Remote Health Insurance Account Manager – Work From Home | $65,816 Annual Salary

Role Overview: Drive Health Insurance Excellence From Anywhere

Step into a role where your expertise in health insurance makes a daily impact. As a Remote Health Insurance Account Manager, you will manage a diverse portfolio of clients, ranging from individuals to large organizations, helping them navigate the complex world of healthcare plans and insurance products. With a strong commitment to client service and policy accuracy, you will lead the way in ensuring high-quality support in a fully remote setting. You will be part of a digitally savvy, mission-driven team dedicated to improving healthcare access and simplifying benefit management for every client.

Key Responsibilities: What You’ll Own Daily

Client Relationship Management

• Serve as the dedicated point of contact for a specific set of clients, maintaining consistent and responsive communication.
• Build and nurture trusted, long-term relationships with corporate HR departments and individual policyholders.
• Facilitate regular check-ins, policy audits, and benefits consultations to align with client goals and expectations.
• Serve as an advocate for clients, navigating them through benefit changes, renewals, and escalated service needs.

Enrollment and Policy Administration

• Manage the full life cycle of benefits enrollment, including new hires, qualifying life events, and annual renewals.
• Maintain and update accurate records in compliance with insurance carrier requirements.
• To empower informed decision-making, provide detailed explanations of coverage options, cost structures, and plan terms
• Ensure all documents and forms are processed and submitted efficiently within required deadlines.

Claims Support and Resolution

• Proactively address and resolve claim issues, delays, and denials by working closely with insurance carriers.
• Provide step-by-step guidance to clients on filing appeals, obtaining pre-authorizations, and understanding EOBs
• Track trends in claim disputes and recommend improvements to reduce future problems
• Serve as a trusted advisor during sensitive health-related scenarios requiring immediate insurance intervention.

Strategic Account Oversight

• Analyze account utilization and insurance plan performance, identifying cost-saving opportunities and potential risks.
• Deliver comprehensive reports and insights to clients, offering strategic recommendations for optimization.
• Collaborate with client decision-makers to align benefit strategies with organizational goals.
• Support clients during benefits renewals by comparing plan options, negotiating rates, and managing transition logistics.

Remote Work Environment: Empowered and Flexible

Work From Home Setup

• Operate entirely remotely with flexible hours to accommodate time zones and client needs.
• Leverage modern tools to stay connected, organized, and productive from any location.
• Maintain work-life balance in a results-oriented, non-micromanaged structure.
• Access all necessary digital resources to ensure security, privacy, and service quality in a virtual workspace

Team Collaboration

• Collaborate regularly with remote colleagues, including account executives, support staff, and underwriters.
• Participate in strategy sessions, training workshops, and virtual team-building activities.
• Engage in a feedback-driven culture with an open professional growth and innovation channel.
• Contribute to group projects that shape policies, procedures, and client service models.

Tools and Technology: Digital Efficiency at Your Fingertips

Core Platforms

• Utilize advanced CRM systems to manage client data, track communication, and schedule follow-ups.
• Operate within leading health insurance management software to ensure plan accuracy and compliance.
• Integrate cloud-based tools for file sharing, form processing, and benefit tracking.

Communication Tools

• Conduct video and voice consultations via platforms like Zoom and Microsoft Teams.
• Use Slack and other real-time messaging apps to stay in touch with teammates and clients.
• Implement digital document workflows using platforms such as DocuSign and PandaDoc.

Required Qualifications: What Makes You a Great Fit

Experience & Licensure

• At least three years of working in the field of medical benefits support, employee health programs, or insurance services
• Sound understanding of PPO, HMO, HSA, EPO, HDHP plans, and compliance requirements.
• Holding a current health insurance certification or being open to acquiring it within the first three months of employment
• Background in virtual client engagement and remote case coordination is highly advantageous.

Skills & Traits

• Strong interpersonal abilities with a talent for simplifying technical insurance terms for a general audience
• Highly meticulous, organized, and capable of managing a large volume of client accounts simultaneously
• Skilled in managing priorities and handling time-sensitive matters in a rapidly evolving virtual workspace
• Compassionate, tactful, and respectful when dealing with personal health-related client scenarios

Ideal Candidate Profile: Who Thrives in This Role

Core Attributes

• Self-starter with a proactive mindset and a passion for helping people make informed healthcare decisions
• Natural relationship builder who understands the importance of trust in long-term account management
• Strategic thinker who can balance daily responsibilities with long-term client success planning
• Flexible and resilient professional who adapts to evolving client needs and industry regulations

Career Aspirations

• Looking to advance in the digital health benefits field through continuous learning and leadership opportunities
• Interested in shaping the client experience and contributing to the evolution of remote health insurance support
• Committed to improving insurance literacy and access across diverse communities

Compensation and Benefits: More Than a Paycheck

Financial and Lifestyle Benefits

• Competitive salary of $65,816 per year
• Robust medical coverage options with access to dental and vision services
• 401(k) plan with employer matching to support your long-term financial goals
• Generous paid time off, holidays, and mental wellness days
• Internet stipend and equipment allowance to support your remote setup

Professional Growth

• Access to continued education, certifications, and industry conferences
• Ongoing mentorship and leadership training for career development
• Promotion from within policy and career pathing programs
• Opportunities to contribute to company-wide initiatives that influence policy and product development

Application Call to Action: Apply Now and Grow With Us

We encourage you to apply if you can lead with compassion, deliver high-quality client support, and grow in a digital-first insurance landscape. Make your mark by becoming vital in how people access and understand their health benefits. Your future in remote health account management begins here.

📩 Apply today and help reshape the future of healthcare support from anywhere.