Senior Account Manager - Employee Benefits

Relation Insurance Services; Pleasant Hill (CA); On-site; USD 53,000 - 109,000; Full time

Benefits offered by this job

Competitive pay

401K plan

Employee assistance program

Job summary

Relation Insurance seeks a Senior Account Manager to serve as the primary client contact, ensuring satisfaction and driving new business opportunities. You will build relationships, manage expectations, and present data-driven insights to clients and carriers.

You will also assist with RFP processes, benefit plan analyses, and communications, leveraging Excel and PowerPoint to deliver compelling materials. A strong insurance background and HIPAA knowledge are essential.

Qualifications

• Experience in account management within the insurance industry.
• Strong client advocacy and relationship-building abilities.
• Proficiency with Excel, PowerPoint, and Word for data presentation.

Responsibilities

• Serve as the primary contact for assigned accounts and ensure client satisfaction.
• Develop professional relationships and understand client core business needs.
• Manage RFP processes and prepare client presentations with data insights.
• Review vendor contracts and SPD for accuracy and alignment with client expectations.
• Collaborate with consulting team on cost analyses and plan design considerations.

Skills

Client management

Relationship building

HIPAA knowledge

Microsoft Excel

PowerPoint

Communication skills

Travel readiness

Education

High School Diploma

Bachelor’s degree preferred

Tools

Excel

PowerPoint

Word

Job description

Who We Are
Relation Insurance is a leading, innovative company with a strong commitment to excellence and a passion for delivering cutting‑edge solutions to our clients. As a key player in the insurance market, we pride ourselves on our dynamic culture, collaborative environment, and continuous drive for success. With a rich history and a bright future ahead, we are looking for exceptional individuals to join our team and contribute to our ongoing growth and success.

What We’re Looking For

The Senior Account Manager serves as the primary business contact for the client and is responsible for client satisfaction. The person in this position is expected to consistently provide excellent customer service to assigned accounts, as well as represent client needs and goals within the organization to ensure quality. In addition, the Senior Account Manager will build relationships with clients to encourage new and repeat business opportunities.

• Serves as a client advocate and the primary point of contact for assigned accounts.
• Develops professional business relationships with client and understands the client’s core business.
• Manages client expectations, service commitments, and anticipates needs of the client.
• Quickly identifies and resolves complex client issues.
• Follows through on participant claims resolution matters with carriers and inquiries not immediately resolved.
• On behalf of the client, conducts research on insurance carrier billing issues.
• Manages open enrollment and prepares presentation materials, employee handouts, and other informational tools for client meetings. Provides training sessions during in-person or remote group meetings.
• Manages the Request for Proposal (RFP) process by compiling health benefits information from a variety of sources, responses from the carriers, and reviews the transparency documents maintains all appropriate documents in proper files.
• Analyzes vendor renewals by checking carrier or vendor's plan rates for reasonableness and by analyzing claims and enrollment data, trend rates, administrative expenses and other charges.
• Creates client presentations using Excel and PowerPoint to summarize client data obtained from vendors or Relation consultants.
• Develops benchmarking reports by gathering health benefits data to compare a client's plan information) to other companies by industry or geography and provides the information to the client.
• Gathers necessary data from the vendor or client; reviews to ensure it is complete, accurate, and reasonable. Prepares data for use in basic or advanced financial analyses or valuations.
• Assists consulting team with valuing medical, dental and prescription drug plan designs by entering plan design information to develop the relative cost differences between plan designs, in order to compare the client's current plan to alternative designs.
• Assists consulting team to develop employee contributions scenarios by entering current employee medical contribution data into an Excel spreadsheet and projecting contributions to the next plan year, taking into account the cost‑sharing goals of the client.
• Reviews external vendor contracts, summary plan documents and employee communications to ensure alignment with client expectations and legal requirements.
• Reviews Summary Plan Descriptions (SPD) from the carrier and compares it to the client's benefits for accuracy; follows up with the carriers to make any necessary changes are made.
• Understands and demonstrates project management and consulting skills.
• Develops employee communication materials such as benefit brochures, open enrollment presentations, employee memos, etc.
• Recommends process improvements as needed.
• Fully adopts innovative technology, including proprietary AI solutions, into the service process to deliver a best‑in‑class client service experience.
• Performs other projects, duties, and tasks, as assigned.

What Success Looks Like In This Role

• A Life Accident & Health License from the state of domicile is required and must be maintained.
• Advanced professional designation highly desirable (e.g. CEBS, CBP, etc.).
• High School Diploma or equivalent required. Four‑year degree preferred.
• Minimum 5 years’ account management experience in the insurance industry with a focus on Accident and Health lines of coverage is required.
• In‑depth understanding of the lines of coverage for employee benefit plans: medical, dental, life, long‑term disability (LTD), short‑term disability (STD), accidental death and dismemberment (AD&D), vision, etc.
• Strong knowledge of the rules and regulations associated with HIPAA, COBRA, Health Care Reform and all other legislation and compliance related areas to Group Health programs.
• (California‑Only) In‑depth understanding of AB1672 and Small group regulations.
• (California‑Only) Required to participate in the process of identifying and selecting General Agents. Must have knowledge of the services that California General Agents provide and be able to utilize General Agents to the maximum capacity.
• Must understand R.A.F. (Risk Adjustment Factor) and the components to how rates are created, maintained and delivered on new business and renewals.
• Outstanding interpersonal and communications skills are required to maintain effective relationships with clients, co‑workers, carriers, vendors and others.
• Advanced skills in Microsoft Office (primarily Excel, PowerPoint and Word). Must be computer literate with the ability to learn new software applications, such as online benefit enrollment programs and carrier enrollment sites.
• Ability to work independently with limited daily supervision and to work effectively in a team environment.
• Must have a valid driver’s license, the ability to travel to client sites and a reliable source of transportation.

WHY CHOOSE RELATION?

• Competitive pay.
• A safe and healthy work environment provided by our robust benefit program including family health and wellness programs, 401K, employee assistance programs, paid time off, paid holidays and more.
• Career advancement and development opportunities.

Note: The above is not all encompassing of the full position description.

Relation Insurance Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression or any other characteristic protected by federal, state or local laws. This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Relation, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is presented within this posting.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

$53,000.00 - $109,000.00