Account Sales Consultant II (WNY​/Buffalo Region

Account Sales Consultant II (WNY/Buffalo Region) (Finance)

Job Description:

Based on the book of business and geographic territory associated with this opening, we're exclusively seeking candidates who reside within our 8 county WNY Service Region (Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans & Wyoming)

Summary:

Under the supervision of the local Manager, Sales/Regional Sales Director, and having attained an extensive and thorough knowledge of all contracts, enrollment regulations and membership and billing procedures, will be responsible for sales and leading the provision of service solutions of assigned accounts and territories. In accordance with established annual sales and retention goals, provides account training, benefit consulting, guidance and coordination of account benefit plans.

This position is responsible for account activity in their assigned lines of business.

For Labor Accounts: positions in this area are additionally responsible for: coordinating efforts with other Account Sales Consultants that have union membership. Coordinates labor communications, and attends regularly scheduled trustee and labor advisory board meetings.

For Ancillary Accounts: positions in this area are additionally responsible for: coordinating efforts with other Account Sales Consultants that have Ancillary Opportunities and membership. Coordinates Ancillary sales communications, and attends regularly scheduled Ancillary advisory board meetings as assigned.

• Level 1:
  • Primarily responsible for managing community rated accounts of 50 and fewer eligible employees' lives. Typically has fewer than three years of sales experience.
• Level 2:
  • Primarily responsible for accounts of 51 and more eligible employees, local and small national groups, typically with a mix of community rated and experience rated health accounts. The accounts will typically have less complex financial arrangements and will be predominantly Health Plan based employee populations. Typically has more than three years of sales experience.
• Level 3:
  • Primarily responsible for several of the following:
  • Book of Business contains a majority of experience rated health accounts
  • A broad range of financial arrangements including several self funded clients
  • More than half the accounts are large national accounts or are accounts with several hundred eligible employees
  • Several accounts with complex benefit structures
  • Ability to explain and answer questions about the financial aspects of rate determination, renewal, and underwriting to clients.
  • Demonstrated leadership ability - mentoring of level one and two consultants, lead role on projects, committee participation, assigned management responsibility in absence of management.
  • Additional education and training deemed above the minimum requirements for the position, i.e. graduate level courses, RHU or other sales specific certification, PAHM, FAHM, or other industry specific certification, training classes intended to enhance job specific skills.&&Ability to manage complex relationships involving group leaders, brokers, senior management and internal departments.
  • Exemplifies a senior level professional with respect to confidence, professionalism and discretion.

Essential Primary Responsibilities/Accountabilities:

• In accordance with corporate sales goals, will identify, qualify and create specific strategy for prospects and accounts assigned.
• Thoroughly acquaints appropriate account personnel with benefit explanations, claims filing and billing procedures, proposed rate adjustment rationale, mandated benefits, statutory changes and state and federal issues impacting health insurance delivery systems. Conducts educational meetings to review existing benefits and describe new benefits. Will assist in conducting open enrollments, re-enrollments, implementation of benefit changes, etc. Will arrange for proper response to claims inquiries and resolution of related problems.
• Serves in a consultative role to establish an appropriate comprehension level of benefits for assigned accounts. Responsible for the provision of service solutions to accounts to ensure account satisfaction.
• On a regular basis, provides consultative services to assist the account's representative in establishing and meeting the goals of the group's insurance program. Provides advice on such matters as benefit design, health care financing, health care legislation, the health care delivery system and the best way to communicate benefit information to employees.
• Prepares and participates in educational programs such as pre-retirement seminars, community information programs, health fairs, etc.
• As required, assists in the development of new programs or modifications to existing contracts to accommodate prospective or existing account needs in conjunction with actuaries, consultants and others.
• As required, performs research and coordinates the preparation of new or revised benefits booklets for distribution among account employees. May also edit or otherwise…