Benefits Administrative Specialist - Individual & Medicare

Job Description

Job Description

Adams Insurance Service – Houston, Texas Full-Time | Entry Level

Position Summary

Adams Insurance Service is seeking an organized, dependable and customer-focused individual to join our Employee Benefits Department. This is a great opportunity for someone interested in beginning a career in the insurance and employee benefits industry.

Prior insurance experience is helpful but not required. An active Life & Health Insurance License is preferred; however, we will consider the right entry-level candidate who is willing to obtain the required license shortly after hire.

This position will primarily support our individual health, Medicare and life insurance business while also assisting our Group Benefits Department with administrative projects and customer service.

Primary Responsibilities

Life Insurance Administration

· Submit individual life insurance applications to insurance carriers.

· Track applications through underwriting and follow up on outstanding requirements.

· Communicate with carriers, clients and producers regarding application status.

· Follow applications through completion and policy issuance.

· Maintain accurate records and documentation.

Individual Medical, Dental & Vision

· Assist individuals with medical, dental and vision insurance options.

· Prepare quotes and compare available plan options.

· Explain plan benefits, costs and coverage options to clients.

· Assist clients in selecting appropriate coverage based on their needs.

· Complete and submit applications and enrollment documentation.

· Follow applications through completion and resolve enrollment issues when necessary.

Medicare

· Assist Medicare-eligible clients with Medicare Supplement and Medicare prescription drug plan options.

· Prepare quotes and explain available coverage options.

· Complete required Medicare training and certifications.

· Assist clients with applications and enrollment.

· Maintain required documentation and follow applicable Medicare rules and procedures.

Group Benefits Support

· Assist the Group Benefits Department with special projects as needed.

· Help research and resolve employee claim and benefit issues.

· Assist with preparing enrollment guides, forms and other materials for employee open enrollment meetings.

· Review enrollment materials for accuracy.

· Provide additional administrative support during busy renewal and open enrollment periods.

Qualifications

· Strong organizational skills and attention to detail.

· Excellent follow-up skills and ability to manage multiple items at the same time.

· Professional and friendly communication skills.

· Comfortable speaking with clients by phone and explaining insurance information.

· Strong computer skills and willingness to learn insurance carrier systems and enrollment platforms.

· Ability to work independently while also supporting a team.

· Customer-service-oriented attitude.

· Prior insurance, benefits, medical office or customer service experience is helpful but not required.

Licensing

An active Texas Life & Health Insurance License is preferred but not required at the time of hire. Candidates who are not currently licensed must be willing and able to obtain the appropriate license shortly after employment.

Additional Medicare certifications and carrier training will be required before independently assisting clients with Medicare plan selection and enrollment.

Bilingual Skills

Bilingual English/Spanish is strongly preferred but not required.

Spanish-speaking ability would be especially helpful for:

· Assisting Spanish-speaking clients with customer service calls.

· Reviewing Spanish enrollment and benefit materials.

· Helping verify Spanish translations for employee benefit communications and enrollment materials.

Ideal Candidate

The ideal candidate does not necessarily need years of insurance experience. We are looking for someone who is smart, organized, dependable, comfortable working with people and eager to learn.

This is an excellent entry-level opportunity for someone who recently obtained a Texas Life & Health Insurance License — or someone interested in building a long-term career in the insurance and employee benefits industry.