Innova Solutions is immediately hiring a Client Set Up Analyst. Position type: Full-time (Contract) Duration: 12 Months Location: Philadelphia, PA As a Client Set Up Analyst, you will be: Setup groups in the group and benefits administration systems, including medical, pharmacy, dental and vision benefits.
Communicate with Sales or Brokers to understand the client's benefits purchase and execute the setup. Handle internal processes, including but not limited to reviewing customer records for accuracy to process the groups, re-entry of improper input into the system and resolution of any other operational or internal systems issues that may arise. Understanding of corporate and departmental policies and procedures Responsible for making the determination, based on information gathered, that the case can be accepted and forwarded for processing, or requires further review.
Conform with the plans, policies, and procedures established by Sales Management Ensure all Underwriting guidelines are met, rate quotes are correct, and determine if additional underwriting is required. Determine that new clients meet new sale underwriting guidelines and set client up in the system. Understand renewal changes requested by client and execute change in system.
Execute cancellations and maintenance of a group account. Inform Enrollment and Billing teams of enrollment and billing actions needed. Investigate and resolve client setup issues in core platform systems.
Investigate and resolve pharmacy setup issues. Resolve access to care for members in pharmacy benefit system. Partner with benefit administration vendors to investigate and resolve issues.
Meet departmental production and quality requirements. Prepare quality control documentation submitted to the processing areas for group set-up and changes. Develop and maintain a strong business relationship with the internal customers of the Family of Companies, including but not limited to, Underwriting, Sales, Marketing, Enrollment, Customer Service, and any other areas involved in the process.
Responsible for broker setup. Connect the client groups to the correct broker in the broker commissions system. Resolve broker set up discrepancies and address the broker inquiries and concerns.
Research and resolve group setup issues for medical, pharmacy, dental and vision benefits. Resolve problems, identify trends and educate customers as needed. Perform quality audit of all documentation provided for group/customer set-up and coordinate missing materials when needed.
Audit all incoming materials and maintain complete documentation in regard to issue resolution for broker community, external clients and the departments. The ideal candidate will have: Associate degree required/bachelor's degree preferred/or must have 2-3 years relevant experience. Minimum 2-3 years' relevant experience required.
Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible. Thank you! Arnab Show Team Recruitment PAY RANGE AND BENEFITS: Pay Range*:.Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.
Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP). ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.
Recent Recognitions: One of Largest IT Consulting Staffing firms in the USA - Recognized as #4 by Staffing Industry Analysts (SIA 2022) Clearly Rated® Client Diamond Award Winner (2020) One of the Largest Certified MBE Companies in the NMSDC Network (2022) Advanced Tier Services partner with AWS and Gold with MS Website: https://www.innovasolutions.com/Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates.
If you are an individual with a disability and need reasonable accommodation to assist with your job search or application for employment, please contact us at hr@innovasolutions.com or (770) 493-5588. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities.
Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b.The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws