Account Support Analyst - HMIG

Highmark Health • Dallas, TX • 3w ago

Company :

HM Insurance Group

Job Description :

JOB SUMMARY

This job provides account support activities associated with the implementation and administration of groups and accounts. Provides assistance with non-standard benefit implementation tasks. Identifies and resolves problems related to benefit interpretations, non- standard benefits, handle rating concerns, and coordinate claim extracts and any subsequent adjudication requirements. The incumbent may have direct interaction with producers, clients and sales reps to ensure complete implementation, on-going service and all renewal activity. The incumbent has foundational knowledge and experience, is building higher-level knowledge and skills, and makes independent contributions to projects.

ESSENTIAL RESPONSIBILITIES

Load and maintain group information and benefit files.

Interact and provide support activities to Account Managers.

Resolve benefit inquiries received from Account Managers, producers, sales reps and small market clients. May coordinate meetings, projects, implementations with clients and core partners.

Handle error management and ensure files are corrected.

Analyze/coordinate the implementation of new products, group changes, benefit enhancements, non-standard benefits and activities related to mass updates.

May assist with training new employees.

Other duties as assigned or requested.

EDUCATION

Minimum

High School Diploma/GED

Substitutions

None

Preferred

None

EXPERIENCE

Required

3 years of relevant, progressive experience in the area of specialization. Exempted experience requirements effective August 2016

Preferred

Experience in health care, insurance or sales

LICENSES/CERTIFICATIONS

Required

None

Preferred

None

SKILLS

Knows and applies principles, practices and processes within the specific field or discipline. Building higher-level knowledge and skills. Gathers and analyzes information, designs and tests solutions to problems, and formulates plans.

Performs work that is varied and somewhat difficult. Solves a range of problems by analyzing possible solutions using standard processes.

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

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

Never

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.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, 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.

Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID: J284064

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