City/State
Doral FL
Work Shift
First (Days)
Overview:
AvMed a division of Sentara Health Plans in the Florida market is hiring an Onsite Client Management Lead. This is a hybrid position 2 days onsite in our Doral Office 1 day in Sunrise and 2 days remote.
The Client Management Lead supports (Sr.) (Regional) Client Executive and (Sr.) Client Specialist in their strategies to retaining profitable business in the Large Group segment. Interact with Consultants Brokers Benefit Administrators and Optima Health business units to achieve these objectives.
Essential Job Functions:
- Develops and maintains relationships with customer groups brokers and consultants. Develop and maintain relationships with client administrators staff members and employees. Deliver an exceptional client/member experience demonstrating AvMeds service standards and values. Interact with consultants and health care coalitions as required. Responsible for providing personal onsite assistance to employees and administrators with any inquiries about the clients Health Plans.
- Resolves day to day client issues by evaluating situation determining when to escalate and recommending solutions. Serves as liaison between the client and AvMed departments to ensure timely and accurate resolution of client and member issues. Provides clarification and education to the client on AvMed products policies and procedures. Monitor membership eligibility reconcile discrepancies provide COBRA administration & perform audits as needed.
- Handles more complex and critical client issues.
- Supports the Client Management in planning and coordinating annual renewal process and accomplishing or exceeding retention and growth goals related to assigned commercial accounts.
- Assists in open enrollment meetings to familiarize existing/potential members with the benefits offered and procedures required. Facilitate enrollment and coordinates documentation. Facilitates wellness initiatives such as fairs meetings etc. Visit assigned clients on a scheduled basis.
- Accomplishes or exceeds retention profitability and growth goals related to assigned commercial accounts. Contribute to the development of innovative Client Management initiatives which add value and provide a differentiated service advantage. Contribute operational input to product development processes and advertising plans. Provide product enhancement and development recommendations.
- Submits weekly monthly periodic and special reports.
- Performs additional duties and responsibilities as assigned by management.
Education:
- Bachelors degree and 1 years related experience required OR HS graduate and 5 years related experience required.
Certifications:
- Must obtain 240 or 215 license within 90 days of hire.
- Valid Drivers license.
Experience:
- 5 years of related experience includes Administrative Business Acumen Customer Relations Employee Benefits and Health Insurance Industry.
Preferred Requirements:
- 2 years sales experience preferred.
- Solid understanding and application of strategic account management skills.
- Knowledge of HMO/group health insurance.
- Strong verbal and written communication skills.
- Ability to operate independently with minimal supervision.
- Ability to handle multiple functions and prioritize appropriately.
- Ability to work with the public both facetoface and over the phone.
- Ability to work effectively and efficiently with other departments.
- Ability to effectively manage and resolve problems in a timely manner.
- Ability to think creatively.
- Ability to work in a fastpaced environment.
- Basic knowledge of personal computers and fundamental software.
Keywords: Talroohealth Plan Health Insurance sales customer service 215 or 240 license #ZipRecruiter
Benefits: Caring For Your Family and Your Career
Medical Dental Vision plans
Adoption Fertility and Surrogacy Reimbursement up to $10000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
LongTerm ShortTerm Disability and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance $5250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down $10000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30000member workforce. Diversity inclusion and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day this is a tobaccofree environment.
For positions that are available as remote work Sentara Health employs associates in the following states:
Alabama Delaware Florida Georgia Idaho Indiana Kansas Louisiana Maine Maryland Minnesota Nebraska Nevada New Hampshire North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington West Virginia Wisconsin and Wyoming.