Service Coordinator Large Market

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Job description

Position Description:
Base pay is influenced by several factors including a candidate's qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates. The salary range displayed has not been adjusted for geographical location. This range has been created in good faith based on information known to Capital Blue Cross at the time of posting and may be modified in the future. Capital Blue Cross offers a comprehensive benefits packaging including Medical, Dental & Vision coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more.
At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it's why our employees consistently vote us one of the "Best Places to Work in PA."

The Service Coordinator Large Market works directly with Commercial Group Sales to support the sales quoting and proposal process as well as initiating the operational enrollment and maintenance of new and renewing Large & Major Market group customers. This position is responsible for working with the Sales team to identify, intake, process and manage all signed group paperwork, including the creation and submission of post-sale paperwork for processing by all downstream departments. Each Service Coordinator is accountable for assigned groups and must be able to manage several tasks concurrently while navigating through risks and issues to ensure on-time delivery of finalized quote/proposal documents and group renewal, enrollment and maintenance paperwork.

Responsibilities and Qualifications:
Support Large and Major Market group sales via creation and submission of prospect and renewal quote requests, including production of final proposal documents. These duties may include but are not limited to the following: Submit prospect and renewal quotes for Medical, Rx, Dental, Vision, Assist with Stop Loss quotes if the Medical/Rx benefit designs are needed by Rating. Submit and monitor requests for all non-standard benefits, communicate approvals/denials with Sale Exec and initiate the appeal process when necessary. Create Medical/Rx, Dental and Vision Highlight sheets for quoted benefits.

Process post-sale internal paperwork for new Large and Major Market group enrollments. These duties may include but are not limited to the following: collaborate with Sales to acquire all necessary paperwork and scrub for accuracy, create and Submit Pharmacy forms for all Rx benefits sold. Maintain accurate logging within the Large Group tracking log in SharePoint. Upload all required paperwork into the Large Group Library. Send acquired group paperwork to specified areas for processing. Submit SRS requests to IT&D for any group requesting deductible credit/proration. Update Highlights sheets with any applicable post-sale benefit changes.Create/Process SBC documents timely to meet compliance requirements.

Prepare and submit internal paperwork for active Large and Major Market group renewals, benefit changes, demographic and structural changes throughout the year. These duties may include but are not limited to the following: Collaborate with Sales to acquire all necessary paperwork and scrub for accuracy. Update and Submit Pharmacy forms for all Rx benefits. Maintain accurate logging within the Large Group tracking log in SharePoint. Upload all required paperwork into the Large Group Library. Create yearly renewal highlight sheets with any applicable benefit changes and provide to Case Underwriting. Create/Process yearly renewal SBC documents with any applicable benefit changes timely to meet compliance requirements.

Schedule meetings with Sales Rep as needed to resolve any questions/issues while generating quotes, proposals or handling post-sales group paperwork.

Maintain group data integrity within Maris and/or Salesforce.

Research and respond to inquiries and/or assigned Group Escalation cases from Sales and other internal operational units.

Attend benefit and operational issue resolution meetings with Sales, Group Implementation and other operational areas, when requested.

Create benefit deviation documents when requested for RFPs.

Represent Sales Services on a designated departmental or small project team or in meetings that require feedback on use of technology and/or process.

Skills:

Ability to work independently and to plan/prioritize workload.

Strong ability to multitask, work in a fast-paced environment, and meet deadlines.

Good administrative, organizational, and problem solving skills.

Strong written and verbal communication skills with the ability to interface with Sales and other operational units with professionalism and tact.

Must be extremely detail-oriented.

Demonstrated ability to assess issues and provided recommended solutions to fix problems.

Adherence to operational processes and established processing standards.

Strong interpersonal and relationship management skills.

Committed to developing skills and knowledge.

Perseverance and a 'can-do' attitude.

Knowledge:

Familiar with benefit programs administered and/or supported by Capital Blue Cross and its subsidiaries.

Knowledge of sales guidelines, benefits administration policies, enrollment and billing processes, claims processing and general operating procedures.

Familiarity with operational processing systems utilized throughout Capital's business operations, such as MARIS, Salesforce, and FACETS.

Experience:

3 years' experience in health insurance, operational or marketing support or a related field.

Experience with PC-based software packages (MS Word, MS Excel, MS Access, and MS SharePoint)

Demonstrate understanding of Sales systems (Maris and Salesforce)

Education and Certifications:

High school diploma or GED.

Physical Demands:

While performing the duties of the job, the employee is frequently required to sit, use hands and fingers, talk, hear, and see.

The employee must occasionally lift and/or move up to 5 pounds.

About Us:
We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a diverse and caring team of supportive colleagues, and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career.
And by doing your best, you'll help us live our mission of improving the health and well-being of our members and the communities in which they live.

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