Client Benefit Analyst - Virginia Staffing : Job Details

This job provides account support activities associated with the administration of all experience rated and community rated dental groups. The incumbent is responsible for providing or coordinating prompt support to UCCI Sales and Service personnel, group administrators, brokers, and Agent Plan personnel to ensure the resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues, membership and billing activity, etc. This job is ultimately responsible for ongoing account retention, satisfaction, and administration, complementing the efforts of Sales and Service Executives. This activity is intensified and focused for new accounts. This additionally includes identifying and resolving problems related to benefit interpretations, rating concerns and any subsequent adjudication requirements. To this end, the incumbent cultivates and maintains efficient working relationships with key internal areas, such as Customer Service Operations (Claims, Dental Benefits, Customer Service, Membership & Billing), Provider Data Management, Underwriting, and Professional Relations.

• Provide account support activities associated with the administration of all experience rated and community rated dental groups.
• Collect and analyze customer specific information including gathering data from multiple sources related to Benefit/Claim Utilization, Enrollment, Networks (utilization, disruption, geo-access) and making recommendations based on the results of their data analysis.
• Represent UCD at Client meetings, including but not limited to, Open Enrollment meetings and Health and Wellness fairs.
• Other duties as assigned.

Required: Associate's Degree in Business Administration/Management

Substitutions: 3 years of progressive related experience in lieu of Associate Degree

Preferred: Bachelor's Degree in Business Administration/Management

Required: 3 - 5 years of Sales Support + 1 - 3 years in Insurance

Preferred: 1 - 3 years of Dental Sales experience

Required: Producer's License - Accident & Health, or within 45 days of hire.

Preferred: None

Required: Analytical Skills, Communication Skills

Language (Other than English): None

Travel Requirement: 0% - 25%

Position Type: Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never

Physical work site required: Yes

Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

Compliance Requirement: Employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Pay Range Minimum: $50,200.00

Pay Range Maximum: $91,200.00

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

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