Careers

This person reports directly to the Claims & Benefit Advocate Team Lead, works closely with the Client Relationship Managers and Enrollment department. This person is responsible for maintaining a professional working relationship and provides group benefits support to the clients and their employees.

Responsibilities

• Perform as a claim advocate for clients; working directly with employees, dependents, customers, provider offices and insurance carriers
• Provide coverage and claims strategy advice to clients and internal team members
• Analyze and interpret information to provide accurate conclusions for claims issues
• Effectively communicating claims issue updates to the client and internal team members
• Proficiently maintain agency management system data for accuracy
• Accurately review members benefits to ensure claims have been process accurately
• Ability to gather data from clients and carriers
• Knowledge and understanding of Medical, Dental, Vision, Life, Disability and Worksite benefits
• Build and maintain client and carrier loyalty by providing prompt, friendly service
• Ability to obtain needed information for pending claims inquiries
• Knowledge in and understanding of ERISA compliance, COBRA, and Health Care Reform
• Establish and cultivate cooperative working relationships with clients and their employees
• Perform other company tasks as assigned
• Perform all task in accordance with company policies

Requirements

• High school diploma or greater, personal skills being most important
• 1-2 years of claims and benefit experience preferred
• Proficient in Microsoft Office
• Contagious energy and leadership skills that portray confidence in your team members and clients
• Strong oral and written communication skills
• Strong organization and problem-solving skills
• Strong attention to detail
• Professional phone manner
• Strong team player and interpersonal skills
• Experience with Zywave, Benefit Solver, and Employee Navigator software preferred
• Able to work independently
• Able to prioritize and manage multiple projects
• Commitment to excellent customer service

General

• Full-time Exempt position
• Maintain a continuous learning attitude on insurance and company related areas

This person reports directly to the CRM Team Lead, works closely with the Enrollment, Plan Analyst, Compliance and Claims Departments. This person is responsible for maintaining a professional working relationship with the key contacts of the block of business assigned to this team member.

Responsibilities

• Coordinate and assist clients with strategic planning, including renewals, establishing timelines
• Coordinate work with assigned team to ensure all internal activities (communication, annual calendars, project plans, customer service, etc.) are properly serviced for clients
• Communicate to the service team information about the client including buying styles, expectations, problems, concerns and other relevant knowledge to assure a consistent high level of service
• Oversee timely and accurate deliverables within established company standards
• Assist managing renewal timeline to ensure timely execution of client decisions and provided materials
• Assist with complex situations (claims, enrollment, implementation issues, etc.)
• Conduct open enrollment and new hire meetings, onsite or remote, including creation of PowerPoint presentation materials
• Implementation or carrier/vendor changes for various policies
• Updating of agency management system with policy changes or renewals, including all various aspects of information needed in the system
• Verify accuracy of rates within one-month post OE
• Ability to adapt to different clients’ needs and wants, in a professional manner
• Knowledge in and understanding of ERISA compliance, FMLA, COBRA, 5500 filings and HealthCare Reform
• Ability to handle high stress situations with clients and maintain focus on overall satisfaction

Requirements

• High school diploma or greater, personal skills being most important
• 3-5 years of industry experience, working in Client Services or as an Account Manager
• Proficient in Microsoft Office
• Health and Life license with the State of Michigan
• Contagious energy and leadership skills that portray confidence in your team members and clients
• Strong Ethical Standards
• Strong oral and written communication skills, problem-solving skills and organizational skills
• Must be a team player and contain interpersonal skills
• Experience with Zywave, Benefit Solver, and Employee Navigator software strongly preferred.
• Able to work independently
• Able to prioritize and manage multiple projects
• Commitment to excellent customer service

General

• Full-time Exempt position
• Maintain a continuous learning attitude on insurance and company related areas

Are you a healthcare compliance guru with expertise in drafting health plan documents and a keen interest in consulting with clients about their compliance responsibilities and deadlines? This benefits brokerage firm is growing quickly based on its high-tech AND high-touch approach to employers and their workforces. Grow your career with this creative and collaborative firm with enormous opportunity to learn and grow. Support your colleagues and clients with fresh insight by offering compelling compliance briefs, interesting webinars, newsworthy blogs, and broad industry engagement. This is a full-time position located in any of five offices throughout Michigan.

Primary Requirements

• At least five (5) years’ experience in drafting, updating, and reviewing Summary Plan Descriptions (SPDs), Section 125 documents/Wrap Documents, and Plan Documents to ensure compliance with all applicable laws and regulations.
• Track record of completing accurate filings related to health plans, including 5500s, ACA reporting, PCORI fees, Medicare Part D, etc.
• Demonstrated excellence in providing compelling analysis and action planning related to all forms of compliance activity required for employer health plans.
• Excellent written and oral communication skills.
• Passion for educating others.
• Education Required: Bachelor’s degree or equivalent work experience.
• Education preferred: Legal degree or significant work experience in ERISA and health plan regulation.
• Certifications/Licenses preferred: Michigan Life/Health agent license

About Michigan Planners

For almost 60 years, Michigan Planners has provided access to affordable and comprehensive healthcare coverage for individuals as well as small and large businesses. Our solutions save employers time and money because, as a family business ourselves, we know what it takes to keep your employees happy. We deliver solutions nationwide from our six offices throughout Michigan and serve clients with locations in 26 states. Learn more on our website at www.miplanners.com.

Interested in learning more about this position? Please submit your resume to:
[email protected]

Description coming soon.