Health Benefits Assistant

The Health Benefits Assistant aids a US Family Health Plan (USFHP) Health Benefits Specialist in accomplishing field sales of the USFHP to eligible beneficiaries in high-volume markets. He/she works under the guidance of a Health Benefits Specialist to handle walk-in customers in an office setting. He/she also builds awareness of the USFHP by representing Martin’s Point Health Care to local military units, retiree affairs offices, military/veterans associations, and other centers of influence. He/she educates prospective members about the features of the USFHP and assists enrollees with the application process. He/she counsels current members on using their military health care benefits and resolves members’ issues about eligibility and coverage, bills and claims, and access to care.

Key Outcomes:

Performs direct sales for the US Family Health Plan to eligible beneficiaries by:

· Conducting one-on-one sessions with customers either in-person or over the phone to establish TRICARE eligibility; assess customer needs for health care coverage and generate interest in the Plan; assure beneficiary understanding of Plan features, costs, and rules; and assist completion of applications.

· Building and maintaining a network of relationships with key influencers and centers of military activity that will maximize awareness of and advocacy for the US Family Health Plan.

· Conducting marketing seminars, special events, and briefings for the purpose of educating and enrolling beneficiaries.

· Resolving issues that current members might experience in using the health plan, including questions about coverage, bills and claims, and access to care.

Optimizes the effectiveness of USFHP marketing by:

· Assisting the Health Benefits Specialist in conducting marketing seminars and briefings and in staffing other marketing activities, including community events.

· Assessing and reporting on the effectiveness of marketing initiatives in generating the desired response and in meeting the interests and needs of the targeted population.

· Providing the Marketing Team with feedback from new and prospective members, observations on the competitive environment, and opportunities for marketing initiatives.

· Participating in project, process improvement, Lean, and Six Sigma teams as assigned.

Uses the managed care application system and the customer relationship management (CRM) system to improve customer support and marketing efficiency by:

· Entering information about prospective members and newly enrolled members promptly and accurately.

· Recording contacts with current members and actions taken to resolve problems.

Education/Experience:

· Associate’s Degree or equivalent combination of education and experience

· Minimum of one year of sales and/or customer service experience

· TRICARE knowledge and experience preferred.

· Valid Driver's License Required

Skills/Knowledge/Competencies (Behaviors):

· Outstanding customer service focus with the ability to relate to internal and external customers in a positive and professional manner.

· Outstanding interpersonal skills

· Skill in public speaking in various settings to various size audiences

· Ability to work independently with minimal direct supervision.

· Ability to work collaboratively with other members of the Sales team.

· Valid, current driver’s license and reliable transportation

· Proficiency in Microsoft Office Suite required.

· Proficiency in a contact management software preferred.