Broker Sales Support Specialist
Posted on: 7 Feb 2021
Rancho Cordova, CA
Job Description
Position Purpose:
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* This position supports Ambetter Brokers and the Sales team with commission & contracting related questions, which are not limited to, more in-depth research of the issues, which requires strong communication skills to accurately relay the findings back.
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* Collaborating with their leadership team, and other internal teams, including the Sales team, on member related issues that are identified by the Ambetter Brokers and initially reported to the Broker & Sales Support team, ensuring initial research is completed and documented, following up until a resolution is obtained.
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* Partnering with the Sales team to make outreaches to their brokers, in an attempt to secure and retain membership, to ensure organizational goals are met.
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* Handles provider issues that brokers call or email in about. Determine if the issue needs to be escalated to the Provider Management team and Health Plan contacts. Empowered to collaborate with the Provider Management Team and Health Plan to resolve the issue.
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* Research commission issues in determining if a Broker should be paid commissions. If the commission issue is not complex, the Specialist is authorized to have the correction made Responsible for the Broker to be paid or not paid based on their evaluation.
Education/Experience:
High School Diploma / GED. 1+ year of customer service or health insurance industry experience.
License/Certification:
Department of Insurance Life/Health License is required, or ability to obtain license within 120-days of being hired.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
title:Broker Sales Support Specialist
WellCare
Tampa, FL
WellCare Health Plans, Inc. provides government-sponsored managed care services. The company operates in three segments: Medicaid Health Plans, Medicare Health Plans, and Medicare Prescription Drug Plans (PDPs). The Medicaid Health Plans segment offers plans for beneficiaries of temporary assistance for needy families, supplemental security income, and aged blind and disabled residents; and other state-based programs, such as children's health insurance programs and long-term services and supports programs for qualifying families who are not eligible for Medicaid.
The Medicare Health Plans segment provides Medicare, a federal program that provides eligible persons aged 65 and over, as well as some disabled persons with a range of hospital, medical, and prescription drug benefits; Medicare Advantage, a Medicare’s managed care alternative to the original Medicare program, which offers individuals standard Medicare benefits directly through Centers for Medicare & Medicaid Services; and coordinated care plans that are administered through health maintenance organizations and require members to seek health care services and select a primary care physician from a network of health care providers.
The Medicare PDPs segment provides Medicare part D PDP plans to Medicare-eligible beneficiaries. Its PDP plans offer national in-network prescription drug coverage, including a preferred pharmacy network. As of December 31, 2018, the company served approximately 5.5 million members in the United States. WellCare Health Plans, Inc. was founded in 1985 and is headquartered in Tampa, Florida.
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IndustryHealthcare
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No. of Employees12, 000
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Website
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Jobs Posted917
