plans.

• Performs work that is varied and somewhat difficult.  Solves a range of problems by analyzing possible solutions using standard processes.

• Demonstrates basic knowledge in the systems utilized for client quoting, maintenance, setup, and implementation. Applies this knowledge to drive system enhancements, process improvements, and the testing of new functionalities.

• Ability to manage multiple tasks and priorities

• Strong communication skills- written and verbal 

• Demonstrated problem solving skills

• Self-motivated and ability to work with minimal direction

• Knowledge of Highmark products, services, and processes

EDUCATION

Required

• High School/GED

Preferred

• Associates

LICENSES or CERTIFICATIONS

Required

• None

Preferred

• Producer License- Accident & Health 

Language (Other than English):

• None

Travel Required:

• None

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

• Office-Based or Remote Position

Physical work site required

• Frequently

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security gu