Our direct end-client a large healthcare insurance provided is seeking to hire a Client Set Up Analyst to work hybrid from their location in Philly. This is contract-to-hire.
Job Title : Client Set Up Analyst - Benefits Administration
Location : Philadelphia, PA 19103 (Hybrid three days / week onsite)
Duration : 3 months contract-to-hire
Pay rate : $24 / HR - $26 / HR W2
Onsite - Tuesday, Wednesday, Thursday
Remote - Monday, Friday
The Client Setup Analyst is responsible for setting clients up in the group setup and benefit administration system . This includes new sales, renewal changes, cancellations and maintenance of the client's account setup. The Client Setup Analyst investigates and resolves client setup issues
Qualifications :
Associate degree required, Bachelor's degree preferred, or must have 2-3 years relevant experienceExcellent time management and organizational skills required. Ability to prioritize workload and meet deadlines in a fast paced environment with some supervision. Flexibility and adaptability is a must. Willingness to be cross trained is required to assist other team members. Strong communications skills required - position interacts with all levels of management and may communicate with external clients as well. Must be a strong problem-solver and be able to follow-up and take an issue to resolution. Aptitude to understand benefits and Underwriting rating methodology. Some critical thinking skills; Capability to understand Underwriting guidelines and apply them. High level of technical aptitude required - ability to use Microsoft Office and to learn proprietary and vendor systems. High level of professionalism is necessary to progress.Minimum 2-3 years relevant experience requiredJob Responsibilities :
Setup groups in the group and benefits administration systems , including medical, pharmacy, dental and vision benefits.Communicate with Sales or Brokers to understand the client's benefits purchase and execute the setup.Handle internal processes, including but not limited to reviewing customer records for accuracy to process the groups, re-entry of improper input into the system and resolution of any other operational or internal systems issues that may ariseUnderstanding of corporate and departmental policies and proceduresResponsible for making the determination, based on information gathered, that the case can be accepted and forwarded for processing, or requires further reviewConform with the plans, policies, and procedures established by Sales ManagementEnsure all Underwriting guidelines are met, rate quotes are correct, and determine if additional underwriting is requiredDetermine that new clients meet new sale underwriting guidelines and set client up in the systemUnderstand renewal change requested by client and execute change in systemExecute cancellations and maintenance of a group accountInform Enrollment and Billing teams of enrollment and billing actions neededInvestigate and resolve client setup issues in core platform systemsInvestigate and resolve pharmacy setup issues. Resolve access to care for members in pharmacy benefit systemPartner with benefit administration vendors to investigate and resolve issuesMeet departmental production and quality requirementsPrepare quality control documentation submitted to the processing areas for group set-up and changesDevelop and maintain a strong business relationship with the internal customers of the IBC Family of Companies, including but not limited to, Underwriting, Sales, Marketing, Enrollment, Customer Service, and any other areas involved in the process.Responsible for broker setup. Connect the client groups to the correct broker in the broker commissions system. Resolve broker setup discrepancies and address the broker inquiries and concernsResearch and resolve group setup issues for medical, pharmacy, dental and vision benefitsResolve problems, identify trends and educate customers as neededPerform quality audit of all documentation provided for group / customer set-up and coordinate missing materials when neededAudit all incoming materials and maintain complete documentation in regard to issue resolution for broker community, external clients and the departmentsHandle errors and internal / external issues in a timely and effective manner to maintain turnaround times for completion of customer / group set-upProvide technical assistance and guidance to Sales and other areas relative to the new business enrollment process : implementation of new groups, new customers, benefit changes, group structure and general customer issuesResponsible for implementation of new groups, benefit changes and cancellationsUnderstand customer requirements, document issues or tasks and work closely with Sales to meet customer expectationsResearch and troubleshoot benefits and any other issues related to group set-upRepresent Client Setup team in cross functional internal and vendor meetingsPerform additional duties as assignedPlease apply with your interest. You can also reach out to me direct at abaranwal@alphambe.com.
Thank you,
Ashu
Benefits :
We offer a competitive compensation package that includes :
Medical for full time employeesDental, and Vision InsuranceLife Insurance, Short-Term Disability, Long-Term Disability, etc.
Salary : $24 - $26
