Client Benefit Analyst-Woodland Hills, CA

Job ID: J123578
Company: United Concordia Companies Inc
Location: Woodland Hills, CA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: May 17, 2018

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Description

JOB SUMMARY

This job provides account support activities associated with the administration of all experience rated and community rated dental groups.  The incumbent is responsible for providing or coordinating prompt support to UCCI Sales and Service personnel, group administrators, brokers, and Agent Plan personnel to ensure the resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues, membership and billing activity, etc. This job is ultimately responsible for ongoing account retention, satisfaction, and administration, complementing the efforts of Sales and Service Executives. This activity is intensified and focused for new accounts.  This additionally includes identifying and resolving problems related to benefit interpretations, rating concerns and any subsequent adjudication requirements. To this end, the incumbent cultivates and maintains efficient working relationships with key internal areas, such as Customer Service Operations (Claims, Dental Benefits, Customer Service, Membership & Billing),  Provider Data Management, Underwriting, and Professional Relations. 

ESSENTIAL RESPONSIBILITIES

  • Provide account support activities associated with the administration of all experience rated and community rated dental groups.  The Client Benefit Analyst is responsible for providing or coordinating prompt support to UCCI Sales and Service Personnel, group administrators, brokers, and Agent Plan personnel to ensure the resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues, membership and billing activity, etc.
  • Collect and analyze customer specific information including gathering data from multiple sources related to Benefit/Claim Utilization, Enrollment, Networks (utilization, disruption, geo-access) and making recommendations based on the results of their data analysis.  This includes benefits design analysis based on benefit utilization while factoring in financial analysis to determine cost impact.
  • Representing UCD at Client meetings, including but not limited to, Open Enrollment meetings and Health and Wellness fairs.  The Client Benefit Analyst is expected to sell at member level for both renewal and new business clients at open enrollment in addition to acting as an oral health wellness consultant at renewal and new business client wellness events. 
  • Other duties as assigned.

MINIMUM QUALIFICATIONS

Required

  • Associate's Degree in Business Administration/Management
  • 3 - 5 years Sales Support experience
  • 1 - 3 years Dental Insurance Industry experience

Preferred

  • Bachelor's Degree in Business Administration/Management
  • 1 - 3 years of Dental Sales experience

LICENSES OR CERTIFICATIONS

Required

  • Producer's License - Accident & Health or obtained within 45 days of hire

SKILLS

  • Analytical Skills
  • Communication Skills

Travel Required

0% - 25%

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 their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf)
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For accommodation requests, please call HR Services at 844-242-HR4U or visit HR Services Online at HRServices@highmarkhealth.org

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