Description
Note: This position will be hybrid (in-office & work from home). The Account Administrator position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Brooklyn, OH Medical Mutual office.
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.
Medical Mutual' s status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us and help our members achieve their best possible health and quality of life.
Provides critical analytical support to the assigned Account Management Team for 51 sized clients in a fast-paced environment. Serves as the conduit to funnel important information through the company from a client, broker or a consultant perspective related to elevated, previously unresolved, complex situations, as well as general questions and inquiries. Initiates projects, monitors progress, and brings to completion.
Responsibilities
Account Administrator I
· Performs Account Management duties (e.g., Benefit Quote Requests; new business quotes/RFPs; account worksheets; certificate review; WebBen system creation and review; auditing ID cards, rates and system maintenance, groups reporting, etc.). Understands the functions of all areas of the company and builds internal and external networks to navigate problem resolutions. Operates using a multitude of systems and link applications required to successfully perform required job duties. Initiates changes, tracks and monitors progress of the changes, audits the outcomes of the changes implemented.
· Interacts with clients, brokers, consultants, internal departments, and vendors to resolve elevated issues related to claims, eligibility, plan design, billing, enrollment, etc. on behalf of customers. Demonstrates diligence in working with internal and external resources to provide effective and efficient closure to open items. Has a clear understanding of internal operations and leverages this knowledge to close-out open issues
· Attends client meetings as directed by team management (i.e., open enrollment, wellness, health fairs, and Company-sponsored events, etc.). Presents information before large groups in a confident manner.
· Supports with corporate initiatives and directives by releasing any applicable and approved communications, related reporting, and tracks customer feedback in the designated database.
· Maintains awareness of product and process changes; industry trends and any governmental regulatory changes by staying current with updates provided through internal and external sources; actively participating in staff meetings, trainings and webinars.
· Participates in process improvement committees and other process/procedural initiatives. Performs other duties as assigned
Account Administrator II
· Performs Account Management duties (e.g., Benefit Quote Requests; new business quotes/RFPs; account worksheets; certificate review; WebBen system creation and review; auditing ID cards, rates and system maintenance, groups reporting, etc.). Understands the functions of all areas of the company and builds internal and external networks to navigate problem resolution for clients and brokers. Operates using a multitude of systems and link applications required to successfully perform job duties. Initiates changes, tracks and monitors progress of the changes, audits the outcomes of the changes implemented. Spots trends and educates Team about these developments. Assesses data and provides recommendations based on the analysis. Leads Squad Talks Calls.
· Interacts with clients, brokers, consultants, internal departments, and vendors to resolve elevated issues related to claims, eligibility, plan design, billing, enrollment, etc. on behalf of customers. Demonstrates diligence in working with internal and external resources to provide effective and efficient closure to open items. Has a clear understanding of internal operations and leverages this knowledge to close-out open issues Stands in for the Account Executive as needed in the field to present basic information in a concise manner. Makes sound recommendations to resolve problems and implements process/procedure updates to avoid repeating.
· Attends client meetings as directed by team management (i.e., open enrollment, wellness, health fairs, and Company-sponsored events, etc.). Presents information before large groups in a confident manner. Conducts training and deploys new processes and procedures along with talking points and other training information take-aways. Navigates pricing discussions with internal and external stakeholders. Conducts departmental/Team training.
· Supports and assists with corporate initiatives and directives by releasing any applicable and approved communications, related reporting, and tracks customer feedback in the designated database. Makes recommendations to the Team about these processes in order to streamline outreach.
· Maintains awareness of product and process changes; industry trends and any governmental regulatory changes by staying current with updates provided through internal and external sources; actively participating in staff meetings, trainings and webinars.
· Performs duties as assigned. Participates in process improvement committees and other process/procedural initiatives. Conducts statewide training for all Account Administrators. Is a leader for the Team - is a trusted and relied-upon internal and external resource.
Sr. Account Administrator
· Performs Account Management duties (e.g., Benefit Quote Requests; new business quotes/RFPs; account worksheets; certificate review; WebBen system creation and review; auditing ID cards, rates and system maintenance, groups reporting, etc.) independently and can handle many Account Executive responsibilities. Monitors complex situations and keeps leadership informed and anticipates escalations needs. Understands the functions of all areas of the company and builds internal and external networks to navigate problem resolution for clients and brokers. Operates using a multitude of systems and link applications. Initiates changes, tracks and monitors progress of the changes, audits the outcomes of the changes implemented. Spots trends and educates Team about these developments. Assesses data and provides recommendations based on the analysis. Leads Squad Talks Calls.
· Interacts with clients, brokers, consultants, internal departments, and vendors to resolve elevated issues related to claims, eligibility, plan design, billing, enrollment, etc. on behalf of customers. Demonstrates diligence in working with internal and external resources to provide effective and efficient closure to open items. Has a clear understanding of internal operations and leverages this knowledge to close-out open issues Is a subject matter expert in account management and relied upon as an internal and external liaison. Will present for the Account Executive as needed in the field. Makes sound recommendations to resolve problems and implements process/procedure updates to avoid repeating.
