Health Plan Sales Associate II

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Job Description:

  • Identify and educate consumers about the CareSource exchange product lines
  • Generate enrollment leads and referrals
  • Support enrollment of eligible consumers in the CareSource plan
  • Facilitate enrollment growth in the product
  • Assist prospective members with selecting and enrolling in the CareSource exchange health plan
  • Educate members on benefits and services, plan premiums, co-pays and coinsurance
  • Answer all Healthcare Exchange inquiries
  • Assist with application process for enrollment
  • Serve as a subject matter expert on CareSource exchange healthcare plans and product lines
  • Assist members with navigating the healthcare system
  • Order member ID cards
  • Resolve pharmacy inquiries
  • Resolve escalated member complaints
  • Consult with support departments for expedited resolution
  • Inform members of premium payment options
  • Make proactive outbound sales calls based on identified leads or campaigns
  • Ensure compliance with HIPAA and State/CMS requirements and regulations
  • Maintain documentation of all communications with members and prospective members
  • Build and strengthen member relationships by providing world class customer service
  • Research, follow up, and resolve all open/pended issues in a timely manner
  • Make contact with potential members and successfully quote their insurance premiums
  • Service and provide information regarding applicable changes to their policy
  • Adhere to all departmental and company policies and procedures

Requirements:

  • High School Diploma or General Equivalency Degree (GED) required
  • Associate’s degree or equivalent years of relevant work experience preferred
  • Minimum of three (3) years of customer service, sales support or other related experience required
  • Commercial insurance sales experience preferred
  • Computer proficiency with knowledge and experience in a Windows environment
  • Typing speed of 35 words per minute (WPM)
  • Strong written and verbal communication skills
  • Professional phone etiquette
  • Proper use of grammar
  • Ability to work in a fast paced environment
  • Adaptable to a constantly changing environment
  • Solid self-management and time management skills
  • Ability to work effectively independently and within a team environment
  • Critical thinking and listening skills
  • Decision making and problem solving skills
  • Demonstrates confidence and positivity
  • Sales skills to meet enrollment objectives
  • Professional telemarketing skills
  • Current, unrestricted State Insurance license in Accident and Health in state of practice within state(s) of assigned territory is /are required or ability to achieve license(s) within 30 days of hire
  • Certification Requirement within state(s) of assigned territory: If a Federally-Facilitated Marketplace (FMM) State, certification from the Health Insurance Marketplace and annual recertification each year thereafter is required

Benefits:

  • Health insurance
  • Retirement plans
  • Paid time off
  • Flexible work arrangements
  • Professional development
  • Bonuses
  • Comprehensive total rewards package
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