Consultant - Employee Benefits - Walnut Creek, United States - Relation Insurance Inc

Description

Job Type

Full-time

Description

WHO WE ARE

Relation Insurance is a leading, innovative company with a strong commitment to excellence and a passion for delivering cutting-edge solutions to our clients. As a key player in the insurance market, we pride ourselves on our dynamic culture, collaborative environment, and continuous drive for success. With a rich history and a bright future ahead, we are looking for exceptional individuals to join our team and contribute to our ongoing growth and success.

WHAT WE'RE LOOKING FOR

The Consultant 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 accounts, as well as represent client needs and goals within the organization to ensure legendary service delivery. In addition, the Consultant will build relationships with clients to encourage new and repeat business opportunities. The Consultant is expected to project a professional company image through all interactions with clients, insurance carriers, team members and others.

A GLIMPSE INTO YOUR DAY

• Leads client teams' projects, deadlines and meetings utilizing project management tools.
• Ensures compliance with professional standards including use of templates, client calendar and peer review process.
• Develops employee communications strategy and oversees other team members in the execution of this strategy including management of open enrollment process.
• Accountable for revenue/profitability for client accounts.
• Responsible for establishing necessary carrier/vendor relationships with appropriate contacts to serve clients in handling all administration of eligibility, claims, billing, plan implementation, contracts, plan changes and necessary amendments.
• Resolves client issues via phone or email. May delegate issue to the analyst and if the analyst cannot resolve the issue, the Consultant will then contact carriers and vendors on behalf of the client.
• Works directly with the client and manages the request for proposal (RFP) process with the health insurance carriers and internal underwriter and account managers.
• Reviews the underwriter and/or account manager's compilation of the health benefits information from a variety of sources, responses from the carriers and the data in a spreadsheet template, reviews the transparency documents; maintains all appropriate documents in proper files.
• Peer reviews RFP information, analyzes and interprets the results, edits and finalizes the executive summary report to be sent to the client.
• Reviews claim and utilization data from insurance carriers on a monthly/quarterly basis that has been input into a standardized report template by the underwriter and/or account manager; analyzes and interprets data for trends; peer reviews customized, client ready reports; submits report to client and replies to any questions the client may have.
• Reviews Summary Plan Description (SPD), plan documents and 5500s for compliance and compare to the benefits that were sold to the client. Ensures all benefits are accurately reflected, following a checklist to ensure that all necessary information is included where appropriate. Follows up with the carriers to make sure necessary changes are reflected.
• Generates new sales through existing clients and client referrals in accordance with the sales plan. Introduces other Relation products and services to clients.
• Gathers health and welfare benefits data from a national survey, inputs it into a template and compares the client's plan information (such as the benefits they offer, rates, and contributions) to other companies by industry or geography. The Consultant is responsible for interpreting the results and presenting the information to the client.
• Special projects and other duties as assigned.

Requirements

WHAT SUCCESS LOOKS LIKE IN THIS ROLE

• A Life, Health and Accident License from state of domicile is required must be maintained.
• High School Diploma.
• 7+ years' account management experience in the insurance industry with a focus on Accident and Health lines of coverage is required.
• Excellent PowerPoint and presentation skills for both in-person and teleconference/webinar sessions.
• Excellent interpersonal skills; strong oral and written communication skills.
• In-depth understanding of lines of coverage for employee benefit plans: medical, dental, life, long-term disability (LTD), short-term disability (STD), accidental death and dismemberment (AD&D), vision, etc.
• Must understand R.A.F. (Risk Adjustment Factor) and the components to how rates are created, maintained and delivered on new business and renewals.
• Outstanding interpersonal and communications skills are required to maintain effective relationships with clients, co-workers, carriers, vendors and others.
• Advanced skills in Microsoft Office (primarily Excel, PowerPoint and Word). Must be computer literate with the ability to learn new software applications, such as online benefit enrollment programs and carrier enrollment sites.
• Exceptional knowledge of the rules and regulations associated with HIPAA, COBRA, Health Care Reform and all other legislation and compliance related areas to Group Health programs.
• Exceptional knowledge of insurance markets, products, services, ratings and underwriting procedures.
• Valid driver's license; the ability to travel to client sites and a reliable source of transportation.

WHY CHOOSE RELATION?

• Competitive pay.
• A safe and healthy work environment provided by our robust benefit program including family health and wellness programs, 401K, employee assistance programs, paid time off, paid holidays and more.
• Career advancement and development opportunities.
• Paid training and continuing education to obtain/maintain your insurance license.

Note: The above is not all encompassing of the full position description.

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.

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Relation, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is presented within this posting.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

Salary Description

$113,000 - $120,000