Policyholder Representative

The Policyholder Representative is accountable for entire policyholder process regarding all lines of business while providing and maintaining a high level of customer satisfaction. The Policyholder Process includes new group set-up, billing, applying premium payments, issuance of policies and amendments, Customer Service, etc.

"This position is eligible to work onsite or hybrid (9 or more days a month on site) in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment."

Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.

Why Join Us

• Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
• Family Comes First: Total rewards package that promotes the idea of family first for all employees.
• Dynamic Work Environment: Collaborate with a team of passionate and driven individuals.
• Trust: Work for one of the most trusted companies in Kansas
• Stability: 80 years of commitment, compassion and community
• Flexibility: options to work onsite or hybrid available
• Balance: paid vacation and sick leave with paid maternity and paternity available immediately upon hire
  
  

Compensation

$23.00 -$27.30 hourly

Non-Exempt 12

• Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.
  
  

What you'll do

• Contact group to verify benefit package for contractual, billing and maintenance purposes. Advise Agents/Brokers on discrepancies and/or errors if necessary. The initial phone contact will develop a customer profile to form the basis of a good working relationship.
• Review evidence of insurability to determine acceptance or denial of insurance amounts up to and including $100,000. Also includes authority to approve or deny medical underwriting of Short-Term Disability benefits. Representative is required to load information on an Underwriting Tracking log, which is designed to monitor the turnaround time and status of evidence of insurability applications.
• Input required information in systems, which affects all departments of Advanced Insurance Company of Kansas (AICK). Systems used include FACETS, Outlook, BluECM and LAN applications.
• Issuance of contracts to Reinsurers, Agents and Brokers as required.
• Responsible for managing revenue stream of new group annualized premium to ensure proper commissions are paid to all Sales force.
• Apply payments, review & reconcile monthly billings to determine effective dates and adjustments are calculating correctly. Payments must balance with the FACETS system. Reconcile billing adjustments in eBilling with the FACETS system. Consult with customers to solve billing issues/conflicts. This includes Self-Administered groups.
• Process/calculate salary changes in accordance with contractual guidelines. Evaluate class changes affected by salary adjustments. Make exceptions to change effective dates of salary adjustments requested by the customer.
• Responsible for member benefit changes as requested by determining eligibility, effective dates, and if medical underwriting is required. Evaluate class changes and determine the addition or termination of benefits acceptable to contractual guidelines.
• Determine eligibility and effective dates for new enrollees according to contractual guidelines. Determine if evidence of insurability is necessary on late enrollees. Giving consideration to all possible factors to minimize exposure to adverse selection and liability.
• Responsible for determining when group termination should occur due to non-payment of premium. Negotiate reasonable time allowances on delinquent issues with Agents/Brokers. Determine if reinstatement will be allowed upon groups' request.
• Correspondence/Inquiries: identify needs and problems, research and propose solutions; set deadlines and follow through, in order to maintain a positive relationship while corresponding with groups, Agents, Brokers and Reinsurers. Requires Representative to use trouble-shooting techniques in difficult situations.
• Must meet required performance standards for department turnaround guarantees and accuracy levels. Assist with training new employees on a rotating basis. Team will identify members that will train in a specified field of expertise. Assist with coordination of continual procedure manual revisions.
  
  

What you need

Knowledge/Skills/Abilities

• Above average problem solving and analytical ability is required.
• Independent decision making is essential.
• Knowledge of life, health and/or disability lines of business and various State's Insurance Department Regulations for policy, certificate and amendments creation to provide entire policyholder service preferred.
• Ability to work under time constraints with frequent interruptions.
• Ability to communicate effectively both written and verbally.
• Ability to work in a team environment.
• Must be able to maintain confidentiality.
• Ability to work with other areas to ensure we are in compliance.
  
  

Education and Experience

• High School Graduate or its equivalent.
• Experience working with a Personal computer and applications software (Microsoft Word and Excel).
• Experience working with corporate online systems: (i.e. Outlook, BluECM, and Corporate LAN applications) preferred.
  
  

Physical Requirements

• Must be able to physically move or transport up to 35 lbs.
• Time on Personal Computer will consume up to 70% of the workday.
  
  

Benefits & Perks

• Base pay is only one component of your competitive Total Rewards package
• Incentive pay program (EPIP)
• Health/Vision/Dental insurance
• 6 weeks paid parental leave for new mothers and fathers
• Fertility/Adoption assistance
• 2 weeks paid caregiver leave
• 5% 401(k) plan matching
• Tuition reimbursement
• Health & fitness benefits, discounts and resources
  
  

Our Commitment to Diversity, Equity, Inclusion, and Belonging

At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of diversity, equity, inclusion, and belonging (DEIB), where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law.

We believe that embracing diversity and authentically promoting inclusion, equity, and belonging among our team members is crucial to our collective success. By intentionally recruiting, developing, and retaining a diverse pool of talent, we cultivate an environment where everyone feels valued, heard, and empowered to contribute. Accommodations are available for applicants with disabilities upon request, ensuring an inclusive and accessible hiring process for all.