Sales Service Specialist III

Job Description

This individual contributor position ensures accuracy and timeliness for multi-market customers in the National and Multi-State lines-of-business. In addition to the responsibilities listed below, this individual contributor position is also responsible for executing enterprise-wide processes in an efficient, accurate, and timely manner to ensure successful, customer-focused key performance indicators. This may include, but is not limited to conducting audits of benefit, rate and structure accuracy at the market and subgroup level; and working with internal functional partners to research and resolve issues.                                                                                        

Essential Responsibilities

• Responsible for contributing to the execution of standard processes in an efficient, accurate, and timely manner to ensure successful, customer focused key performance indicators. This may include, but is not limited to implementation of benefits, rate and structure accuracy at the market and subgroup level, and researching and resolving issues.
• Contributes to the administration of benefits and products by: assisting with routine and non-routine internal business processes related to the benefits and product offering that Sales and Account Management teams are presenting to customers; providing and identifying information on the proposed health insurance benefits and product offerings in case follow-up questions arise for their cross-team peers and immediate supervisor; and utilizing working knowledge of relevant business practices regarding benefits policies to assist team members to ensure that all alternate benefit requests meet benefit requirements and state and federal regulatory requirements.
• Assists in effective communication practices by: attending and preparing for external and/or internal engagements and occasionally assisting team members and managers making formal presentations to various audiences; following general guidelines and information to stay informed and up to date on important information and influencing events; and utilizing working knowledge when completing assigned tasks to assist in developing content and communications to align messages or to advance the sale.
• Helps ensure sales data are used advantageously by: applying general processes and procedures to assist with small-scale data entry, reconciliation, and processing in various applicable departmental systems as appropriate to ensure the integrity and reliability ofdata; and utilizing routine and nonroutine processes to conduct analyses for reporting on lead/prospect/customer accounts, sales channels, activities, and/or events to inform the team’s strategic recommendations (e.g., membership and account trends) and action plans.
• Contributes to a positive lead/prospect/customer and/or channel partner experience by: supporting routine and non-routine protocols tobuild upon and leverage existing relationships with internal stakeholders, lead/prospect/customer, channel partners, and third-party administrator (TPA) to demonstrate value and build commitment with minimal guidance; organizing data aboutlead/prospect/customer and/or channel partner needs, gathering data on customer needs, and providing recommendations that link to our mission, vision and values, service quality, and current product and service offerings with minimal guidance; utilizing working knowledge of products, services, and ratings to respond to, encourage, and educate leads/prospects/customers, brokers, and consultants about services and product enhancements in routine and non-routine situations; and learning from cross-team peers to identify opportunities to better meet the needs of leads/prospects/customers and/or channel partners.
• Contributes to project management efforts by: following pre-established plans for project logistics (e.g., process enhancement initiatives), including time and resource management, and quality checks, with detailed guidelines; collaborating within team and with cross-team peers to meet deadlines, following relevant processes and procedures to resolve routine and nonroutine lead/prospect/customer and/orchannel partner questions, and escalating critical issues and discrepancies when needed; following general procedures to review goals,deliverables, and key milestones for project components; completing assigned tasks to assisting the strategic direction of projects and executing action plans with a minimal degree of supervision; and following routine and non-routine methods/processes for thecontinuous improvement of tools, technology, and processes to optimize effectiveness.
• Supports the sales process execution efforts by: processing incoming lead/prospect/customer and/or channelpartner information into Sales Account and Management databases for colleagues with minimal guidance;assisting the team to execute all routine and non-routine business processes related to lead/prospect/customer and/or channel partner requests; coordinating and supporting the communication of information on progress, process, and requirements for lead/prospect/customer and/or channel partner information in a timely manner, with minimal guidance; applying strategies to align lead/prospect/customer and/or channel partner requests and engagementstrategies to address routine and nonroutine challenges with limited supervision; and assisting in the maintenance and development ofcomprehensive and compelling responses to lead/prospect/customer and/or channel partner requests which effectively position, differentiate, brand, and promote our diverse range of products and services                                                      

Minimum Qualifications

• High School Diploma or GED, or equivalent AND minimum two (2) years of experience working in a corporate or business office environment, which can include relevant internship experience OR Minimum three (3) years of experience working in a corporate orbusiness office environment
• Minimum two (2) years account service experience and/or case installation/implementation within the health insurance industry.
• Minimum one (1) year of experience with Employee Group Benefits.

Additional Requirements

• Microsoft Office 365 proficiency, demonstrated organizational skills, detail-oriented, etc.

Licenses and Certifications

• Not required to have a healthcare license.

Preferred Qualifications

• Two (2) years group insurance experience.
• Two (2) years experience in one or more of the following areas: provider billing, claims administration, provider relations, provider contracting, revenue cycle finance, and/or data analytics.
• One (1) year project/program management experience.
• One (1) year experience working in a remote environment.
• One (1) year of experience in project management.
• One (1) year of experience in health care or another heavily regulated industry (e.g., Banking).
• One (1) year of experience in the insurance industry.
• One (1) year of experience with employee group benefits.

Benefits                                                 

• Transportation.
• Life insurance.
• Medical insurance.
• Solidarity association.
• Growth plans.
• Additional days off  

K3 – KP000031