Account Service Consultant

• Responsible for the implementation of new groups, renewals, and conversion of groups to new product lines.
• Research, interprets, and responds to inquiries from internal and external customers, business partners, brokers, consultants, and groups concerning our products, services, and policies in accordance with MTM, Corporate Service strategy, NCQA, and legislative requirements.
• Identifies and responds to issues brought forward either internally or externally and ensures all inquiries will be responded to within 24-48 hours – same business day preferred where possible. Interacts with Operations, Enrollment and Billing, Customer Care, Claims, Advocacy, Clinical Operations, Medical Affairs and Finance/Underwriting Departments to resolve identified issues.
• Assures that all account data is maintained on a timely and accurate basis such as initial account setup, benefit books, summaries, contracts, etc.
• Partners with Project Management team to support vendor relationships and conversations related to electronic enrollment methods for assigned book of business.
• Utilizes both standard and custom products in a manual workflow to meet the needs of external clients.
• Validates all group set up and renewal completions.
• Completes and successfully passes training(s) to support job role/function.
• Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs.
• Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
• Regular and reliable attendance is expected and required.
• Demonstrates willingness to adapt and be flexible to changes and business needs while taking
• ownership and accountability for issue identification and resolution.

• High School diploma or equivalent required. Associate’s degree in related field preferred. In lieu of degree, 2 years of experience in service or healthcare industries.
• Valid NYS Life, Accident and Health license within six months of employment required.
• Familiarity with NYS and Federal regulations and underwriting policies a plus.
• Strong oral/written communication and customer service skills.
• Strong organizational skills and ability to prioritize, multitask, and work in fast paced environment
• and remain professional and focused under multiple pressures and demands.
• Ability to complete required internal Medicare Training per Center for Medicare Services within one year of start date.
• PC skills are essential: spreadsheet and word processing applications, database functions and sales force automation software applications.

privacy@aditiconsulting.com