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Medicare Service Coordinator

Company Description

Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors–our members. If you’re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today! 

Learn more about our unique benefit offerings here

Want to know more? You can learn about life at Wellmark here.

Job Description

Are you passionate about making a difference in the Medicare space? We’re looking for a Medicare Service Coordinator to drive and support Medicare sales activities while serving as a key resource for both internal teams and external stakeholders.

In this role, you’ll work closely with our Medicare Business Consultant, Agency andAccount Management teams, and customer experience specialists to ensure seamless coordination and education around Wellmark Medicare products. Plus, you’ll represent Wellmark at community events, employer health forums, and retiree gatherings helping individuals make informed decisions about their healthcare coverage.

If you’re a strong communicator, organized, and passionate about healthcare, this could be the perfect role for you!

Qualifications

Required:

Bachelor’s degree in business, marketing, communications, health care administration or other discipline or equivalent work experience.

  • 3+ years of health insurance or related industry experience. Must demonstrate knowledge of Retiree Benefits and Medicare product portfolio, benefit design, and applicable industry rules or regulations.
  • Strong written and verbal communication skills with the ability to update and deliver presentations. Professional, polished approach.
  • Excellent administrative, project/event coordination, and time management skills with the ability to prioritize competing tasks with flexibility. Attentive to details and accuracy.
  • Consultative selling skills, including the ability to develop relationships, qualify leads, identify opportunities, influence decisions, and negotiate. Demonstrates resiliency with follow ups.
  • Self-starter who can work well independently or as a member of a cross-functional team.
  • Proficiency with Microsoft Office applications, such as Word, Excel, or Outlook.
  • Travel required 5-10% and is licensed in life and health insurance in the state of Iowa and/or South Dakota.

Preferred:

  • Direct experience with Group Medicare.
  • CRM experience.

Additional Information

Life and Health Insurance license required within 60 days of hire.

a. Executes the implementation of sold Employer Group Retiree Plans and Group Prescription Drug Plans, including the collection of required paperwork. Manage and coordinate post-sale activities internally, including working with sales operations, agency and account management team and other Wellmark teams to ensure smooth implementation of Medicare group sales.

b. Coordinates and manages the post-sale daily service activities for Wellmark’s Medicare business, including research to find resolutions to client issues within a timely manner. Track and monitor issues to identify business development opportunities to help drive continuous process improvements and efficiencies. Prepare group specific communications, documents, and/or necessary presentations and paperwork.

c. Prepares and delivers sales proposals for Employer Group Retiree Plans and Group Prescription Drug Plans to internal Wellmark account teams and external agents and consultants. Assists with providing answers to the RFP team related to retiree benefit inquiries.

d. Coordinates the scheduling of Medicare sales activities, working cross-functionally with Wellmark account teams, internal sales team and field service representatives. Assists with preparing and conducting Medicare sales and educational presentations for client meetings, open enrollment meetings and community events.

e. Coordinates renewal activities for groups. Manages the documentation for group accounts and ensures that changes and updates are processed accordingly. Coordinates internally with Wellmark account teams to ensure annual Medicare certification requirements are met before Group Prescription Drug Plan renewals are delivered.

f. Serves as subject matter expert for Group Prescription Drug Plans and is the Wellmark sales liaison for the region by participating and providing sales insights in the regional Sales & Marketing meetings.

g. Drives sales opportunities by establishing, cultivating and managing relationships with agents, consultants, group executives, and members to help execute plans to ensure we are working collaboratively to meet common objectives.

h. Executes agent recruiting efforts and other Medicare sales strategy tactics as assigned. Documents outcomes and reports trend findings to leadership.

i. Maintains a thorough understanding of Medicare Compliance requirement and annual Medicare updates and changes.

j. As assigned, responsible for special projects and assignments from leadership.

k. Other duties as assigned

An Equal Opportunity Employer

The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.

Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at [email protected]

Please inform us if you meet the definition of a "Covered DoD official".

Average salary estimate

$60000 / YEARLY (est.)
min
max
$50000K
$70000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Medicare Service Coordinator, Wellmark, Inc.

Are you looking to make a positive impact in the Medicare space? Wellmark Blue Cross Blue Shield in Des Moines, IA is seeking a Medicare Service Coordinator who is eager to drive Medicare sales and support our mission of providing excellent service to our members. In this role, you will connect with our Medicare Business Consultant and work alongside the Agency and Account Management teams to ensure effective coordination and education around Wellmark's Medicare products. You’ll also have the exciting opportunity to represent Wellmark at community events, helping to educate individuals about their healthcare options. If you’re a communicator with strong organization skills and a passion for healthcare, this could be the perfect fit for you. A bachelor’s degree in a relevant field along with a minimum of three years' experience in the health insurance sector is essential. You will be guiding clients through the intricacies of Medicare, preparing and delivering sales proposals, and managing post-sale activities. Your role will require relationship-building skills to collaborate with agents and members effectively. We value initiative and the ability to work both independently and as part of a team. Join us at Wellmark, where we put our members first and are committed to continuous innovation and excellence.

