Employee Health & Benefits (EH&B) Consultant - 1

Confidential Company  •  Salt Lake City, UT

8 - 10 years experience  •  Insurance

Salary depends on experience
Posted on 08/23/17 by Kevin Meyers
Confidential Company
Salt Lake City, UT
8 - 10 years experience
Salary depends on experience
Posted on 08/23/17 Kevin Meyers

Employee Health & Benefits (EH&B) Consultant - 1

Salt Lake City, UT 84101

  • The Employee Health & Benefits (EH&B) Consultant will manage and advise client accounts for employers with 500 - 5,000 employees with their medical, dental, life and disability benefits plans and programs and will be considered the owner of the client. The level of support depends on the size of client as well as complexity and revenue of the account.

    To fulfill this role, the EH&B Consultant will:

    • Prepare agendas and lead client/team meetings.
    • Lead client teams' projects and deadlines utilizing project management tools.
    • Ensure compliancewith professional standards including use of templates, client calendar, peer review, and transparency.
    • Assist with developing employee communicationsstrategy and oversee other team members in the execution of this strategy including management of open enrollment process
    • Responsible for engagement letter process including the confirmation of our specific scope of services, compensation type and level, project timeframe and required data
    • Accountable for revenue/profitability for client accounts
    • Responsible for establishing necessary carrier/vendor relationships with appropriate contacts to serve clients in handling all administration of eligibility, claims, billing, plan implementation, contracts, plan changes and necessary amendments
    • Resolve client issues via phone or email. May delegate issue to the analyst and if the analyst cannot resolve the issue, the consultant will then contact carriers and vendors on behalf of the client to resolve these issues
    • Workdirectlywith the client and manage the request for proposal (RFP) processwith the health insurance carriers and internal analyst.
    • Review the analyst's compilation of the health benefits information from a variety of sources (such as hard files, electronic files, the client and carriers), responses from the carriers and the data in a spreadsheet template (customization depends on client plan types, funding, rate structure, etc.), reviews the transparency documents (compliance documents required for completion of all health and benefitswork); maintain all appropriate documents in proper files
    • Peer review RFP information, analyze and interpret the results, edit and finalize the executive summary report to be sent to the client
    • Review claim and utilization data from insurance carriers on a monthly/quarterly basis that has been input into a standardized reporttemplate by the analyst; analyze and interpret data for trends; peer reviews customized, client ready reports; submit report to client and replies to any questions the client may have
    • Reviews summary plan description (SPD), plan documents and 5500s for compliance and compare to the benefits that were sold to the client. Ensures all benefits are accurately reflected, following a checklist to ensure that all necessary information is included where appropriate. Follows up with the carriers to make sure necessary changes are reflected.
    • Generate new sales through existing clients and client referrals in accordance with the sales plan. Introduces other Mercer H&B and MMC and products and services to clients.
    • Gather health and welfare benefits data from a national survey administered and published by Mercer, input it into a template and compare a client's plan information (such as the benefits they offer, rates, and contributions) to other companies by industry or geography. Consultant is responsible for interpreting the results and presenting the information to the clien

    Required Knowledge, Skills, and Abilities:

    1.  BA/BSdegree is preferred

    2.  Minimum seven years health benefitexperiencerequired

    3.  Strong analytical and mathematical skills; strong command of Excel

    4.  Understanding of health benefitsunderwriting concepts

    5.  Excellent interpersonal skills; strong oral and written communication skills

    6.  Ability to prioritize and handle multiple tasks in a demanding workenvironment

    7.  State Life Accident & Health License must be obtained within three months of hire date

    8.  Must have benefits plan design, RFP and account management experience.

    9. Strong presentation and communications skills working with clients and leading teams.   

      10. Present Salary?

      11. Salary Expectation?  (Target $80k)

     12. Must be a US Citizen or Green Card holder?

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