AMVETS Jobs

As a member of our EH&B Large Market, the Benefit Consultant is a critical contributor to achieving a high level of client satisfaction and retention with the collaboration and support of a cross-functional team of Producers, Strategic Account Executives, and Underwriter Financial Consultants. The key responsibility within this role is to manage the tangible day-to-day client support for all services and products delivered to clients in order to align with the strategic vision of our partnership. The primary responsibilities of the Benefit Consultant is to evaluate client benefit plans and design changes, develop and implement solutions to client issues, and participate in a cross functional team to support Producers, Strategic Account Executives, and Underwriter/Financial Consultants in servicing clients.

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

Create and update client activity log

Conduct plan audits, including review of insurance contracts, amendments and other documents, to ensure compliance and appropriate documentation;

Review and complete compliance and renewal checklists for assigned clients;

Interpret plan documents to answer client questions;

Manage communications process and materials including OE benefit guide, highlight sheet, poster/postcard, benefit-at-a glance;

Set up iNGAGED app (as applicable)

Review and revise benefit materials, communicating benefit updates and changes to clients and their employees;

Set up and maintain client contacts/mailing lists in BenefitPoint management system;

Create and maintain online folders/files for all clients

Coordinate special projects, including, dependent eligibility audits, claim audits and benefits statements;

Coordinate and support needs generated by the Compliance Department such as, but not limited to, review form 5500 data requests;

Work directly with carriers to resolve disputed claim and eligibility issues for clients and their participants;

Manage the issue resolution process, meet quality and timing objectives and effectively communicate resolution issues;

Coordinate Medicare Part D Creditable Coverage determination/testing and generate and distribute Medicate Part D participant notices to clients;

Generate and distribute Federal Annual Notice packet to clients;

Assist client with data needed for RxDC plan year reporting;

Track and update stop loss reimbursements due to clients (as applicable);

Conduct benchmarking analysis for assigned client

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