Small Group Benefits Account Specialist

Medica Services Company LLC; Omaha (NE); On-site; USD 57,000 - 97,000; Full time

Job summary

Medica is a nonprofit health plan serving diverse communities, seeking an Account Representative I in Omaha, NE. The role focuses on supporting the broker distribution channel for small group Commercial business, guiding enrollment, billing, claims and benefits, and ensuring regulatory compliance.

The successful candidate will manage assigned accounts, build client relationships, and coordinate with internal teams to resolve issues, while working on-site in Omaha three days a week.

Qualifications

• Bachelor's degree or equivalent combination of education and experience required.
• Relevant experience could include Customer Service, Vendor Management, Account Management, Group Health, Benefits Administration, Human Resources, etc.
• Demonstrated proficiency in working with both fully insured and self-funded health plans preferred.
• Experience working with brokers preferred.

Responsibilities

• Manage an assigned portfolio of small group accounts.
• Prioritize workload, monitor account activity, and maintain accurate account documentation.
• Build and maintain strong relationships to support retention and client satisfaction.
• Research, coordinate, and resolve escalated service issues.
• Manage inquiries related to eligibility, billing, enrollment, claims, and benefits.

Skills

Customer Service

Vendor Management

Account Management

Group Health

Benefits Administration

Human Resources

Education

Bachelor's degree or equivalent combination of education and experience

Job description

Medica is a nonprofit health plan serving diverse communities, seeking an Account Representative I in Omaha, NE. The role focuses on supporting the broker distribution channel for small group Commercial business, guiding enrollment, billing, claims and benefits, and ensuring regulatory compliance.

The successful candidate will manage assigned accounts, build client relationships, and coordinate with internal teams to resolve issues, while working on-site in Omaha three days a week.