Account Consultant

Job description

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years , we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. About the Role The Account Consultant is responsible for delivering exceptional service and support to new and existing accounts to maximize customer satisfaction, retention, growth, and profitability. This role partners closely with Sales, brokers, and internal stakeholders to support business development initiatives, resolve complex service issues, and ensure the successful implementation and administration of client accounts. What You'll Do Partner with Sales to support new business acquisition, account retention, managed care conversions, and the expansion of existing client relationships. Respond promptly and proactively to client and broker inquiries by coordinating with appropriate internal departments and business partners. Investigate and resolve complex service-related issues while providing guidance on products, benefits, policies, and procedures. Support the processing and administration of documentation related to account prospecting, enrollment, changes, and terminations. Maintain accurate account records and group administration data through ongoing review and updates. Coordinate and facilitate the implementation of new groups, renewals, and account conversions to ensure a seamless customer experience. Analyze cross-functional service issues and identify opportunities for process improvement and resolution. Gather, verify, and validate information from members, brokers, and employer groups to ensure the accuracy and completeness of sales and account documentation. Develop and maintain effective working relationships with internal stakeholders, clients, brokers, and external partners. Perform additional duties and special projects as assigned. What You Bring Required Qualifications Bachelor's degree or equivalent combination of education and relevant professional experience. Minimum of one (1) year of experience in health insurance, life insurance and group benefits, customer. Preferred Qualifications Experience supporting group health insurance products and managed care plans. Experience working with brokers, employer groups, or insurance account administration. Licenses and Certifications New Jersey State Health and Life Insurance License, or the ability to obtain the license within three (3) months of employment. Knowledge and Technical Skills Proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint. Experience using customer relationship management (CRM), applicant tracking, or insurance-related systems. Proficiency with internet- and intranet-based applications. Knowledge of group health insurance products, managed care plans, and industry practices preferred. Familiarity with Horizon BCBSNJ products, services, and underwriting guidelines preferred. Travel (If Applicable) May require travel predominantly within NJ but possibly to limited areas within the US. Why Horizon? At Horizon, you’ll do meaningful work that directly improves lives—while being supported by a mission‑driven organization that values expertise, collaboration, and growth. We believe that when our people thrive, our communities do too. If you are passionate about making an impact, we’d love to hear from you! Salary Range: $63,000 - $84,420 ​This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes: Comprehensive health benefits (Medical/Dental/Vision) Retirement Plans Generous PTO Incentive Plans Wellness Programs Paid Volunteer Time Off Tuition Reimbursement Disclaimer: Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job. Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.