Account Administrator II

Account Administrator II

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Job Summary :

Provides critical analytical support to the assigned Account Management Team for 51+ sized, high-profile clients in a fast-paced environment. Serves as the conduit to funnel important information through the company from a client, broker or a consultant perspective related to elevated, previously unresolved, complex situations, as well as general questions and inquiries. Initiates projects, monitors progress, and brings to completion. Provides guidance to other Account Administrators.

Responsibilities :

• Performs Account Management duties (e.g., Benefit Quote Requests; new business quotes / RFPs; account worksheets; certificate review; WebBen system creation and review; auditing ID cards, rates and system maintenance, groups reporting, etc.). Understands the functions of all areas of the company and builds internal and external networks to navigate problem resolution for clients and brokers. Operates using a multitude of systems and link applications required to successfully perform job duties. Initiates changes, tracks and monitors progress of the changes, audits the outcomes of the changes implemented. Spots trends and educates Team about these developments. Assesses data and provides recommendations based on the analysis. Leads Squad Talks Calls.
• Interacts with clients, brokers, consultants, internal departments, and vendors to resolve elevated issues related to claims, eligibility, plan design, billing, enrollment, etc. on behalf of customers. Demonstrates diligence in working with internal and external resources to provide effective and efficient closure to open items. Has a clear understanding of internal operations and leverages this knowledge to close-out open issues Stands in for the Account Executive as needed in the field to present basic information in a concise manner. Makes sound recommendations to resolve problems and implements process / procedure updates to avoid repeating.
• Supports and assists with corporate initiatives and directives by releasing any applicable and approved communications, related reporting, and tracks customer feedback in the designated database. Makes recommendations to the Team about these processes to streamline outreach.
• Attends client meetings as directed by team management (i.e., open enrollment, wellness, health fairs, and Company-sponsored events, etc.). Presents information before large groups in a confident manner. Conducts training and deploys new processes and procedures along with talking points and other training information take-aways. Navigates pricing discussions with internal and external stakeholders. Conducts departmental / Team training.
• Maintains awareness of product and process changes; industry trends and any governmental regulatory changes by staying current with updates provided through internal and external sources; actively participating in staff meetings, trainings, and webinars.
• Performs other duties as assigned.

Qualifications :

Education and Experience :

Professional Certification(s) :

Technical Skills and Knowledge :