Policy Specialist, Employee Benefits
Idaho Falls, ID
Part Time
Entry Level
Position Title: House Account & Individual Policy Specialist, Employee Benefits
Classification: Non-Exempt
Reports To: Department Team Leader
Hours: Part Time 20-25 hours a week
Location: Idaho Falls
Position Summary
This position will be responsible for client relations, service, and administrative activities of new and existing Employee Benefit Group House and Individual Policies of The Buckner Company.
Essential Duties and Responsibilities:
- Manages day-to-day service for House Accounts and Individual clients including customer claims, billing, eligibility, and service issues. Properly sets expectations for issue resolution, monitors progress and communicates outcomes.
- Updates Epic in a timely manner including updates to on-going activity. Maintain account file, including incoming and outgoing e-mail correspondence.
- Oversees installation of the group/individual policy or renewal.
- Assists in workflow review and improvement initiatives. Automate the annual renewal process. Develop a service plan tailored to client needs. Proactively manage client inquiries.
- Assists in completion and processing of applications.
- Schedules, prepares, and conducts open enrollment meetings as needed.
- Collects forms/data/schedules for regulatory compliance.
- Guides client in annual compliance requirements and assists in completion.
- Finalizes enrollment with carrier.
- Reports results to Director of Client Services.
- Follows agency policies and procedures including but not limited to client files, HIPAA compliance, and delinquent premium notices.
- Participates in special projects/teams. Identifies areas to assist team members.
- Analyze Employee Benefit products and recommend benefit solutions for clients.
- Meet with carriers and review product portfolio. Act as liaison for the client/carrier relationship.
- Meet annually with individual policy holders to discuss plan changes and/or different benefit options available.
- Maintain Federal Marketplace Certification to assist individuals in the marketplace.
- Perform in a manner that will prevent errors and omissions.
- Assist in expanding existing accounts by rounding out and cross-selling additional insurance products.
- Pursue a program for personal and professional experience (education classes, seminars, workshops) in combination with individual study programs to expand knowledge and skills.
- Performs other duties as assigned.
Qualifications:
Education and Experience:
- High School diploma or equivalent required
- Three to five years of Employee Benefits or Human Resources Benefits experience
Licenses or Certifications:
- Life, Accident & Health License required
- Knowledge of and familiarity with Medical, Dental, Vision, Life, Long Term Disability (LTD), Short Term Disability (STD).
- Knowledge of and familiarity with PPACA current and proposed regulations0
- Knowledge of and familiarity of the FFM, including understanding when APTCs will be available.
- Proficient in a variety of computer software applications used by the agency, including MS Word, Excel, Outlook, and PowerPoint; EPIC; as well as the Federally Facilitated Marketplace and Carrier Web Sites.
- Ability to establish and develop strong relationships with clients, carriers, trusted business partners and coworkers.
- Good organizational and time management skills.
- Ability to work well with details.
Physical:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to communicate verbally and to listen for instructions and information. The employee is also required to sit for long periods of time often in front of a computer monitor and operate a computer keyboard. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required include close vision, distance vision, color vision, depth perception, and ability to adjust focus.
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