General Summary:

To enroll and retain plan membership in diversified types of enrolled accounts by marketing and servicing groups primarily through telephone communication and field activity.

Principal Duties and Responsibilities:

Respond to and follow up on initial benefit plan information inquiries as assigned. Arrange clients open enrollment schedules, materials, and coverage with internal staff and conduct open enrollments according to procedures. Provide customer service to groups by responding to inquiries and resolving membership, claims and billing problems. Plan and coordinate functions within the segments of accounts: to include contact with chairpersons, support and attend functions, and resolve problems that may arise. Coordinate and conduct a variety of presentations at employee meetings, information booths, community events, worksite wellness events, and labor meetings, etc. Monitor, track, and provide reports for Request for Proposals (RFP) in support of their completion. Orient benefit representatives to Health Alliance Plan benefits, service and plan administration. Secure approval signature for renewal rates from key account contacts by sending and receiving the GOA. Complete all required reports on a timely basis and maintain accurate information on the corporate computer systems and marketing database. Provide Producer Business Director and Consultant Commercial Group Director with monthly renewal status reports. Request ERISA 5500 Schedule A financial reports and provide them to both the group and/or producer. Reporting responsibilities include but not limited to group membership, performance reviews, Performance Tracking, RFI/renewal tracking, etc. Coordinate with multiple departments including but not limited to Planning and Marketing, Communications, and Customer Service to develop and deliver high quality promotional items using Adobe Professional. Work closely with underwriting on processing rates and new benefit packages in the Paradigm system. Develop and deliver high quality PowerPoint presentations. Responsible for servicing commercial groups with 500+ employees online enrollment access including but not limited to the autos, casinos, and hospitals. Manage Lunch and Learn conferences with HAP’s senior staff and HAP’s external customers. Responsible for the logistics, planning, and execution including and not limited to site location, meeting room details and presentations. Manage, attend, and assist with needed materials for Senior Sales Reps to deliver to large external clients for quarterly, open enrollment, and rate delivery meetings. Work closely with other departments within HAP to gather, analyze, and develop reports for HAP senior staff. Responsible for being the key point coordinator for training and assisting the delivery of new systems within Sales and Marketing department. Interface with Management to process and follow through on service request across departments such as Communications, Membership and Billing, and Underwriting to ensure customer satisfaction of HAP products and web services. Maintain accurate details and report of large commercial group with 500+ employees and Consultants within various systems including; Paradigm and Support Module, Sales Logix, and HAP’s Book of Business. Administrative support for Director, Consultant Sales. Coordinate all workflow with support personnel as needed to ensure the timeliness and accuracy of completion.

Education/Experience Required:

High School diploma or equivalent required. Associates Degree in Business, Marketing or a related field preferred. Minimum of two (2) years’ experience in reviewing reports, coordinating multiple tasks, or preparing presentations. Minimum of one (1) year experience using personal computers. At least one (1) year of experience using MS Word and Excel.

Preferred:

Minimum of one (1) year of experience servicing commercial health insurance. Minimum of one (1) year of telemarketing sales. Minimum of one (1) year of sales experience.

 Certifications/Licensures Required:

Must possess a valid driver's license and maintain a driving record that would qualify for a Michigan chauffeur's license endorsement. Michigan Accident, Health & Life licensure is required, can be obtained during first 45 calendar days of employment.

Skills and Abilities:

Excellent oral and written communication skills. Organizational and planning skills. Knowledge of HMO concept of health care delivery preferred. Knowledge of HMO laws affecting health care delivery preferred. Knowledge of health benefits, policies and procedures, underwriting, rating systems, billing and claims systems preferred. Knowledge of competitive HMO programs and systems as well as other forms of health care insurance preferred. Basic knowledge of structures and benefits, contracts and language. Extensive knowledge of Word, Excel, and PowerPoint required. Additional Information Organization: HAP (Health Alliance Plan) Department: Account Solutions Shift: Day Job Union Code: Sales (HAP)