Summary

Facilitates service model for large group(s) accounts to include responsibility for customer service and benefits education of employees, maintaining positive relationships in meeting the needs of group executive management, and developing recommendations for plan improvements based on trend analysis.

Description

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Position Purpose:

Facilitates service model for large group(s) accounts to include responsibility for customer service and benefits education of employees, maintaining positive relationships in meeting the needs of group executive management, and developing recommendations for plan improvements based on trend analysis.

Logistics:

National Alliance , one of BlueCross BlueShield of South Carolina’s subsidiary companies.

Location:

This position is full-time (40 hours/week) Monday through Friday in a typical office environment or home environment. You will work an 8-hour shift scheduled during our normal business hours of 8:00 AM – 4:30 PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located on-site at 4101 Percival Road, Columbia, SC . Training will be onsite Monday-Friday 8:00 AM to 4:30PM for approximately 8-10 weeks. Travel required to include multiple client locations, in and out of town, required. This position will be eligible for W@H after performance review, training completion, equipment issuance and review of LOB business needs.

Sponsorship : This position is not eligible for sponsorship now or in the future.

What You’ll Do:

• Serves as primary contact to assigned group(s). Works directly with group executive management to achieve high satisfaction through addressing employee inquiries, tracking inquiries for trending and analysis, and developing improvements to the group service model. Based on trend analysis, makes recommendations on modifications to contracted benefits. Attend weekly meetings with group executives to address outstanding issues.
• Addresses sensitive employee issues in accordance with the summary plan document.
• Promotes benefits to group and reeducates group on benefits.
• Conducts on-site open enrollment meetings to present new benefit plans and product changes in existing plans. Conducts individual meetings to assist members in benefit selection. Creates educational materials and educates group employees through on-site demonstrations /presentations including the use of self-service tools.
• Maintains up-to-date knowledge on contracts and claims payment policies and procedures in order to be able to address group employee inquiries and resolve issues in accordance with the group contract.
Creates reports to monitors, track, and trend account inquiries. Interacts with Key Account Executive and internal operational areas to address matters affecting the group.

To Qualify for This Position, You'll Need the Following:

• Required Education:
• Bachelor’s.
• Degree Equivalency:
• 4 years job related work experience or Associate's and 2 years job related work experience
• Required Work Experience:
• 4 years of experience in account management, claims, membership, customer service, and/or other job related work experience.
• Required Skills and Abilities:
• Comprehensive knowledge of products, procedures, systems, and claims payment policy.
• Fundamental understanding of employee benefit law and regulations.
• Fundamental understanding of benefits financing formulas/reports.
• Good judgment.
• Effective customer service, presentation, and organizational skills.
• Demonstrated verbal and written communication skills.
• Analytical or critical thinking skills.
• Ability to handle confidential or sensitive information with discretion.
• Required Software and Tools:
Microsoft Office.

We Prefer That You Have the Following:

Working knowledge of products purchased through accounts.

Our comprehensive benefits package includes the following :

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment.

• Subsidized health plans, dental and vision coverage
• 401K retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• On-site cafeterias and fitness centers in major locations
• Wellness program and healthy lifestyle premium discount
• Tuition assistance
• Service recognition
• Employee Assistance
Discounts on movies, theaters, zoos, theme parks and more

What We Can Do for You:

We strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information .

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