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Health Plan Sales Associate II

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CareSource

29d ago

  • Job
    Full-time
    Mid Level
  • Customer Relations
    Sales & Business Development
  • Nevada
    Remote
  • Quick Apply

AI generated summary

  • You need a high school diploma, 3 years in customer service/sales, insurance license, strong communication skills, and the ability to adapt and work independently or in a team.
  • You will assist members with plan selection, enrollment, and healthcare navigation, resolve inquiries, make sales calls, ensure compliance, document interactions, and provide exceptional customer service.

Requirements

  • High School Diploma or General Equivalency Degree (GED) required
  • Associate’s degree or equivalent years of relevant work experience is preferred
  • Minimum of three (3) years of customer service, sales support or other related experience is required
  • Commercial insurance sales experience is preferred
  • Computer proficiency with knowledge and experience in a Windows environment
  • Typing speed of 35 words per minute (WPM)
  • Maintain regulatory knowledge for compliance to ODI, CMS, and CareSource requirements
  • Strong written and verbal communication skills
  • Professional phone etiquette
  • Proper use of grammar
  • Ability to work in a fast paced environment
  • Adaptable to a constantly changing environment
  • Customer service experience
  • Solid self-management and time management skills
  • Ability to work effectively independently and within a team environment
  • Critical thinking and listening skills
  • Decision making and problem solving skills
  • Demonstrates confidence and positivity
  • Sales skills to meet enrollment objectives
  • Professional telemarketing skills
  • Current, unrestricted State Insurance license in Accident and Health in state of practice within state(s) of assigned territory is /are required or ability to achieve license(s) within 30 days of hire
  • Certification Requirement within state(s) of assigned territory:
  • If a Federally-Facilitated Marketplace (FMM) State, certification from the Health Insurance Marketplace and annual recertification each year thereafter is required

Responsibilities

  • Assist prospective members with selecting and enrolling in the CareSource exchange health plan by educating members on our benefits and services, educating members on plan premiums, co-pays and coinsurance, answering all Healthcare Exchange inquiries, assisting with the application process for enrollment, serving as a subject matter expert on CareSource exchange healthcare plans and product lines
  • Assist members with navigating the healthcare system by educating members on our benefits and services, ordering member ID cards, resolving pharmacy inquiries, resolving escalated member complaints, consulting with support departments for expedited resolution, and informing members of premium payment options
  • May be required to make proactive outbound sales calls based on identified leads or campaigns to our prospective members to assist them with enrolling in the CareSource Just4Me product
  • Ensure all HIPAA and State/CMS requirements and regulations are adhered to at all times
  • Maintain complete and accurate documentation of all communications with members and prospective members
  • Ensure all HIPAA guidelines are adhered to on every interaction
  • Ensure PCI compliance while processing payment requests
  • Maintain regulatory knowledge for compliance to ODI, CMS, and CareSource requirements
  • Build and strengthen member relationships by providing world class customer service
  • Maintain knowledge and understanding of all processes and procedures
  • Research, follow up, and resolve all open/pended issues in a timely manner to ensure member satisfaction
  • Make contact with potential members and successfully quote their insurance premiums
  • Build long-term relationships with members
  • Service and provide information regarding applicable changes to their policy
  • Adhere to all departmental and company policies and procedures
  • Perform any other job related instructions, as requested

FAQs

What are the primary responsibilities of a Health Plan Sales Associate II?

The primary responsibilities include educating consumers about CareSource exchange products, generating enrollment leads and referrals, assisting with the application process for enrollment, and maintaining compliance with HIPAA and state regulations.

What educational background is required for this position?

A High School Diploma or General Equivalency Degree (GED) is required, with an Associate’s degree or equivalent relevant experience preferred.

How many years of experience is necessary for this role?

A minimum of three (3) years of customer service, sales support, or related experience is required.

Is commercial insurance sales experience preferred for this position?

Yes, commercial insurance sales experience is preferred.

What skills are necessary to succeed as a Health Plan Sales Associate II?

Essential skills include strong written and verbal communication, proficiency with computers, ability to work in a fast-paced environment, and critical thinking skills.

Is there a licensing requirement for this position?

Yes, a current, unrestricted State Insurance license in Accident and Health in the state of practice is required, or the ability to obtain it within 30 days of hire.

What are the working conditions like for this role?

The working conditions involve working in a phone queue, using general office equipment, and may require sitting or standing for long periods.

Are there any opportunities for bonuses in this job?

Yes, employees may qualify for a bonus tied to company and individual performance.

What is the compensation range for this position?

The compensation range is $40,400.00 - $64,700.00, depending on education, training, and experience.

Does CareSource promote an inclusive workplace environment?

Yes, CareSource is dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

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CareSource

Finance
Industry
1001-5000
Employees

Mission & Purpose

Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for 30+ years and we continue to be a transformative force in the industry by placing people over profits. CareSource is and will always be member-first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to over 2.3 million members through plan offerings including Marketplace, Medicare products and Medicaid. With our team of 4,500+ employees located across the country, we continue to clear a path to better life for our members. Visit the "Life"​ section to see how we are living our mission in the states we serve.