The primary role of the Senior Benefit Specialist is to evaluate client health and welfare benefit plans and design changes, develop and implement solutions to client issues, support the delivery of contracted client service, and participate in a cross functional team to support Producers, Account Managers, and Underwriters in servicing clients.

ESSENTIAL DUTIES AND RESPONSIBILITIES include, but are not limited, to the following:

• Conduct plan audits, including review of insurance contracts, amendments and other documents, to ensure compliance and appropriate documentation;
• Collect data and documents for compliance reviews;
• Interpret plan documents to answer client questions;
• Work directly with Communications Specialist to develop newsletters, benefit summaries and highlight brochures;
• Manage the enrollment portal process, meet quality and timing objectives, and effectively communicate resolution of issues;
• Review and revise benefit materials, communicating benefit updates and changes to clients and their employees;
• Working directly with carriers, resolve disputed claim and eligibility issues for clients and participants;
• Resolve other participant-level issues;
• Answer and respond to in-bound phone calls from participants; make return calls resulting from voice-mail; and respond in writing to participant e-mail requests;
• Assist Account Manager in keeping all aspects of CRM up-to-date;
• Manage the issue resolution process, meet quality and timing objectives, and effectively communicate resolution of issues;
• File stop loss claims;
• Identify and analyze trends and work with carriers and clients to improve claim payment accuracy;
• Generate and distribute Medicare Part D participant notices to clients;
• Conduct benchmarking analysis for assigned clients;
• Manage and prioritize work requests.

REQUIRED EDUCATION AND EXPERIENCE:

• Bachelor's degree and/or equivalent work experience preferred;
• Minimum of 2 years client facing and benefits/insurance related experience;
• Experience within a health care, insurance, health and welfare consulting, benefits brokerage, human resources consulting, and employee benefits industry is preferred;
• Active Life and Health License preferred, if not licensed must obtain license within first 90 days of employment.

KNOWLEDGE, SKILLS AND ABILITIES

• Proven ability to multitask, adjust priorities, meet deadlines, and successfully operate in a fast-paced work environment;
• Ability to follow through on and successfully execute tasks while adhering to specified quality and client standards;
• Excellent problem analysis, troubleshooting, problem solving and decision making skills;
• Strong organizational, analytical skills and strong attention to detail;
• Possess proactive mindset to seek information to create effective solutions;
• Proven presentation skills;
• Proven ability to provide superior customer service and maintain positive relationships with internal teams and client contacts;
• Ability to work well independently and as a team member;
• Excellent interpersonal, verbal and written communication skills;
• Intermediate experience in the Microsoft Office Suite, including Word, Excel, Access, Project, and Outlook.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee is:
  • Frequently required to sit; speak or hear; use hands to finger, handle, feel objects, and reach with hands and arms;
  • Occasionally required to stand and walk;
  • Extensive use of computer and keyboard and viewing of computer creen is required;
  • Specific vision abilities required by this job include vision, and ability to adjust focus.
• Other working conditions are normal for an office environment.

WORK LOCATION

• Work is typically performed in a hybrid manner based out of our Conshohocken, PA, office.

We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. Marsh & McLennan Agency offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, domestic partnership benefits, career mobility, employee network groups, volunteer opportunities, and other programs. For more information about our company, please visit us at: http://marshmma.com/careers.