Job Description
Job Title: Group Health Coordinator
Department: Employee Benefits / Group Health
Position Summary
The Group Health Coordinator supports the full lifecycle of employee benefits administration, including quoting, binding, onboarding, and ongoing client servicing. This role is critical in ensuring a smooth and efficient experience for clients by coordinating with carriers, General Agencies (GAs), and employer groups, while maintaining high levels of accuracy, communication, and customer service.
Key Responsibilities
Quoting Process
- Gather and organize census data from clients to prepare accurate quote requests.
- Run and generate quotes through carrier portals and General Agencies (GAs)
- Communicate with clients to obtain missing information and clarify details needed for quoting.
- Schedule meetings and calls between clients and internal stakeholders
- Prepare presentations, proposals, and supporting documentation for the sales process.
- Provide administrative and data support to help close new business.
Binding Process
- Coordinate open enrollment meetings between clients, carriers, GAs, and internal teams.
- Prepare and organize all required enrollment materials and plan documents.
- Utilize platforms such as EASE/Navigators to input and manage employee enrollment data.
- Collaborate with clients to collect final enrollment data, applications, waivers, and required forms.
- Review documentation for completeness and accuracy prior to submission.
- Act as a liaison between the client and the carrier to resolve outstanding items and facilitate approval
Onboarding Process
- Coordinate with carriers to ensure the timely distribution of employee ID cards.
- Train clients on benefits administration platforms (e.g., EASE/Navigators)
- Educate clients on carrier portals and ongoing account management tools.
- Guide clients on employee lifecycle changes (additions, terminations, modifications)
- Provide instruction on key carrier contacts and escalation procedures.
- Assist clients with payroll deductions and coordinate with payroll providers as needed.
Ongoing Client Servicing
- Manage day-to-day service requests and provide timely resolutions.
- Assist clients with employee eligibility, enrollment changes, and compliance with waiting periods.
- Support employees and employers with benefit-related inquiries, including billing and coverage issues.
- Conduct client and employee calls, including three-way calls with carriers/providers when necessary.
- Resolve carrier-related issues, including processing delays, errors, and exceptions.
- Assist clients with COBRA administration and related processes.
- Coordinate replacement ID cards and documentation requests.
- Monitor and communicate notices related to cancellations, late payments, and coverage issues.
Qualifications
- 1–3 years of experience in employee benefits, insurance, or administrative support (preferred)
- Knowledge of group health insurance processes and terminology (preferred)
- Experience with benefits administration systems such as EASE or similar platforms (preferred)
- Strong organizational skills with close attention to detail
- Excellent verbal and written communication skills
- Ability to manage multiple tasks and deadlines in a fast-paced environment
- Customer service-oriented with strong problem-solving abilities.
- Proficient in Microsoft Office (Excel, Word, Outlook)
Licenses & Certifications
- Life & Health Insurance License (preferred or willingness to obtain)