Bachelor’s Degree required., 4-6+ years of relevant work experience required., In-depth knowledge of medical and dental plans required., Proven staff management experience, including with union staff, is essential..
Key responsibilities:
Evaluate and supervise the broker services team.
Implement new policies and procedures as directed by the Director.
Manage and report on representatives’ timecards and PTO requests.
Conduct training and analyze performance for quality assurance.
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EmblemHealth is one of America’s largest not-for-profit health insurers, serving more than three million people in the New York tristate area. With an 85-year legacy of serving New York communities, EmblemHealth offers a full range of commercial and government-sponsored health plans to employers, individuals, and families. We started back in the 1930s, at the height of the Great Depression. Out of hard times, the idea of health insurance was born — a system that would protect everyday people from financial misfortune if they had an accident or illness. Two companies from those early days of health insurance, Group Health Incorporated (GHI) and Health Insurance Plan of Greater New York (HIP), would later merge and become EmblemHealth. And after 85 years, our purpose as a not-for-profit is still the same — to provide quality, affordable health insurance for New Yorkers and their families. The EmblemHealth family of companies provides insurance plans, primary and specialty care, and wellness solutions. The family of companies covers the whole health journey, starting with affordable coverage through EmblemHealth, and ConnectiCare, a leading health plan in Connecticut. The family of companies also includes the AdvantageCare Physicians medical practice, and WellSpark Health, a barrier-breaking digital wellness company. As a family of companies with deep community roots, EmblemHealth Neighborhood Care and ConnectiCare Centers offer free wellness and community resources. Together, the family of companies creates healthier futures for customers and communities. We think of ourselves as an 85-year-old start-up — big enough to offer the stability and benefits of a major corporation, with a ferocious commitment to innovation, collaboration, and flexibility. We believe in what we’re doing. And we’re looking for passionate people to join us.
Manage day to day operation of Broker & Account Services. Ensure appropriate allocation of staff resources to provide needed coverage. Schedule work and staff; monitor performance. Audit practices, policies, and team performance. Manage work queues.
Responsibilities
Evaluate & supervise the broker services team.
Implement new policies & procedures outlined by Director, in accordance with company policies & direction.
Manage & report reps’ timecards & PTO requests.
Keep a calendar of PTO days to always ensure adequate coverage at all times.
Administer weekly auditing of phone calls to ensure accuracy of information.
Analyze performance of reps for quality assurance. Conduct trainings as needed.
Development of telephone survey & analyze results to make recommendations for improvements.
Monitor reps’ performance against metrics.
Monitor GA & broker email boxes weekly.
Simplify workloads in Broker Service box.
Monitor open ticket status to meet guidelines for closure; and responses from other departments to ensure accuracy of those guidelines.
Develop training guides for broker services team.
Coordinate & confer with other departments to ensure rules are being followed (billing, claims, vendor inquiries, membership rules).
Perform other duties as assigned or required.
Qualifications
Bachelor’s Degree (Required)
4 – 6+ years of relevant work experience (Required)
In-depth knowledge of medical & dental plans (Required)
Additional years of experience or specialized training may be considered in lieu of educational requirements (Required)
Proven staff management experience, including union staff (Required)
Proficient with MS Office - Word, Excel, PowerPoint, Outlook, Teams, SharePoint, etc. (Required)
Strong communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences (Required)
Ability to effectively interact with internal and external contacts, including brokers (Required_
Additional Information
Requisition ID: 1000002419
Hiring Range: $68,040-$118,800
Required profile
Experience
Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.