Job Description

Job Description

Position Title

Senior Employee Benefits Account Manager

Reports To

Director of the Employee Benefits Department

Classification

Exempt

Department

Employee Benefits

Company Mission: Our Mission is to be recognized as a successful insurance brokerage firm that shows care & compassion, sharing the spirit of education towards the health, safety and welfare of our employees, our client’s employees and protecting the assets of our clients through proper insurance coverage’s, while serving all industries internationally and our community for generations to come.

Purpose: We strive for excellence in insuring people and company assets with heart and intelligence.

"Our firm cares about you and your employees as though they were our own family. This embodies trust that year after year we will bring forth the best, most cost effective insurance programs and customer care."

Position Summary:

The Employee Benefits Account Manager (EBAM) works with each Account Executive to serve assigned clients and with their direction is responsible for the day to day care and services. This includes timely, thorough and strategic marketing of client’s employee benefit programs. With Montage’s mission and purpose in mind, the EBAM provides top-notch service to all clients and works with the TPA and within the Employee Benefits Department team to ensure client’s needs are met in a timely fashion.

Essential Functions:

• Employee Benefits file:

• As Account manager you will find all the templates and checklist for your job for the process of marketing through enrollment and service.

• Utilize the client checklist from marketing, enrollment through completion of carrier ER/EE applications, final approval from carriers and throughout the year in claims management and day to day servicing.

• Working with the COBRA department on enrollments/terms, and the tech department on the HRIS benefit enrollment system and carrier enrollment portal setup for benefit rules and to ensure the plans are properly input. CMS filing, 5500 filing and ERISA Wraps. Will work with the TPA and Tech department as needed to complete tasks. Overall management of the day to day services.

• Marketing Renewals or New Business:

• Work closely to support the Producer/AE on marketing and renewing business, collecting marketing new and renewing business, collecting census data from clients, sending out RFP’s to carriers, and following up and collecting quotes from carriers.

• Complete the RFP in the file or under templates in the Employee Benefit Account manager folder. You may look at the RFP in the file under the previous year if it is available and use it as a guide for client information.

• You will complete the RFP with a description of marketing strategy and review with the AE and the DOD.

• Once the RAP is complete you will send it to the appropriate carriers: Medical, dental, vision, LIFE/STD/LTD, EAP, Worksite Products

• Reviews and spreads appropriate plans/plan designs, creating presentations using approved Montage presentation template.

• Reviews presentation with Account Executive (AE) in a timely manner prior to AE’s client meeting, revises presentation as necessary until final decisions are made.

• Implements clients benefit plan decisions – renewing, updating, changing and/or revising plans as per AE’s direction.

• Send the final rates and plan designs to the carrier to confirm everything then create the sold plan presentation and send to client to confirm all sold plans.

• Enrollment Meetings:

• Includes notifying and coordinating carriers, preparing employee communication enrollment materials (e.g., PowerPoint Presentations, Employee Election Forms and Brochures), and may include active participation at enrollment meetings.

• Coordinate client open enrollment meetings/health fairs working with the Account Executive (AE) and the Wellness Cordinator. The AM will use the enrollment form to communicate all the carrier needs for the enrollments, i.e. employee kits, carrier participation, per the client’s needs. Create extra new hire kits for the year

• Update COBRA department with applicable rate and plan changes.

• Ensures all employer and employee applications are received/picked up (HIPAA compliant) and forwarded to carriers in a timely fashion.

• If a census enrollment is required will ensure that the census is completed in the proper format for the client’s payroll and each carrier per line of insurance.

• Follows up on additional issues following open enrollment.

• Support Account Executives at annual open and initial enrollment meetings if requested or as needed

• Work with clients / employees answering questions

• Follow up with clients / employees with various missing items needed related to the application process

• Work with TPA Department on Census completion for on-going clients for ad and terms

• Ensure enrollment is finalized with carriers, setting up administration phone calls or on-site meetings with AE and client

• Follow up on carrier enrollment systems to ensure all users are set up.

• If client uses an HRIS system the Account Manager is responsible to ensure the implication is complete and handling on-going support

• Prepares Sold Plans material and other end of enrollment items required by Employee Benefits Marketing Checklist.

• Client Servicing

• Interacts/touches base with each assigned client via phone and/or email at least once per month.

• Assists with client claim issues either directly or through careful follow up with COBRA TPA & Claims Account Manager.

• Assists clients with general mid-year questions and concerns regarding employee benefit policies.

• Notifies AE and Director of Employee Benefits of any concerns or issues clients may be having in a timely manner. Copy the AE on all correspondence-e-mails.

Other ResponsibilitiesOther Responsibilities

• Assist with phones - Answer incoming calls (if receptionist is not available)
• Assist with various client service needs and general customer service calls for others if they are unavailable
• Keep outlook calendar current and up to date
• Regular attendance in the office
• Adhere to all company policies and procedures
• Attend staff and department meetings prepared with their part of the agenda updated
• Other duties as assigned
• Duties are subject to change with or without notice

Qualifications:

Required Qualifications:

• 10+ years direct experience with Employee Benefit plans and programs
• Advanced knowledge of HIPPA and Employee Benefits laws
• Intermediate MS Word, Excel, and PowerPoint skills
• Internet Savvy, searching government or carrier sites looking up information as needed
• Strong project management skills with the ability to work on multiple projects and meet strict deadlines.
• Strong attention to details and organizational skills
• Strong work Ethics
• Strong customer service focused mindset
• Ability to interact with all levels of staff, vendors and clients.
• Must be able to work closely in a team environment.
• Exhibit a professional demeanor at all times
• Ability to work extended hours.
• Ability to communicate effectively and in a professional manner both in writing and verbally.
• Current CA Health & Life License or ability to quickly obtain one.

Preferred Qualifications/Skills:

• Bi-lingual
• Bachelor’s degree in related field
• Direct experience working for insurance broker/agency.
• Excellent MS Word, Excel and Power Point Skills
• Experience with an Agency Management System (i.e., Vertafore AMS, EPIC/Applied)