Senior Account Manager - Employee Benefits

Responsibilities

The Senior Account Manager serves as the primary business contact for the client and is responsible for client satisfaction. The person in this position is expected to consistently provide excellent customer service to assigned accounts, represent client needs and goals within the organization, and build relationships with clients to encourage new and repeat business opportunities.

• Serves as a client advocate and the primary point of contact for assigned accounts.
• Develops professional business relationships with clients and understands their core business.
• Manages client expectations, service commitments, and anticipates client needs.
• Quickly identifies and resolves complex client issues.
• Follows through on participant claims resolution matters with carriers and resolves inquiries not immediately settled.
• On behalf of the client, conducts research on insurance carrier billing issues.
• Manages open enrollment and prepares presentation materials, employee handouts, and other informational tools for client meetings.
• Provides training sessions during in‑person or remote group meetings.
• Manages the Request for Proposal (RFP) process by compiling health benefits information from a variety of sources, reviewing responses from carriers, reviewing transparency documents, and maintaining all appropriate documents in proper files.
• Analyzes vendor renewals by checking carrier or vendor plan rates for reasonableness and by analyzing claims and enrollment data, trend rates, administrative expenses and other charges.
• Creates client presentations using Excel and PowerPoint to summarize client data obtained from vendors or Relation consultants.
• Develops benchmarking reports by gathering health benefits data to compare a client’s plan information to other companies by industry or geography and provides the information to the client.
• Gathers necessary data from the vendor or client, reviews it to ensure completeness, accuracy, and reasonableness.
• Prepares data for use in basic or advanced financial analyses or valuations.
• Assists the consulting team with valuing medical, dental and prescription drug plan designs by entering plan design information to develop relative cost differences between plan designs, in order to compare the client’s current plan to alternative designs.
• Assists the consulting team in developing employee contribution scenarios by entering current employee medical contribution data into an Excel spreadsheet and projecting contributions to the next plan year, taking into account the client’s cost‑sharing goals.
• Reviews external vendor contracts, summary plan documents and employee communications to ensure alignment with client expectations and legal requirements.
• Reviews Summary Plan Descriptions (SPD) from the carrier, compares them to the client’s benefits for accuracy, and follows up with carriers to ensure necessary changes are made.
• Understands and demonstrates project management and consulting skills.
• Develops employee communication materials such as benefit brochures, open enrollment presentations, employee memos, etc.
• Recommends process improvements as needed.
• Fully adopts innovative technology, including proprietary AI solutions, into the service process to deliver a best‑in‑class client service experience.
• Performs other projects, duties, and tasks as assigned.

Qualifications

• Life Accident & Health License from state of domicile required and must be maintained.
• Advanced professional designation highly desirable (e.g., CEBS, CBP, etc.).
• High School Diploma or equivalent required.
• Four‑year degree preferred.
• Minimum 5 years’ account management experience in the insurance industry with a focus on Accident and Health lines of coverage.
• In‑depth understanding of employee benefit plan coverage lines: medical, dental, life, long‑term disability (LTD), short‑term disability (STD), accidental death and dismemberment (AD&D), vision, etc.
• Strong knowledge of HIPAA, COBRA, Health Care Reform and all other legislation and compliance areas related to Group Health programs (California‑Only).
• In‑depth understanding of AB1672 and Small group regulations (California‑Only).
• Required to participate in identifying and selecting General Agents; must have knowledge of California General Agent services and utilize them to maximum capacity.
• Must understand R.A.F. (Risk Adjustment Factor) and the components of how rates are created, maintained and delivered on new business and renewals.
• Outstanding interpersonal and communications skills required to maintain effective relationships with clients, co‑workers, carriers, vendors and others.
• Advanced skills in Microsoft Office (primarily Excel, PowerPoint, and Word).
• Computer literate with the ability to learn new software applications such as online benefit enrollment programs and carrier enrollment sites.
• Ability to work independently with limited daily supervision and effectively in a team environment.
• Must have a valid driver’s license, the ability to travel to client sites, and a reliable source of transportation.

Benefits

• Competitive pay.
• Safe and healthy work environment provided by a robust benefits program including family health and wellness programs, 401K, employee assistance programs, paid time off, paid holidays and more.
• Career advancement and development opportunities.
• Salary range: $53,000.00 - $109,000.00.

Relation Insurance Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.