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Medical Mutual
Account Administrator-Small GroupMedical Mutual • OH, US
Account Administrator-Small Group

Account Administrator-Small Group

Medical Mutual • OH, US
2 days ago
Job type
  • Full-time
Job description

Medical Mutual employees must submit their applications through MySource.

Note: This is a hybrid position requiring 3 designated days per week on-site in our West Chester, OH office. Seeking applicants that reside within a 50-mile radius of the West Chester, OH 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 1.2 million members 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.

Provides administrative support to account managers, brokers and other external and internal areas such as underwriting, membership, claims and customer service for existing accounts in the small group (1-50 sized) market segment.

Responsibilities:

Account Administrator- Small Group

  • Responds to and coordinates broker inquiries via phone, e-mail, chat and intake tickets through the CRM system.
  • Reviews renewal and add-on sales submissions for completeness and compliance with underwriting regulations. Follows up with broker and internal areas on any outstanding requirements.
  • Processes benefit changes in accordance with departmental policies.
  • Assists broker offices and small group customers with maintenance and security issues on the Company's web based systems.
  • Stays current on product and process changes, industry trends, and governmental regulatory changes. Participates in staff meetings and webinars.
  • Performs other duties as assigned.

Senior Account Administrator- Small Group

  • Responds to and coordinates broker inquiries via phone, e-mail, chat, and intake tickets through the CRM system. Responds to escalated or more complex issues.
  • Reviews renewal and add-on sales submissions for completeness and compliance with underwriting regulations. Follows up with broker and internal areas on any outstanding requirements. Completes peer review of submissions.
  • Processes routine to complex benefit changes in accordance with departmental policies.
  • Assists broker offices and small group customers with maintenance and security issues on the Company's web based systems.
  • Develops and maintains process and procedures guidelines. Orients, trains and assists more junior level staff. Helps plan and lead team meetings.
  • Participates in special projects and renewal initiatives and/or continuous improvement teams.
  • Stays current on product and process changes, industry trends, and governmental regulatory changes and shares information with staff. Participates in staff meetings and webinars.
  • Performs other duties as assigned.

Qualifications:

Account Administrator- Small Group

Education and Experience:

  • Associate degree in business or healthcare administration, marketing/communications or related field.
  • Equivalent combination of education and experience directly related to the role may substitute for a degree.
  • 3 years of account management support and/or customer service experience preferably in health insurance and/or working with insurance brokers.

Technical Skills and Knowledge:

  • Familiarity with health insurance products and sales and service operations procedures.
  • Intermediate Microsoft Office skills (Outlook, Teams, Word, Excel).
  • Basic proficiency with Customer Relationship Management (CRM) systems.

Senior Account Administrator- Small Group

Education and Experience:

  • Associate degree in business or healthcare administration, marketing/communications or related field.
  • Equivalent combination of education and experience directly related to the role may substitute for a degree.
  • 5 years of progressive account management support and/or customer service experience in health insurance or related industry.

Technical Skills and Knowledge:

  • Knowledge of health insurance products and sales and service procedures (underwriting, stop loss, benefit plan design, funding, and related government regulations).
  • Intermediate Microsoft Office skills (Outlook, Teams, Word, Excel).
  • Intermediate proficiency with Customer Relationship Management (CRM) systems.

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:

  • We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
  • Employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
  • On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
  • Discounts at many places in and around town, just for being a Medical Mutual team member.
  • The opportunity to earn cash rewards for shopping with our customers.
  • Business casual attire, including jeans.

Excellent Benefits and Compensation:

  • Employee bonus program.
  • 401(k) with company match up to 4% and an additional company contribution.
  • Health Savings Account with a company matching contribution.
  • Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
  • Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
  • Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
  • After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

  • Career development programs and classes.
  • Mentoring and coaching to help you advance in your career.
  • Tuition reimbursement up to $5,250 per year, the IRS maximum.
  • Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

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.

There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide 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. Our plans provide peace of mind to more than 1.2 million Ohioans.

We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.

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Account Administrator-Small Group • OH, US

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