Account Specialist

🕒 June 4

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Logo of Avēsis

Avēsis

501 - 1000 employees

Founded 1978

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Wellness

Avēsis is a company dedicated to providing comprehensive specialty benefits focused on improving access, equity, and health outcomes. Specializing in dental and vision plans, Avēsis offers flexible, affordable, and outcome-focused oral health benefits as well as vision plans that connect eye health to overall well-being. With over 40 years of experience, Avēsis is committed to personalized care and building community health networks to service government partners, commercial providers, employers, and brokers. Avēsis operates as a wholly owned subsidiary of Guardian, and leverages tailored network and product solutions to deliver accessible quality care to members, while also administering Medicaid, Medicare, and other essential benefits programs.

📋 Description

• The Account Specialist is responsible for supporting assigned small group dental and vision accounts through proactive client service, renewal coordination, issue resolution, and ongoing account management activities. • Communicate internally and externally to support assigned accounts and ensure timely resolution of client needs. • Respond to phone calls, emails, and client inquiries. • Participate in client presentations and meetings (in person and via Teams). • Monitor assigned inboxes and requests through completion. • Serve as a primary point of contact for assigned accounts. • Support eligibility, claims, billing, and general account inquiries. • Process requests for information and commission statement requests. • Coordinate Broker of Record change requests. • Partner with internal departments to resolve client issues and escalations. • Provide invoice copies and assist with billing-related questions. • Support enrollment inquiries and enrollment clarification requests. • Coordinate with Eligibility and other internal departments to ensure accuracy of member information. • Assist with open enrollment materials and scheduling requests. • Manage assigned renewal block for groups under 100 enrolled members. • Review upcoming renewals and proactively engage brokers and clients prior to contract expiration. • Conduct scheduled renewal outreach and account check-ins throughout the policy lifecycle. • Coordinate renewal discussions, benefit reviews, and plan option presentations with internal departments and sales partners as needed.

🎯 Requirements

• 2+ years of Account Management, Customer Service, or Sales or similar job function in an insurance industry related environment. • Experience in Managed Care and/or healthcare account management preferred. • Health and Life producer license required. • Regional travel required up to 30% throughout the year. • Enhanced travel demands in Q4 are essential within the assigned territory for success in this role. • Capability to educate the client and manage expectations accordingly. • Exhibit excellent relationship building skillset and mindset – able to coordinate involvement of company personnel, including support, service, and management resources in order to meet account performance objectives and customers’ expectations. • Possess a forward-thinking mindset; regularly assess, clarify, and validate customer needs. • Demonstrate exceptional written and oral communication. • Assume additional responsibilities, including special projects as needed.

🏖️ Benefits

• Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period. • Life and disability insurance. • A great 401(k) with company match. • Tuition assistance, paid parental leave and backup family care. • Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent. • Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best. • Employee Resource Groups that advocate for inclusion and diversity in all that we do. • Social responsibility in all aspects of our work.

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