Insurance Specialist

Description

Reports to:

Community Engagement Manager

FLSA:
Full or Part‑Time Non‑Exempt

The Insurance Specialist will provide assistance to older adults in accessing health insurance and prescription drug coverage, including, but not limited to completing applications for pharmaceutical company patient assistance programs, assisting with Medicaid applications/working with Delaware County Department of Job and Family Services, completing Medicare Part D, Medicare Supplement and Medicare Advantage plan comparisons/assisting with application processes, medical bill organization and client advocacy and education, assist with Healthcare.gov/marketplace

comparisons and application submissions; maintain essential records, and interact with clients.

Medicare Open Enrollment, Year‑Round Health Insurance Marketplace and Medicare Counseling

• Provide 1:1 insurance counseling via in‑person, phone or virtual appointments
• Teach classes, workshops and offer other presentations to the public as assigned
• Advocate for older adults regarding insurance coverage, enrollment or claims
• Document interaction with clients within appropriate guidelines, using resource management software as necessary

• Participate in on‑going education to stay current with changes to benefits, insurance procedures, etc. Education may be done via attending OSHIIP and other relevant trainings, participating in webinars, reading OSHIIP news/updates, reviewing related professional publications, networking with other professionals, and other relevant information sources as well as yearly certification of the Healthcare.gov Assister Counsel curriculum
• Contribute to insurance education for the public via digital and printed materials, such as video recordings, website information, Facebook Live, My Communicator, newsletters, etc., as requested
• Assist with scheduling Medicare classes and workshops throughout the year and county, including instructors, utilizing volunteers when possible
• Assist in the development and quality improvement of service programs within the scope of the position
• Make recommendations to Insurance Program policy and report to supervisor any relevant issues
• Assist with orienting, scheduling, and supervising Insurance Volunteers as assigned, including work assignments, performance reviews, and adherence to relevant policies and procedures

• Skilled in professional interactions with staff, volunteers, and clients
• Good written communication skills for documentation, client interaction, insurance articles, etc.
• Strong presentation and active listening skills; ability to educate
• Knowledge of Medicare and medical insurance, including Medicare Prescription Drug Coverage, Medicare Supplement Insurance and Medicaid. Must be OSHIIP trained and certified as Healthcare.gov Assister; training available if not previously trained/certified
• Ability to work with diverse individuals in diverse environments
• Good organizational skills, detail oriented
• Strong clerical skills, ability to use various office equipment, proficient use of computer software
• Ability to be creative and to deal with ambiguity and change on a routine basis
• Ability to meet deadlines and successfully handle multiple tasks
• Ability to drive to and from offsite locations, meetings, events, etc. as needed and assigned
• Ability to work evenings and Saturdays as needed; function as person‑in‑charge as scheduled
• Ability to promote a positive work culture both within the organization and in the community

• Associate degree desired; field of study in social service or human service fields preferred
• OSHIIP trained and certified preferred
• Experience related to health insurance, public benefits, or other related benefits service preferred. Cannot be a licensed insurance broker or agent or be affiliated with an insurance company in this role.

• Ability to safely navigate uneven terrain, stairs, and move about the building
• Ability to lift 20 lbs. on a regular basis without assistance
• Ability to work extended periods of time teaching, counseling, and at a computer/on the phone
• Smoke‑free facility

It is recognized that in any organization, particularly a small organization, it is necessary to assume new responsibilities appropriate to ensure a smooth continuity of operations with the organization. Not only is the Insurance Specialist required to wear many hats, but it is expected that this person will be familiar with the work of others to the point of being able to fill in on a temporary basis.

It is also anticipated that the other organizational needs will emerge from time to time which will be assigned to this position.