About the Role

The Account Service Representative services assigned accounts to create and maintain customer loyalty and to achieve in-group membership, premium growth, and overall profitability.

Under the general direction of Account Executive/Manager this position is responsible for managing the daily account activities and escalating member and client issues.

Primary Responsibilities

• Assists in the designated renewals, open enrollment, wellness, timely administrative Medical/Rx Claim., Annuity, Pension, processing, and other tasks, while adhering to corporate budgetary policies, procedures, and guidelines.
• Services high-profile accounts independently.
• Provides proactive, personalized support to assigned clients.
• Provides insurance and trust fund technical expertise to clients; educates, advises, and aids clients on all operational and compliance topics. Includes Claims, Eligibility, ERISA, COBRA, FMLA, 5500s and Health Care Reform.
• Responds to requests for information, documents, and employee benefits insurance inquiries.
• Works in conjunction with the Account Executive/ Manager and or Sales / Account Management leadership during the client renewal process for accounts including the preparation of appropriate contractual changes. 
• Coordinates and manages client communications via email, phone, and virtual online meetings.
• Assists in the develop employee communications for renewal changes, enrollment procedures, benefit changes and/or clarifications.
• Maintains a high degree of accuracy in salesforce and document management systems.
• Ensures client deliverable standards are met.
• Participates in peer review with team members.
• Keeps current with industry information, technology, and trends.

Essential Requirements

• 3 years’ experience in employee benefits industry or related marketplace.
• Comfortable with internet-based programs and Microsoft Office products.
• Ability to set priorities and manage deadlines.
• Ability to work in a fast-paced, team environment with minimal instruction.
• Ability to carry out complex tasks with many concrete and abstract variables.
• Strong oral and written communications skills
• College degree preferred.
• Taft- Hartley, Commercial and Hospital System Customer service experience preferred.

About

At Brighton Health Plan Solutions (BHPS), we’re creating something new and different in health care, and we’d love for you to be part of it. Based in New York City, BHPS is a rapidly growing, entrepreneurial health care enablement company bringing tangible innovation to the health care delivery system. Our team is committed to transforming how health care is accessed and delivered. We believe that cost, quality, and population health are optimized when people have long term relationships with their health care providers – and that’s why we’re creating new products that today do not exist anywhere in the New York/New Jersey market. With a growing labor business under the well-known MagnaCare brand, the launch of Create - a new marketplace of health systems focused on self-insured commercial health plan sponsors, and a successful Casualty business, we’re fiercely committed to positively impacting our partners.

Company Mission

Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners.

Company Vision

Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.

DEI Purpose Statement

At BHPS, we encourage all team members to bring your authentic selves to work with all your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing, and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level.

*We are an Equal Opportunity Employee