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.


Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation’s leading administrators of government contracts. We run one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Description
 

Logistics:

This position is full time (40 hours/week) Monday-Friday on-site 4101 Percival Road, Columbia SC 29229. Travel to multiple client locations, in and out of town, required.

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 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 manage confidential or sensitive information with discretion.
• Microsoft office

What we Prefer:

• Working knowledge of products purchased through accounts.

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