Employee Benefits Specialist I
:
Position Overview Provide professional and timely customer service support to the Texas Association of Counties (TAC) Health and Employee Benefits Pool (Pool) members, including self-funded plans and other specialized arrangements. Coordinate membership renewal and new business activities associated with all coverages offered by the Pool. Responsible for maintaining accurate information related to assigned territories. Some travel required. Essential Job Functions 1. Responsible for Pool members requiring advanced customer support, including members with self-funded plans or a Health Saving Account or Health Reimbursement Arrangement.2. Responsible for occasional on-site service visits to assigned members, including demonstrating web-based eligibility program and training members in the correct use of the system.3. Participate in the planning, development, implementation and evaluation of special projects and assignments for new program development.4. Collaborate with Employee Benefits Consultants in development of procedures to support marketing efforts to promote Pool products and obtain new members.5. Provide professional customer service to assigned Pool members, including officials and assigned Pool coordinator, and assist in resolving issues between Pool members and vendors.6. Coordinate Pool member renewals with Employee Benefits Consultants throughout the year in a timely manner, including communicating with Pool members about contribution and financial information.7. Gather and organize underwriting information associated with the coverages offered by the Pool.8. Ensure Pool members' coverage related documents are executed correctly and are saved electronically in the department's records.9. Assist Pool members with enrollment meetings, including providing necessary materials.10. Review bid specifications and requests for proposals (new business) to ensure accurate information is collected and collaborate with Employee Benefits Consultants to ensure timely response and delivery.11. Develop and maintain understanding of current Pool coverage and programs, health care contracts, financial reports and laws applicable to the Pool's coverages, including COBRA, PPACA, HIPAA and Medicare.12. Develop and maintain expertise in current health insurance funding and benefit management methods, included self-funded administrative services only and fully-insured plans.13. Collect and verify Pool member information and update the department's records.14. Perform initial account setup and assist with updating benefits and rates for renewals.15. Assist with enrollment of new Pool members, including delivery of enrollment packets, contracts, and other information.16. Perform other duties as assigned. Non-essential Job Functions *Experience / Education Requirements*
- High school diploma or equivalent and certification as Managed Healthcare Professional or other health insurance industry designation preferred.
- Bachelor's degree in health, business, insurance or related field preferred.
- A minimum of two years' experience in a customer service or administrative position, medical professional or health insurance experience preferred.
Other Skills & Abilities
- Position requires excellent communication skills, both written and verbal, and the ability to relate to persons with a variety of cultural, economic and educational backgrounds.
- Position requires a high degree of professionalism in representing TAC in significant contacts with members.
- Must be proficient in use of personal computer and Microsoft Office products including: Word, Excel, and PowerPoint. Experience with data entry and use of mail merge function required.
- Must function independently with minimal supervision.
- Excellent time management and record keeping required.
- Valid Texas Driver's License and a good driving record required; must be able to drive.
Physical Requirements Position requires some travel; must be able to drive.
- Standing Not required
- Sitting All functions
- Walking Not required
- Lifting Not required
- Pushing or pulling loads Not required
- Reaching overhead Not required
- Kneeling/squatting Not required
- Climbing stairs Not required
- Climbing ladders Not required
Pay: $28.85 - $31.25 per hour
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