Health Plan Advisor

Employment Type

Exempt or Non-Exempt

Minimum Qualifications

• Associate's degree and one (1) year of related work experience; or equivalent combination of education and work experience.
• Strong verbal and written communication skills Intermediate working knowledge of Microsoft Office applications including but not limited to Word, Excel, Outlook/Email and PowerPoint.
• Active license with the state of Hawaii Department of Commerce and Consumer Affairs or pass all four sections of the state licensing examination within three months of hire date. Having an active license to sell Health, Life and Group Insurance products in the state of Hawaii is a condition of employment.
• Driving required (50% or more of the essential duties in the job description requires traveling offsite) for business travel for meetings with employer groups.
• Must possess a valid driver's license, with access to an automobile with current license, registration, and no-fault insurance.
• Conduct open enrollment benefit presentations (second sale), handle current and prospective member inquiries, and support benefit/health fairs at employer sites on Oahu and the Neighbor Island (in-person and/or virtual).
• Strategically plan, staff, coordinate, and organize seminars/workshops to drive awareness of HMSA's value proposition.
• Employ exceptional selling skills to promote, educate, and implement HMSA's ancillary products/services to existing and prospective members on group specific plans offering, health and well being, disease management, preventive care programs, and other programs in accordance with the strategic marketing goals of HMSA.
• Respond to members' questions regarding plan benefits and provisions, as well as general questions relating to HMSA. Questions are standard and of non-sensitive nature.
• Resolve member complaints, as necessary.
• Meet marketing plan established goals and contribute to meeting annual sales revenue and membership growth objectives.
• Work in a cross functional team of Strategic Account Manager/Account Relationship Consultant/Account Service Representative/HPA/Well-Being Consultant.
• Participate in the account planning process to help strategize and prioritize open enrollment support.
• Schedule sessions for the account ahead of time.
• Use existing or lightly customized materials/communication or agendas for seminars
• Learn and understand the content of Open Enrollment materials, including health and well-being resources, and may assist with material updates. Obtains materials from internal sources and distributes to groups in a timely manner.
• Assist in conducting training and/ or seminars for employer groups' Human Resource administrators and/or group decision makers at workshops and/or seminar sessions and conducts other presentations/trainings based on business needs.
• Educates and advises administrators regarding their group health plan benefits and provisions, HMSA programs, the enrollment, billing and payment policies and procedures, and health care regulations such as the Hawaii Prepaid Health Care Act, COBRA, USERRA, HIPAA, QMCSO, TEFRA. Responds to group leaders' questions regarding these subjects, as well as general questions relating to HMSA.
• Assists with the development of new presentations to support business objectives, including health and well-being resources and support as needed.
• Performs all other miscellaneous responsibilities and duties as assigned or directed.