Frequently Asked Questions (FAQs) for Medicare Service Coordinator Role at Wellmark, Inc.
What are the key responsibilities of a Medicare Service Coordinator at Wellmark?

As a Medicare Service Coordinator at Wellmark, you'll be responsible for driving and supporting Medicare sales activities, coordinating post-sale service activities, preparing sales proposals, and representing Wellmark at various community events. Your role will also include managing relationships with agents and ensuring successful implementation of Medicare plans, all while being a key resource for internal teams and external stakeholders.

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What qualifications are required for the Medicare Service Coordinator position at Wellmark?

To qualify for the Medicare Service Coordinator role at Wellmark, you need a bachelor’s degree in business, marketing, communications, healthcare administration, or a related field, along with at least three years of experience in the health insurance industry. Proficiency in communication, strong organizational skills, and knowledge of Medicare regulations are also essential.

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Does the Medicare Service Coordinator role at Wellmark require travel?

Yes, the Medicare Service Coordinator position at Wellmark involves some travel, approximately 5-10%. This travel is typically for community events and meetings that help educate members and support sales initiatives in the Medicare business.

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What skills are essential for success as a Medicare Service Coordinator at Wellmark?

Successful Medicare Service Coordinators at Wellmark need strong writing and verbal communication skills, excellent project and time management abilities, and a consultative selling approach. Additionally, being detail-oriented and adaptive to changing priorities will help you thrive in this role.

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What opportunities for growth are available for a Medicare Service Coordinator at Wellmark?

Wellmark offers various opportunities for professional growth for a Medicare Service Coordinator. You can gain experience in project management, sales strategy development, and customer relationship management. You’ll also have the chance to participate in training sessions and to develop as a subject matter expert in Medicare products.

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Common Interview Questions for Medicare Service Coordinator
How do you approach building relationships with agents and clients as a Medicare Service Coordinator?

When building relationships, I prioritize open communication and understanding client needs. I make an effort to connect personally by listening actively and following up regularly, which helps establish trust and leads to successful collaborations.

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Can you describe your experience with Medicare products and regulations?

I have over three years of experience in the health insurance industry, specifically focusing on Medicare products. I make it a point to stay current with regulations and compliance updates to ensure that I am always providing informed advice and guidance to clients.

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How do you handle competing priorities and ensure timely follow-up on client requests?

I utilize effective time management skills by prioritizing tasks based on urgency and importance. I create lists and set reminders, allowing me to keep track of follow-ups and deadlines, ensuring that all client requests are addressed promptly.

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What strategies do you use when preparing sales proposals for Medicare plans?

When preparing sales proposals, I focus on understanding the client's needs and tailoring the proposal to highlight how Wellmark's Medicare plans specifically meet those needs. I also ensure clarity and professionalism in delivering the content to effectively communicate the value of the offerings.

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Describe a challenge you've faced in your previous roles and how you overcame it.

In my previous role, I encountered a situation where a client was unhappy with service delays. I took immediate action by personally reaching out to the client, listening to their concerns, and coordinating with internal teams to expedite the resolution. This proactive approach helped restore the client’s trust.

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How do you keep updated on industry trends and changes in Medicare policies?

I regularly attend workshops and webinars, subscribe to industry publications, and participate in professional groups. Staying informed about policy changes is vital to providing accurate information and excellent service to clients.

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What tools or software are you proficient with that will help in this role?

I am proficient in Microsoft Office Suite, particularly Excel for data analysis and reporting, Word for documentation, and Outlook for communication and scheduling. CRM systems and tracking tools are also familiar to me, aiding in effective client management.

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How would you describe your communication style when dealing with clients or stakeholders?

I strive to be clear and concise while also being approachable and friendly. I believe that taking the time to explain complex concepts in simple terms helps build rapport and fosters understanding among clients and stakeholders.

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What motivates you to work in the healthcare insurance field, specifically in Medicare?

I am driven by the opportunity to make a positive difference in people’s lives through healthcare. The Medicare field allows me to help older adults navigate important health decisions, ultimately improving their quality of life, which is incredibly rewarding.

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What do you consider the most important aspect of customer service in the Medicare industry?

In the Medicare industry, the most crucial aspect of customer service is empathy. Understanding the unique challenges and concerns that elderly clients face allows me to provide tailored support and build lasting relationships.

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Wellmark, headquartered in Des Moines, Iowa, and established in 1939, is a health insurance company specializing in individual and family health insurance plans.

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DATE POSTED
March 23, 2025

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