Senior Benefit Specialist
ESSENTIAL DUTIES AND RESPONSIBILITIES include, but are not limited to the following:
- Create and update client activity log
- Coordinate plan audits, review of plan documents including insurance contracts, amendments, Summary Plan Descriptions and other documents, to ensure compliance and appropriate documentation;
- Review and complete renewal checklists for assigned clients;
- Complete the MMA compliance checklist with support from the Compliance Department and proactively review with the client
- Coordinate and support needs generated by the Compliance Department such as, but not limited to, review form 5500 data requests;
- With minimal input from others, interpret plan documents to answer client questions;
- Proactively manage all Open Enrollment activities including drafting communications including the OE benefit guide, highlight sheet, and poster/postcard using templated documents. When applicable, coordinate with Communications Consultant to determine plans and draft materials.
- Organize and conduct virtual or onsite Open Enrollment meetings for employees;
- Set up and maintain client contacts/mailing lists in BenefitPoint management system;
- Create and maintain online folders/files for all clients
- Coordinate special projects, including, dependent eligibility audits, claim audits and benefits statements;
- Work directly with carriers to resolve disputed claim, billing, and eligibility issues for clients and their participants.
- Manage the issue resolution process, meet quality and timing objectives and effectively communicate resolution issues; willingness to bring in more senior team members with more complicated issues
- Coordinate Medicare Part D Creditable Coverage determination/testing and generate and distribute Medicate Part D participant notices to clients;
- Generate and distribute Federal Annual Notice packet to clients;
- Assist client with data needed for RxDC plan year reporting;
- Track and update stop loss reimbursements due to clients, including year-end Stop Loss reconciliation (as applicable);
- Conduct benchmarking analysis for assigned clients;
- Analyze impact of new federal and state regulations on clients' benefits plans and provide guidance to clients;
- Make decisions concerning open enrollment timing, procedures and draft open enrollment timeline;
- Coordinate and conduct open enrollment meetings including drafting open enrollment presentation and narrated PowerPoint (if applicable);
- Travel and participate in onsite meetings at the client/prospect
- Manage vendor relations and activities during plan changes and for ongoing service;
- Manage and prioritize work requests;
REQUIRED EDUCATION AND EXPERIENCE :
- Bachelor's degree or equivalent work experience
- Minimum of 4-6 years client service experience in benefits brokerage and insurance, benefits consulting or benefits administration
- Life and Health License preferred; If not licensed, required to obtain Life and Health License within first 90 days of employment.
KNOWLEDGE, SKILLS AND ABILITIES
- Demonstrated ability to provide superior customer service and maintain positive relationships with client contacts;
- Strong organizational, analytical skills and strong attention to detail;
- Effective presentation skills
- Effective decision making and problem-solving abilities;
- Solid interpersonal, verbal and written communication skills;
- Ability to exercise sound judgment and possess confidence to make decisions;
- Ability to prioritize projects and meet deadlines;
- Ability to work well independently and as a team member;
- Ability to multitask and successfully operate in a fast-paced work environment;
- Ownership of tasks while adhering to specified quality standards;
- Must be able to effectively interact and deal with people at all levels inside and outside of the Company;
- Aptitude for learning internal systems, applications and internal work flow of the department;
- Must be proficient with the MS Office suite (Word, Excel and PowerPoint, Teams);
- Proficient with Canva
- Ability to travel to client meetings at various local and regional locations.
PHYSICAL DEMANDS AND WORK ENVIRONMENT
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- While performing the duties of this job, the employee is:
- Frequently required to sit; speak or hear; use hands to finger, handle, feel objects, and reach with hands and arms;
- Occasionally required to stand and walk;
- Extensive use of computer and keyboard and viewing of computer screen is required;
- Specific vision abilities required by this job include vision, and ability to adjust focus.
- Other working conditions are normal for an office environment.
WORK LOCATION
-
Work is typically performed in a hybrid manner at MMA East's Conshohocken, PA office
The applicable base salary range for this role is $79,000 to $100,000.
The base pay offered will be determined on factors such as experience, skills, training, location, certifications, and education. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.
We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.
Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting [email protected]
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