Customer Account Administrator jobs in the United States

A national independent third-party administrator (TPA) that offers employee benefits, retirement planning, and other services is looking for a full-time, hybrid Group Benefits Account Manager to join its Employee Health & Benefits team and manage our clients’ employee benefit plans. This new hire will report to the Manager, Employee Benefits Administration and work on-site in the Red Bank, NJ area office at least three days a week.

Employees of this TPA enjoy a collaborative culture, comprehensive benefits package, and opportunity for growth.

ABOUT THE POSITION

The Group Benefits Account Manager will develop and maintain group accounts providing prompt, accurate, courteous, and exceptional service to clients. The Account Manager will collaborate with the internal Relationship Management team, internal Service teams, and external benefit carriers, to establish and renew client benefit plans designed to meet their needs and objectives. Specific responsibilities are outlined below.

• Receive, document, and respond to employer and member inquiries regarding plan benefits in a timely manner.
• Research and resolve high level claims issues.
• Evaluate billing and enrollment discrepancies between carriers and customers for resolution.
• Participate in meetings virtually or at client locations, as needed, to support sales, retention, benefit renewal, and/or enrollment.
• Coordinate market process for new and renewal group business, for in-house or direct carrier quoting.
• Obtain competitive quotes for renewal when the Relationship Manager or the Manager, Employee Benefits requests this, and monitor the status of all quotes to meet renewal deadlines.
• Review quotes for accuracy and prepare spreadsheet of market and cost analysis.
• Prepare open enrollment presentations and communications for clients’ employees.
• Set up, manage, and maintain accurate account files in company database.
• Educate clients concerning the regulatory environment and assist them with federal and state law compliance.
• Work with payroll vendors, clients, and insurance carriers to structure and update benefit data in payroll systems.
• Update necessary vendors with benefit changes (i.e. COBRA, Wrap Document, HRA).
• Maintain health and life license, stay current with all regulations, and continually enhance insurance knowledge.

REQUIRED QUALIFICATIONS

• Minimum 2 years of group health insurance administration experience with a broker (ideal), consulting firm, and/or carrier
• New Jersey Health and Life License
• Knowledge in all areas of benefits compliance, including ACA
• Working knowledge of self-funded plans
• Adeptness with conducting online research and navigating through industry specific websites
• Experience obtaining benefits’ quotes and conducting marketing analysis as well as cost analysis
• Proficiency with Microsoft Excel, PowerPoint, and Word
• Experience managing sensitive and confidential employee information
• Confidence and initiative with exceptional client service skills
• Excellent analytical, communication, and problem-solving skills
• Ability to prioritize and multi-task in a deadline-driven environment
• Ability to work independently and also interact effectively from entry level employees to senior leaders

PREFERRED QUALIFICATIONS

• Experience working for a third-party administrator (TPA)
• Experience managing small and large group benefit accounts

This TPA is an equal opportunity employer committed to diversity and inclusion. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other protected characteristic as outlined by federal, state, and/or local laws.