· Leads client meetings as directed by team management (i.e., open enrollment, wellness, health fairs, and Company-sponsored events, etc.). Presents information before large groups in a confident manner. Conducts training and deploys new processes and procedures along with talking points and other training information take-aways. Navigates pricing discussions with internal and external stakeholders. Conducts departmental/Team training.
· Supports and assists with corporate initiatives and directives by releasing any applicable and approved communications, related reporting, and tracks customer feedback in the designated database. Makes recommendations to the Team about these processes in order to streamline outreach. Responsible for training team members and maintaining and creating all AM training manuals/guides to ensure they are accurate and current. They will be a team representative for corporate projects initiatives.
· Maintains awareness of product and process changes; industry trends and any governmental regulatory changes by staying current with updates provided through internal and external sources; actively participating in staff meetings, trainings and webinars.
· Performs duties as assigned. Participates in process improvement committees and other process/procedural initiatives. Conducts statewide training for all Account Administrators. Is a leader for the Team - is a trusted and relied-upon internal and external resource.
Qualifications
Qualifications
Account Administrator I
Education and Experience:
· Associates Degree in Business Administration, Communications or a related field, or equivalent combination of education/training (minimum high school diploma or GED) and experience.
· 3 years support experience in a financial services, health insurance, customer service or related environment.
Professional Certification(s):
· Ohio Department of Insurance (ODI) license (required to obtain within 4 months of hire).
Technical Skills and Knowledge:
· Knowledge of health insurance products and sales and service operations (underwriting, stop loss, benefit plan design, funding).
· Intermediate MS Office Skills (Excel, Word and Power Point).
Account Administrator II
Education and Experience:
· Bachelors' Degree in Business Administration or related field preferred, but will consider collective experience, training and education.
· 4 years support experience in a financial services, health insurance, customer service or related environment.
Professional Certification(s):
· Ohio Department of Insurance (ODI) license
Technical Skills and Knowledge:
· Some lifting and carrying packages up to 50 lbs. may be required.
· Frequent standing and walking required as well as constant clear speaking and hearing/listening ability.
· Position requires moderate travel (possibly overnight) to client locations; must possess a valid driver's license, be able to drive, and have access to own vehicle.
· Ability to work flexible hours, including occasional evenings and weekends.
· Knowledge of health insurance products and sales and service operations (underwriting, stop loss, benefit plan design, funding).
· Intermediate MS Office Skills (Excel, Word and Power Point).
· Possesses a solid knowledge base of Underwriting rating principals, funding arrangements and renewal developments.
Sr. Account Administrator
Education and Experience:
· Bachelors' Degree in Business Administration or related field preferred, but will consider collective experience, training and education.
· 6 years support experience in a financial services, health insurance, customer service or related environment.
Professional Certification(s):
· Ohio Department of Insurance (ODI) license
Technical Skills and Knowledge:
· Knowledge of health insurance products and sales and service operations (underwriting, stop loss, benefit plan design, funding).
· Intermediate MS Office Skills (Excel, Word and Power Point).
· Possesses a solid knowledge base of Underwriting rating principals, funding arrangements and renewal developments.
Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:
A Great Place to Work:
- Top Workplace in Northeast Ohio. Year after year we've received this recognition!
- On-site wellness center at most locations. Enjoy personal trainers, towel service, locker room, weight room, elliptical machines, and a variety of classes!
- On-site cafeteria serving hot breakfast and lunch, at most locations. Choices ranging from salad bar, made to order, hot and cold sandwiches, or a variety of entrees cooked fresh daily. Convenience store at most locations
- Employee discount program. Discounts at many places in and around town, just for being a Medical Mutual team member
- Business Casual attire
Excellent Benefits and Compensation:
- Competitive compensation plans
- Employee bonus program
- 401(k) with company match and an additional company contribution
- Excellent medical, dental, vision, and disability insurance
An Investment in You:
- Career development programs and classes
- Mentoring and coaching to help you advance
- Education reimbursement up to $5K per year
About Medical Mutual:
We strive to create peace of mind. Our customers can trust us to do things right and to help them get value from their health plan. We're the largest health insurer in Ohio and for over 85 years, we've been serving our members and the Ohio communities where they live and work. Medical Mutual is a Top Place to Work in Northeast Ohio with exceptional career opportunities that offer challenge, growth and a great work/life balance. We want talented, innovative, and driven people to help us continue to be the best health insurance choice of Ohioans and help make Ohio the best it can be! Our headquarter building is located in the heart of downtown Cleveland and we have multiple offices throughout the state. Join us at one near you!
At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.
We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.
Apply on company website
Find Connections via Linkedin
