Sr. Account Service Representative

Wellmark, Inc.; Sioux Falls (SD); On-site; USD 50,000 - 70,000; Full time

Job summary

Wellmark, Inc. is searching for a Sr. Account Service Rep in Sioux Falls, SD to manage client relationships and ensure satisfaction. This position involves responding to inquiries with accuracy and coordinating meetings.

The ideal candidate will have strong communication and critical thinking skills, along with 4+ years of relevant experience in client support. Responsibilities include collaborating with internal teams to meet client needs and supporting retention activities.

Qualifications

• 4+ years of experience in customer/client support or related roles.
• 1+ year of office administration experience in insurance or financial services.
• Strong interpersonal skills and ability to understand customer needs.
• Ability to produce results with attention to detail and time management.

Responsibilities

• Support renewal and retention activities with minimal supervision.
• Serve as an advocate for Wellmark, educating clients about products.
• Collaborate with business partners to evaluate customer needs.
• Document relevant account information and share trends appropriately.

Skills

Customer service

Time management

Interpersonal skills

Critical thinking

Communication skills

Proficiency in Microsoft Office

Education

Associate’s Degree or equivalent experience

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Job Description

Help us lead change and transform the member experience! The health care industry is changing and Wellmark is working to help change it for the better. We recognize that our clients deserve health care with a focus on quality – not quantity – of care. We also recognize that health care is complex. We’re working to ensure our organization is positioned to drive deeper understanding of solutions that help our clients navigate the system and make clear, informed decisions, and we’re ensuring that we take a team‑centric approach to providing consultation to our clients. The work that our Account Management teams are doing in collaboration with our business partners will create these changes, all while working to minimize health care costs.

Use your strengths as Sr. Account Service Rep at Wellmark! In this role, you’ll support renewal and retention activities under minimal supervision. This includes researching, resolving, and providing prompt, courteous, and accurate responses to client and agents via phone, written correspondence, or email. You’ll serve as an advocate on behalf of Wellmark by providing education regarding products and services to our agents and clients. Additionally, you’ll support the coordination and facilitation of agent and/or group meetings, as well as collaborate with business partners (Operations, Underwriting, etc.) to evaluate the needs and requests of our customers.

Ideal candidates are team players who thrive on gaining a deep understanding of how benefits work, researching information, thinking critically to resolve questions, and achieving customer/client satisfaction in a dynamic work environment. Sr. Account Service Reps are masters of time management, prioritization, organization, and enjoy partnering with Agency Relationship Managers and Account Managers to support diverse blocks of business. The ability to proactively keep things running smoothly is what energizes them!

Qualifications

• Associate’s Degree or direct and applicable work experience.
• 4+ years of experience in customer/client support or related roles with increasing levels of accountability, such as support of key accounts, clients, or lines of business, and proven track record of success.
• 1+ year of office administration experience (e.g., review/submittal of paperwork, RFP/document preparation, meeting coordination, etc.) from within insurance, financial services, or similar corporate environment.
• Strong interpersonal and relationship management skills with ability to develop deep understanding of customers’ and stakeholders’ needs, ask meaningful questions, and provide guidance or recommendations based on subject matter expertise. Must be able to ensure client satisfaction.
• Strong written and verbal communication skills, including the ability to facilitate presentations. Must be able to effectively communicate to varying audiences.
• Ability to produce results while maintaining a commitment to accuracy, attention to detail, prioritization, and time management. Willingness to exercise flexibility while working in a team environment.
• Proficiency with Microsoft Office applications, such as Word, Excel, or Outlook.
• Valid Driver’s License with limited travel 20‑30%
• Life & Health insurance license, or the ability to successfully obtain license within 2 months.

Additional Information

• Life and Health Insurance License required or successfully obtain license within 60 days of hire.
• a. Assist in the development and management of relationships with customers and consultants. Maintain relationships with assigned customers, agents, and/or consultants through effective communication, customer service, agent training, and personal interaction during meetings, lunches, or other specified events. Keep Account Managers and leader informed of customer interactions and status updates.
• b. Primary focus to understand the customer’s true needs by way of consultation, research and resolution of specific and escalated inquires. Reinforce with business stakeholders the customer experience by providing prompt, courteous and accurate responses to customers and/or agents.
• c. Prepare and submit required group‑specific paperwork for new or renewal business, which initiates the group contract/agreement, as applicable, accurately and within specified timeframes with guidance and support from Account Manager.
• d. Collaborate and serve as a subject matter expert for customers/agents products, services, processes and value proposition; including providing knowledge of issues such as union considerations, ancillary products and services, complex benefit designs, funding arrangements, IRS guidelines, and ERISA. Have the ability to step‑in for Account Managers, when necessary.
• e. Provide integral review of Summary Plan Descriptions (SPDs), Coverage Manuals, Summaries of Benefits and Coverage (SBCs), Group Implementation Guides, and other documents for the customer based on their specific needs and by market segment, including language changes as appropriate, prior to delivering to the customer/agent.
• f. Document relevant account and/or agent information and activities in CRM in a timely manner; review, recognize trends, share appropriately.
• g. Serve as the customer/account advocate elevating ideas and concerns to leadership as appropriate and participate in process improvement initiatives and projects to represent the sales staff and the voice of the customer or agent. Proactively identify opportunities to improve workflow procedures and coordinate the efforts of system support. Assist with developing and updating standard departmental procedures and participate in process improvement initiatives.
• h. Organize and participate in various initiatives, including agent/consultant training, internal meetings, group employee meetings, pre‑renewal group meetings, employer forums, and benefit fairs, if applicable.
• i. Participate in and support new and renewal group transition and implementation activities; including facilitation of group enrollment meetings and assistance in completion of RFPs. Including verification and quality assurance of group paperwork, collaboration with Underwriting, Benefit Implementation Team, Group Enrollment and Membership and Legal. May be required to assist in analyzing group options relevant to rate issues and other considerations.
• j. Other duties as assigned.

An Equal Opportunity Employer

The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.

Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at [e-mail]

At this time, Wellmark is not considering applicants for this position that require any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. This includes, but IS NOT LIMITED TO: F1-OPT, F1-CPT, H-1B, TN, L‑1, J‑1, etc. For additional information around work authorization needs please refer to the following resources: Nonimmigrant Workers and Green Card for Employment‑Based Immigrants.

Wellmark supports and expects the responsible use of AI for our workforce! We welcome the responsible use of these tools by job seekers as well and are interested in learning from you; you will have an opportunity in the application process to share which tools you used and how you applied them.

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